Comparison of the Modified McBride Procedure and the Distal Chevron Osteotomy for Mild to Moderate Hallux Valgus

Choi, Gi Won; Kim, Soo Hyun; Kim, Taik Seon; Chun, Sung Kwang; Kim, Tae Wan; Lee, Yong In; Kim, Kyoung-Ho

doi:10.1053/j.jfas.2016.02.014

Cited by 21 publications

(11 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Distal chevron osteotomy has been considered one of the most successful types of osteotomy as it has demonstrated good results in the medical literature. Though it has better results in comparison to the McBride technique and Wilson osteotomy [ 4 - 5 ], when compared to the Scarf osteotomy in randomized trials by Jeuken, et al and Deenik, et al, the results were similar in both groups [ 6 - 7 ]. The technique of ‘V’ shaped osteotomy and lateral displacement is considered as a big step in the correction of hallux valgus and has been proven effective [ 8 - 9 ].…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities

Baig

Tariq

et al. 2017

Cureus

View full text Add to dashboard Cite

IntroductionHallux valgus is one of the most common forefoot deformities worldwide. Females are affected more often than males. The three most common clinical symptoms are the painful bunion, transfer metatarsalgia, and hammer or claw toes.MethodsThis case series consisted of 20 patients who had chevron osteotomy from January 2015 to January 2016. The clinical assessment was measured by The American Orthopedic Foot and Ankle Score (AOFAS), and radiologic assessment was determined by preoperative and postoperative hallux valgus angle (HVA) and intermetatarsal angle (IMA).ResultsThe patients’ mean age was 56 years. Out of 20 patients, 19 were female, and one was male. The mean AOFAS improved from 51 preoperatively to 82 postoperatively. The HVA improved from 26° preoperatively to 14°. There were five complications including four Kirschner (K)-wire complications.ConclusionDistal chevron osteotomy is a reliable and time-tested procedure. The K-wire fixation has a relatively high complication rate. We planned to use other methods of fixation and then compared them with K-wires fixation results for future studies.

show abstract

Section: Discussionmentioning

confidence: 99%

A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities

Baig

Tariq

et al. 2017

Cureus

View full text Add to dashboard Cite

show abstract

“…Johnson et al 5 compared the modified McBride procedure with distal chevron osteotomy and found that these two procedures did not provide significant improvement in medial sesamoid and led to comparable results. On the other hand, Choi et al 15 reported improvement in sesamoid position in both groups, with better improvement in the osteotomy group. Grle et al 16 compared distal osteotomy with distal osteotomy plus lateral soft-tissue release and found better results in the distal osteotomy plus lateral softtissue release group.…”

Section: Discussionmentioning

confidence: 93%

Correction of More Hallux Valgus Pathologic Disorders with a Single Distal Osteotomy: A New Surgical Technique

Çetin¹,

Parmaksizoglu²,

Fidan³

et al. 2021

Journal of the American Podiatric Medical Association

View full text Add to dashboard Cite

Background Hallux valgus, one of the most common deformities of the great toe, may cause pain, dysfunction, and impaired gait pattern. In this retrospective study we report the results of a new type of distal metatarsal osteotomy combined with distal soft-tissue release in patients with mild-to-moderate hallux valgus deformity. Methods This new technique was used in the management of 32 feet of 31 patients (eight men and 23 women) with mild-to-moderate hallux valgus. Hallux valgus angle, intermetatarsal angle, and distal metatarsal articular angle were measured on preoperative, early postoperative (6–8 weeks), and late (1 year) postoperative radiographs. American Orthopaedic Foot and Ankle Society hallux metatarsophalangeal score was calculated. Sesamoid position, by considering medial sesamoid position, and metatarsal shortness were also measured. Results Statistically significant differences were detected between the preoperative and late postoperative measurements of the hallux valgus angle, distal metatarsal articular angle, intermetatarsal angle, and sesamoid position parameters in patients operated on with this technique. Improvement was 14° for the hallux valgus angle, 4° for the distal metatarsal articular angle, and 4° for the intermetatarsal angle. Sesamoid position was also improved, and the mean American Orthopaedic Foot and Ankle Society score was significantly improved. Metatarsal shortness greater than 2 mm was observed in two patients without resulting in any clinical discomfort. Conclusions This new technique was easy, safe, and promising in patients diagnosed as having mild-to-moderate hallux valgus deformity.

show abstract

“…Maintaining this way and protecting the vascular supply of the distal bone provided safety for the union of the bone, whereas the insertion of a cannulated screw, like a lag screw, just vertical to the osteotomized line, ensured the impaction of the cancellous bone of the head to the shaft of the metatarsal. Therefore, this alternative modified Chevron osteotomy seemed quite promising for the successful correction of larger to moderate deformities in combination with the right and focused soft tissue release and the strength of the capsulorrhaphy-capsuloplasty [12]. Finally, the postoperative care and its duration played a major role because if there are no disturbances of the intrinsic factors due to the shape of osteotomy, the patient had the ability to walk immediately after surgery, which also helped the healing of the fracture.…”

Section: Discussionmentioning

confidence: 99%

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

Natsaridis¹,

Goulas²,

Poulios³

et al. 2021

Cureus

View full text Add to dashboard Cite

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).

show abstract

Comparison of the Modified McBride Procedure and the Distal Chevron Osteotomy for Mild to Moderate Hallux Valgus

Cited by 21 publications

References 22 publications

A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities

A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities

Correction of More Hallux Valgus Pathologic Disorders with a Single Distal Osteotomy: A New Surgical Technique

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

Contact Info

Product

Resources

About