Operative Treatment for Hallux Valgus with Proximal Metatarsal Osteotomy in Patients over 55 Years Old.
- Author:
Han Sung PARK
1
;
Hyung Taek PARK
;
Ghun Shik LEE
;
Sang Hyo KIM
;
Kyung Tai LEE
Author Information
1. Department of Orthopedic Surgery, Maryknoll Hospital, Busan, Korea. metacarpal@lycos.co.kr
- Publication Type:Original Article
- Keywords:
Hallux valgus;
Old age;
Proximal metatarsal osteotomy
- MeSH:
Aged;
Callosities;
Hallux Valgus*;
Hallux*;
Humans;
Metatarsal Bones*;
Metatarsophalangeal Joint;
Middle Aged*;
Osteotomy*;
Range of Motion, Articular
- From:Journal of Korean Foot and Ankle Society
2005;9(1):69-73
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of our report was to evaluate the result of operative treatment of hallux valgus in old age patients. MATERIALS AND METHODS: We studied about the clinical & radiologic results of the 31 patients over 55 years old, who had operative treatment of hallux valgus. Clinical evaluation, such as pain, activity limitation, footwear requirement, 1st metatarsophalangeal joint motion, and callosity, was done using AOFAS scale and preoperative and postoperative radiologic parameters, such as hallux valgus angle, intermetatarsal angle, tibial sesamoid position, 1st metatarsal shortening, were evaluated by conventional methods. RESULTS: Objectively, according to AOFAS, the score improved from average of 57.8 to 71.5 postoperatively. The range of motion of first metatarsophalangeal joint was decreased from average of 60.7 to 56.8 degrees. Radiologically, the hallux valgus angle improved from average of 35 to 6.5 degrees and the first intermetatarsal angle improved from average of 14.2 to 4.4 degrees. The position of sesamoid was collected from an average of grade 3.6 to grade 2.2. CONCLUSION: The combination of proximal metatarsal osteotomy, distal soft tissue procedure and Akin osteotomy may yield rather satisfactory clinacal result in severe elderly hallux valgus patients with massive degenerative change and poor soft tissue condition.
