Operative Treatment of Hallux Valgus Deformity in Male Patients.
- Author:
Te Hyun YOUN
1
;
Seong Kek KIM
;
Hee Jong SHIM
;
Jun Young LEE
;
Ki Young AN
Author Information
1. Department of Orthopaedic Surgery, Seonam University College of Medicine, Namgwang Hospital, Gwangju, Korea.
- Publication Type:Original Article
- Keywords:
Hallux valgus;
Male;
Proximal metatarsal osteotomy and distal soft tissue procedure
- MeSH:
Animals;
Ankle;
Congenital Abnormalities;
Follow-Up Studies;
Foot;
Hallux;
Hallux Valgus;
Humans;
Male;
Maleic Anhydrides;
Metatarsal Bones;
Osteotomy;
Phthalic Anhydrides;
Polymers
- From:Journal of Korean Foot and Ankle Society
2009;13(2):129-132
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We evaluated the result of operative treatment of the hallux valgus in male patients. MATERAILS AND METHODS: Total 11 cases (10 patients) of the hallux valgus deformity that treated with operation were evaluated. Following Mann's radiological classification system, there was 1 cases of mild, 8 cases of moderate, and 2 cases of severe. Preoperative, postoperative, postoperative 3 months and postoperative 6 months follow up standing radiographs were used as radiologic evaluation. And we evaluated radiological outcomes by hallux valgus angle (HVA), first-second intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA), proximal phalangeal articular angle (PPAA) and clinical outcomes by hallux-metatarsophalangeal scale of American Orthopaedic Foot and Ankle Society (AOFAS) score. RESULT: Radiologically, the mean preoperative HVA 37degrees and IMA 13.7degrees were improved postoperatively as HVA 11.9degrees and IMA 4.7degrees, and the mean preoperative DMMA 29.4degrees and PPAA 8.6degrees were improved postoperatively DMMA 13.9degrees and PPAA 7degrees. But, postoperative 6 months follow up HVA, IMA, DMMA and PPAA was increased at 14.2degrees, 6.3degrees, 16.1degrees and 8.3degrees. Average AOFAS score were improved from 61.2 points to 75.2 points. CONCULSION: In our study, operative treatment of hallux valgus in male patients with proximal metatarsal osteotomy and distal soft tissue procedure showed good results but it was necessary to pay attention to increase aspect of follow up radiologic measurements.
