Clinical outcome after Chevron–Akin double osteotomy versus isolated Chevron procedure: a prospective matched group analysis

Lechler, Philipp; Feldmann, Christine; Köck, F. X.; Schaumburger, Jens; Grifka, Joachim; Händel, M.

doi:10.1007/s00402-011-1385-3

Cited by 32 publications

(31 citation statements)

References 17 publications

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“…We found no difference in IMA correction between the 2 techniques (7.0 and 7.3 for the Mitchell and chevron groups, respectively). Our results for correction of the IMA were comparable with those reported in current studies (2,4,5,8,27). Lechler et al (27) found a mean postoperative IMA of 8 after chevron osteotomy.…”

Section: Discussionsupporting

confidence: 94%

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Chevron Versus Mitchell Osteotomy in Hallux Valgus Surgery: A Comparative Study

Heerspink

Verburg²,

Reininga³

et al. 2015

The Journal of Foot and Ankle Surgery

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Section: Discussionsupporting

confidence: 94%

“…Our results for correction of the IMA were comparable with those reported in current studies (2,4,5,8,27). Lechler et al (27) found a mean postoperative IMA of 8 after chevron osteotomy. In a study conducted by Radwan and Mansour (8), the mean postoperative IMA was 8.23 .…”

Section: Discussionsupporting

confidence: 94%

Chevron Versus Mitchell Osteotomy in Hallux Valgus Surgery: A Comparative Study

Heerspink

Verburg²,

Reininga³

et al. 2015

The Journal of Foot and Ankle Surgery

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“…21 The authors suggested the superiority of a combined Chevron-Akin osteotomy over an isolated Chevron procedure. 22 Lechler et al 10 reported that the mean improvement of HVA in the Chevron-Akin double osteotomy group was significantly greater than that of the Chevron osteotomy group, while the mean improvement of IMA did not differ between the two groups. Our results were similar, however, another study 23 demonstrated sufficient reduction of HVA in almost all cases by the Scarf procedure 24 alone without the need for a phalangeal osteotomy.…”

Section: Discussionmentioning

confidence: 94%

“…5,7,8 Additional surgery such as distal soft tissue procedures (DSTPs), Akin osteotomy, 9 and supplementary Kirschner (K-) wire fixation are frequently combined with first metatarsal osteotomy. 10,11 However, little has been reported about the effect of these additional procedures on the outcomes and recurrence of hallux valgus after first metatarsal osteotomy.…”

mentioning

confidence: 99%

Additional surgical factors affecting the recurrence of hallux valgus after Ludloff osteotomy

Choi

Yoon

et al. 2013

The Bone & Joint Journal

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We reviewed 91 patients (103 feet) who underwent a Ludloff osteotomy combined with additional procedures. According to the combined procedures performed, patients were divided into Group I (31 feet; first web space release), Group II (35 feet; Akin osteotomy and trans-articular release), or Group III (37 feet; Akin osteotomy, supplementary axial Kirschner (K-) wire fixation, and trans-articular release). Each group was then further subdivided into severe and moderate deformities. The mean hallux valgus angle correction of Group II was significantly greater than that of Group I (p = 0.001). The mean intermetatarsal angle correction of Group III was significantly greater than that of Group II (p < 0.001). In severe deformities, post-operative incongruity of the first metatarsophalangeal joint was least common in Group I (p = 0.026). Akin osteotomy significantly increased correction of the hallux valgus angle, while a supplementary K-wire significantly reduced the later loss of intermetatarsal angle correction. First web space release can be recommended for severe deformity. Additionally, K-wire fixation (odds ratio (OR) 5.05 (95% confidence interval (CI) 1.21 to 24.39); p = 0.032) and the pre-operative hallux valgus angle (OR 2.20 (95% CI 1.11 to 4.73); p = 0.001) were shown to be factors affecting recurrence of hallux valgus after Ludloff osteotomy.

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“…22 What is unclear is how this affects the tracking of the sesamoids under the MT head. The radiographic evaluation of bunion deformities is inadequate to assess first MTP joint congruity, sesamoid location, and TMT instability and should have only a very limited role in surgical planning.…”

Section: Erosion Of Cristamentioning

confidence: 99%

Bunion Deformity Correction

Conti¹

2012

Techniques in Foot &Amp; Ankle Surgery

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To consistentlyand successfully treat musculoskeletal problems, the orthopedic surgeon must make a proper diagnosis that includes an understanding of the etiology and all structural components of a deformity, choose the proper surgical procedure from an often numerous list of possible treatment options, and properly perform the procedure chosen. References that describe over 120 surgical procedures that have been published for the correction of bunion deformities either means that the foot and ankle community has an intimate understanding of a very complex and heterogeneous deformity and has determined that this vast number of procedures is necessary to deal with this diversity or that we simply do not understand, or have significant misconceptions of, the etiology and source of patient complaints with bunions and that we widely differ in our interpretation of the physical examination findings and radiographic evaluation. This, in turn, has allowed us to devise so many surgical procedures with each attempting to address our own individual concepts of bunion deformities. The assessment and treatment of bunion deformities has traditionally been based on an analysis of the correction of radiographic angular abnormalities or measurement of patient satisfaction after a given surgical procedure. Most papers even try to comment on etiology that use the word "multifactorial" when describing how bunions form and progress. Rather than focus on a surgical procedure to fix radiographic angular abnormalities, I have developed an algorithm to correct bunion deformities that is based on suspected etiology that is being more carefully investigated in ongoing research.

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Clinical outcome after Chevron–Akin double osteotomy versus isolated Chevron procedure: a prospective matched group analysis

Cited by 32 publications

References 17 publications

Chevron Versus Mitchell Osteotomy in Hallux Valgus Surgery: A Comparative Study

Chevron Versus Mitchell Osteotomy in Hallux Valgus Surgery: A Comparative Study

Additional surgical factors affecting the recurrence of hallux valgus after Ludloff osteotomy

Bunion Deformity Correction

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