The proximal crescentic osteotomy of the first metatarsal bone combined distal soft tissue reconstruction to treat severe hallux valgus
10.3760/cma.j.issn.1009-4598.2015.05.009
- VernacularTitle:第一跖骨近端新月形截骨联合远端软组织重建治疗重度(足母)外翻
- Author:
Haijiao MAO
1
,
2
;
Zengyuan SHI
;
Wenwei DONG
;
Dachuan XU
;
Wapner KEITH
Author Information
1. 315020宁波,宁波大学医学院附属医院骨科
2. 南方医科大学解剖学教研室
- Keywords:
Hallux valgus;
Metatarsal bones;
Osteotomy
- From:
Chinese Journal of Plastic Surgery
2015;31(5):346-351
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the method of the treatment for hallux valgus with the proximal crescentic osteotomy of the first metatarsal bone,combining with distal lateral soft tissue release.Methods From January 2008 to December 2012,21 eases 21 hallux valgus feet were treated by operative procedure,included 1 male (1 foot) and 20 females(20 feet),with the mean age of 52 years (range,36-68 years).Among all patients were followed up for 12 to 26 months,with the mean 16 months.The preoperative,postoperative and final follow-up X-ray films of all patients were collected.The hallux valgus angle,intermetatarsal angle and distal metatarsal articular angle were measured and analyzed.The surgical outcome was evaluated combined with the AOFAS score.Results The average hallux valgus angle decreased from 42.3° ± 1.8° preoperatively to 14.5° ± 1.8° postoperatively,the average intermetatarsal angle did from 21.9°±1.7° to 9.1° ± 1.8°,and the average distal metatarsal articular angle did from 14.9° ± 1.8° to 7.2°± 1.5°,respectively.There were significant differences between the preoperative and postoperativeroentgenographic index.AOFAS score was improved from 44.0 ± 1.8 preoperatively to 83.9 ± 2.2 at thefinal follow-up.Conclusions The proximal crescentic osteotomy of the first metatarsal bone combineddistal soft tissue reconstruction obtained satisfactory results in severe hallux valgus patients with bigintermetatarsal angle.
