Correction of severe hallux valgus using a basal chevron osteotomy and distal soft tissue release

O’Donnell, Turlough; Hogan, Niall; Solan, Matthew; Stephens, Michael M.

doi:10.1016/j.fas.2009.08.002

Cited by 29 publications

(34 citation statements)

References 23 publications

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“…Various methods of improving the stability of a PCO have been described including using supplementary transverse K-wire fixation 37 and lashing the distal first and second metatarsals. [12][13][14]38 However, in our study the mean intermetatarsal angle (6.2°) at final follow-up remained satisfactory, thereby obviating the need for an additional procedure.…”

Section: Discussionmentioning

confidence: 42%

“…7,9,10 Proximal metatarsal osteotomy, which is usually also performed with a lateral softtissue release, has been widely used for the treatment of moderate to severe hallux valgus. [11][12][13] Because the correction is performed near the first metatarsocuneiform joint, where the first metatarsal is deviated from its normal position, greater correction can be achieved with minimal shortening. 14 However, osteotomy at this site is relatively unstable and takes longer to heal than a distal metatarsal osteotomy.…”

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confidence: 99%

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A comparison of proximal and distal chevron osteotomy for the correction of moderate hallux valgus deformity

Park

et al. 2013

The Bone & Joint Journal

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The purpose of this study was to compare the results of proximal and distal chevron osteotomy in patients with moderate hallux valgus. We retrospectively reviewed 34 proximal chevron osteotomies without lateral release (PCO group) and 33 distal chevron osteotomies (DCO group) performed sequentially by a single surgeon. There were no differences between the groups with regard to age, length of follow-up, demographic or radiological parameters. The clinical results were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system and the radiological results were compared between the groups. At a mean follow-up of 14.6 months (14 to 32) there were no significant differences in the mean AOFAS scores between the DCO and PCO groups (93.9 (82 to 100) and 91.8 (77 to 100), respectively; p = 0.176). The mean hallux valgus angle, intermetatarsal angle and sesamoid position were the same in both groups. The metatarsal declination angle decreased significantly in the PCO group (p = 0.005) and the mean shortening of the first metatarsal was significantly greater in the DCO group (p < 0.001). We conclude that the clinical and radiological outcome after a DCO is comparable with that after a PCO; longer follow-up would be needed to assess the risk of avascular necrosis.

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Section: Discussionmentioning

confidence: 42%

mentioning

confidence: 99%

A comparison of proximal and distal chevron osteotomy for the correction of moderate hallux valgus deformity

Park

et al. 2013

The Bone & Joint Journal

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“…6,[11][12][13] It is possible to utilize a lateral soft tissue release to obtain a greater degree of correction. However, first metatarsophalangeal joint stiffness and instability, as well as increased rate of AVN of the metatarsal head have been observed.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of an Innovative Fixation System for Chevron Bunionectomy

Bennett

Sabetta

2015

Foot Ankle Int.

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“…Their effectiveness is evaluated in most cases by radiological examination, the American Orthopaedic Foot and Ankle Society (AOFAS) scores and subjective feelings of the patient (Baba et al, 2009; Carr and Boyd, 1968; Deenik et al, 2008; Flamme et al, 1998; Glazebrook and Copithorne, 2008; Kilmartin et al, 1992, 1994; Kleinberg, 1932; Kristen et al, 2002; Mauldin et al, 1990; McBride, 1939; O’Donnell et al, 2009; Orzechowski et al, 2008; Perugia et al, 2003; Pressman et al, 1986; Resch et al, 1994; Saragas, 2009; Saro et al, 2007b; Saro et al, 2007c; Yucel et al, 2010). However, these outcome measures are either static or subjective, and thus objective evaluation during dynamic conditions (i.e.…”

Section: Introductionmentioning

confidence: 99%

Hallux valgus surgery affects kinematic parameters during gait

Klugarová

Janura

Svoboda

et al. 2016

Clinical Biomechanics

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Background The aim of our study was to compare spatiotemporal parameters and lower limb and pelvis kinematics during the walking in patients with hallux valgus before and after surgery and in relation to a control group. Methods Seventeen females with hallux valgus, who underwent first metatarsal osteotomy, constituted our experimental group. The control group consisted of thirteen females. Kinematic data during walking were obtained using the Vicon MX system. Findings Our results showed that hallux valgus before surgery affects spatiotemporal parameters and lower limb and pelvis kinematics during walking. Hallux valgus surgery further increased the differences that were present before surgery. Specifically after hallux valgus surgery, the walking speed decreased even more (p=0.09, η2= 0.19) while step time increased (p=0.002, η2=0.44) on both legs. The maximum ankle plantar flexion of the operated leg during toe off decreased to a greater extend (p=0.03, η2=0.26). The asymmetry in the hip and the pelvis movements in the frontal plane (present preoperatively) persisted after surgery. Interpretation Hallux valgus is not an isolated problem of the first ray, which could be just surgically addressed by correcting the foot’s alignment. It is a long-term progressive malfunction of the foot affecting the entire kinematic chain of the lower extremity.

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Correction of severe hallux valgus using a basal chevron osteotomy and distal soft tissue release

Cited by 29 publications

References 23 publications

A comparison of proximal and distal chevron osteotomy for the correction of moderate hallux valgus deformity

A comparison of proximal and distal chevron osteotomy for the correction of moderate hallux valgus deformity

Evaluation of an Innovative Fixation System for Chevron Bunionectomy

Hallux valgus surgery affects kinematic parameters during gait

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