Hallux valgus angle as a predictor of recurrence following proximal metatarsal osteotomy

Okuda, Ryuzo; Koshi, Mitsuo; Yasuda, Toshito; Jotoku, Tsuyoshi; Shima, Hiroaki; Takamura, Masaki

doi:10.1007/s00776-011-0136-1

Cited by 86 publications

(64 citation statements)

References 20 publications

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“…c Non-significant difference of VAS score in group 1 and group 2 after 12 months. [20]. In our study 9 patients in each group had a HVA >400 .…”

Section: Discussionmentioning

confidence: 91%

“…In these studies the lengthening has been reported to be 1.2-2.3 mm. As hallux valgus surgery can lead to metatarsalgia due to shortening of the first ray, it should be better to gain length by using the open wedge osteotomy compared to the crescentic osteotomy [7,8,20]. Tó th et al found a positive correlation between of the metatarsalgia and the shortening of the first ray [25].…”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity – A prospective comparative study

Wester

Hamborg-Petersen

Herold

et al. 2016

Foot and Ankle Surgery

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“…c Non-significant difference of VAS score in group 1 and group 2 after 12 months. [20]. In our study 9 patients in each group had a HVA >400 .…”

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 96%

Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity – A prospective comparative study

Wester

Hamborg-Petersen

Herold

et al. 2016

Foot and Ankle Surgery

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“…[3][4][5][6] Several studies have analysed predictors of likely recurrence and how it is best corrected. 4,5,7,8 The consensus suggests that a pre-operative hallux valgus angle (HVA) > 40° and post-operative incomplete reduction of the sesamoids are risk factors for recurrence. 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.…”

mentioning

confidence: 99%

“…4,5,7,8 The consensus suggests that a pre-operative hallux valgus angle (HVA) > 40° and post-operative incomplete reduction of the sesamoids are risk factors for recurrence. 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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“…Son 2 dekaddır osteotomiler klinik başarı ve güvenilirlik açısında tavsiye edilmektedir [44]. Genel olarak rekürrens oranını preoperatif deformite derecesi, halluks valgus açısının 37-40 dereceden fazla oluşu ve sesamoid redüksiyonunun komplet yapılıp yapılmadığı belirler [45][46][47].…”

Section: Chevron Prosedürüunclassified

Hallux Valgus

köse¹

2015

Orthopaedics and Sports Medicine Guide for Researchers

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TanımHalluks valgus toplumda sık görülen, sıklığı giderek artan ayak başparmağının ilerleyici ve sıklıkla ağrıya sebep olan hastalığıdır. Tedavi edilmediği takdirde iş gücü kaybı, yaşam kalitesi bozukluğu ve estetik problemlere yol açar [1]. Hallux valgus için çe-şitli tanımlamalar yapılmış olup bir çok patolojinin bir arada olduğu bir kompleks ifadesi ile en ayrıntılı ve uygun tanımlama Helal tarafından aşağıdaki şekilde yapılmış-tır. [3,9,11,12]. 10) İkinci parmağın amputasyonu: Başparmağın lateral desteği kaybolduğu için halluks valgus gelişebilir [7,11]. 11) Ayakta pronasyon meydana getiren ve birinci MTP eklem dışındaki sebepler: Tibialis posterior tendon rüptürü, subtalar eklemin valgus deformitesi, aşil tendon kı-salığı, jeneralize eklem laksitesi ( Ehlers-Danlos sendromu), birinci MTP eklemin hipermobilitesi halluks valgus'a sebep olabilir [7,9,11,13,14]. 12) Kistik dejenerasyon: Birinci MTP eklemin medial kapsülünün kistik dejenerasyonu ganglion oluşturarak deformite oluşumuna sebep olabilir.

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Hallux valgus angle as a predictor of recurrence following proximal metatarsal osteotomy

Cited by 86 publications

References 20 publications

Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity – A prospective comparative study

Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity – A prospective comparative study

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

Hallux Valgus

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