A New Alternative Surgical Treatment of Hallux Valgus, in Moderate to Severe Cases of the Disease With a Two-and-a-Half-Year Follow-Up

Abstract

The study aims to evaluate the treatment of moderate to severe forms of hallux valgus with the lowest invasiveness in soft tissues and especially with an alternative modified Chevron osteotomy of the first metatarsal. Additionally, it emphasizes the necessity of the modified McBride procedure (capsuloplasty and release of specific concrete soft tissue structures) and the importance of the soft tissue manipulation in the particular surgery intra-operatively, as well as postoperative medical and personal care and duration of rehabilitation. Patients with an average age 58 years (range 51-65), who underwent a Chevron type osteotomy with combination of soft tissues interventions laterally and medially of the first metatarsophalangeal joint, for symptoms they had of systematic hallux valgus without any other degenerative problems in metatarsophalangeal joint between 2017 to the beginning of 2018, were retrospectively reviewed with an average follow-up of 29 months (range 26-31).

Plantar Pressure Changes in Hallux Valgus Deformity

“…Ancak bu oran literatürde değişkenlik gösterebilmektedir; literatürde en düşük oran 2:1 iken, en yüksek oran 15:1 olarak rapor edilmiştir 2,6,7 . Bir çalışmada, halluks valgus deformitesine sahip kişilerde belirtilen deformitenin bilateral olarak görülme G. AÇAR, G. KONAKOĞLU sıklığının %87 olduğu bildirilmiştir 8 . Abdüktör-addüktör kaslarının dengesizliği, halluks valgus deformitesinin gelişiminde önemli faktörlerden biri olarak gösterilmektedir 9 .…”