Correction of Moderate to Severe Hallux Valgus Deformity by a Modified Chevron Shaft Osteotomy

Sanhudo, José Antônio Veiga

doi:10.1177/107110070602700803

Cited by 39 publications

(27 citation statements)

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“…Sanhudo [23] retrospectively reviewed 50 feet with moderate to severe hallux valgus deformity in 34 patients with a mean FU of 30 months. There was a mean AOFAS score improvement of 39.6 (44.5 to 84.1) points.…”

Section: Discussionmentioning

confidence: 99%

The chevron osteotomy for correction of hallux valgus

Trnka

Hofstaetter

2007

Interact Surg

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Introduction: The chevron osteotomy has become widely accepted for correction of mild and moderate hallux valgus deformities. The purpose of this study was to present the evolution of the chevron osteotomy at one institution over a period of 12 years.Methods: Between April, 1991 and September, 1992, fifty-two consecutive patients with mild to moderate hallux valgus deformity underwent sixty-six distal chevron osteotomies at our institution. This was followed by 85 patients with 100 feet in the period from 1992 to 1995 and a group of 45 patients with 55 feet from 1994 to 1995. The final patient group included 61 patients with 89 feet operated from 2000 to 2002.Conclusion: The chevron osteotomy is a reliable technique to correct hallux valgus deformities. Our recommendation after reviewing the results of the various modifications of the chevron technique revealed that the addition of a lateral release and a screw fixation will lead to the most reliable results.

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Section: Discussionmentioning

confidence: 99%

The chevron osteotomy for correction of hallux valgus

Trnka

Hofstaetter

2007

Interact Surg

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“…Par ailleurs, les résultats cliniques obtenus avec une technique mini-invasive sont comparables à ceux obtenus avec les principales techniques comme l'ostéotomie en chevron [6][7][8][9], l'ostéotomie de Scarf comme l'ont montré Freslon et al [10] et l'ostéotomie métatarsienne proximale [11,12].…”

Section: Discussionunclassified

“…Il en est de même par rapport aux techniques percutanées développées ces dernières années, avec ou sans ostéosyn-thèse [13][14][15][16][17][18] avec des scores fonctionnels postopératoires allant de 82 à 93,5 selon les auteurs [5][6][7][8][9][10][11][19][20][21][22].…”

Section: Discussionunclassified

“…Une correction angulaire de 50 % est principalement retrouvée dans les études utilisant des techniques d'ostéo-tomies métatarsiennes distales percutanées ou à ciel ouvert [7][8][9]14,18] ou encore avec une ostéotomie de Scarf [6,10,19,21,22]. Une meilleure correction angulaire a été rapportée par Weinberger et al avec une ostéotomie méta-tarsienne percutanée et une diminution de l'angle M1P1 de 26 à 7,5° [29].…”

Section: Discussionunclassified

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Hybrid surgical treatment of hallux valgus: preliminary results of a prospective study

et al. 2011

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“…As a rule, the distal osteotomy is used for the mild to moderate deformity, and the proximal osteotomy is used for the more severe deformity [35] . Recently it is reported that Chevron osteotomy is indicated for the treatment of moderate to severe hallux valgus deformities [46] . The preservation of dorsi-flexion in the first metatarsophalangeal joint is important in women, as any reduction will affect their ability to wear high-heeled shoes [15] .…”

Section: ~ 301 ~ International Journal Of Orthopaedics Sciencesmentioning

confidence: 99%

Surgical treatment of hallux valgus using chevron technique

Abdeldayem¹,

Fekry²,

Fouda³

2018

Int. J. Orthop. Sci.

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Background:The great toe is affected by many congenital and acquired conditions including hallux valgus. Hallux valgus was first reported in 1856. Most patients with hallux valgus are young females. High heel shoes are extrinsic factors which are important in the development of hallux valgus. More than 130 procedures have been described in the treatment of hallux valgus. The chevron osteotomy is one of the most widely used distal metatarsal osteotomies for the treatment of this deformity in adults. The idea of the Chevron osteotomy is that, it is a V shaped horizontally oriented with lateral displacement of the head of the first metatarsal accompanied with release and balancing of the soft tissue structure on both sides of the joint. Patients and Methods: Study include 36 patients, all were females. The mean age was 35 years. All patients have symptomatic bilateral hallux valgus deformity. Pain was the primary reason for surgery. Study designed for comparison of results of Chevron's osteotomy with fixation by 2 k-wires versus no fixation. Fifty percent of cases subjected for fixation and 50 percent with no fixation. No specific selection was performed. Results: Evaluation of the results includes radiological and clinical observations. Assessment using the American Orthopaedic Foot and Ankle Society's hallux-metatarsophalangeal-interphalangeal scale was also done. Inter-metatarsal angle averaged 18° pre-operatively and 10° post-operatively, the corresponding values for hallux angle was 25° and 16° respectively. No complications of thrombophlebitis, non-union or avascular necrosis were recorded. Overall results show 94% as excellent or good results. Conclusion: The Chevron osteotomy disclosed excellent relief of pain, good cosmetic correction and overall patient satisfaction. Stability and the technical ease make this procedure preferable for correction of moderate hallux valgus deformity.

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Correction of Moderate to Severe Hallux Valgus Deformity by a Modified Chevron Shaft Osteotomy

Abstract: Based on radiographic correction and clinical outcomes, this procedure is indicated for the treatment of moderate to severe hallux valgus deformities.

Cited by 39 publications

References 20 publications

The chevron osteotomy for correction of hallux valgus

The chevron osteotomy for correction of hallux valgus

Hybrid surgical treatment of hallux valgus: preliminary results of a prospective study

Surgical treatment of hallux valgus using chevron technique

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