High Rate of Recurrence Following Proximal Medial Opening Wedge Osteotomy for Correction of Moderate Hallux Valgus

Foot & Ankle International
Sravisht IyerScott J Ellis

Abstract

The proximal medial opening wedge (PMOW) osteotomy has become more popular to treat moderate to severe hallux valgus with the recent development of specifically designed, low-profile modular plates. Despite the promising results previously reported in the literature, we have noted a high incidence of recurrence in patients treated with a PMOW. The purpose of this study was to report the clinical and radiographic outcomes of an initial cohort of patients treated with a PMOW osteotomy for moderate hallux valgus. We retrospectively analyzed prospectively gathered data on a cohort of 17 consecutive patients who were treated by the senior author using a PMOW osteotomy for moderate hallux valgus deformity. Average time to follow-up was 2.4 years (range, 1.0-3.5 years). The intermetatarsal angle (IMA), the hallux valgus angle (HVA), and the distal metatarsal articular angle (DMAA) were assessed on standard weightbearing radiographs of the foot preoperatively and at all follow-up visits. The Foot and Ankle Outcome Score (FAOS) was collected on all patients preoperatively and at final follow-up. Despite demonstrating good correction of their deformity initially, 11 of the 17 patients (64.7%) had evidence of recurrence of their hallux va...Continue Reading

References

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Citations

Nov 15, 2015·Foot & Ankle International·Amiethab AiyerMark Myerson
Feb 9, 2017·Foot & Ankle Specialist·Naohiro ShibuyaJakob C Thorud
Oct 4, 2016·Foot & Ankle International·Spenser J CassinelliThomas G Harris
Jul 14, 2018·Foot & Ankle International·Henryk Liszka, Artur Gądek
May 7, 2019·Foot & Ankle International·Justin J RayRobert D Santrock
Feb 20, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Glenn G ShiHarold B Kitaoka
Mar 10, 2020·The Journal of Bone and Joint Surgery. American Volume·Gerhard KaufmannMichael Liebensteiner
Jul 17, 2020·Foot & Ankle International·Gavin John HeyesAndrew Molloy
Oct 5, 2019·Foot & Ankle Specialist·Andrea ScalaGiulio Oliva
Apr 7, 2017·Der Orthopäde·M Thomas, M Jordan
Jun 6, 2018·International Orthopaedics·Gerhard KaufmannMichael Liebensteiner
Feb 10, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Kshitij ManchandaTrapper Lalli
Jun 26, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jody P McAleerRobert D Santrock

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Methods Mentioned

BETA
dissection

Software Mentioned

SPSS
PMOW

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