Distal Chevron Osteotomy for Moderate to Severe Hallux Valgus Deformity in Patients Aged 50 or Older.
10.4055/jkoa.2008.43.4.445
- Author:
Won Joon YOO
1
;
Moon Sang CHUNG
;
Goo Hyun BAEK
;
Chang Hun YU
;
Hyuk Ju MOON
Author Information
1. Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea. yoowj@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Hallux valgus;
Distal chevron osteotomy
- MeSH:
Activities of Daily Living;
Aged;
Congenital Abnormalities;
Follow-Up Studies;
Hallux;
Hallux Valgus;
Humans;
Medical Records;
Metatarsophalangeal Joint;
Osteotomy;
Shoes
- From:The Journal of the Korean Orthopaedic Association
2008;43(4):445-450
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to analyze the clinical and radiological results of distal chevron osteotomy in patients aged 50 and older with moderate-to-severe hallux valgus. MATERIALS AND METHODS: The authors reviewed the medical records and radiographs of 19 patients (26 feet). Average age at time of surgery was 58 years and the mean follow-up period was 3 years and 1 month. For radiological evaluation, we analyzed changes in hallux valgus angles and 1st-2nd intermetatarsal angles after index operations. Clinical results were assessed with respect to pain, activities of daily living, and shoe-wear. RESULTS: Hallux valgus angles and 1st-2nd intermetatarsal angles improved, but considerable correction loss occurred with time. This correction loss was found to be significantly correlated with preoperative subluxation of the 1st metatarsophalangeal joint and the 1st-2nd intermetatarsal angle. Clinically, remarkable improvements were achieved in terms of pain and level of activity, but most patients (except 4) still wore comfortable shoes rather than hard shoes at latest follow-ups. CONCLUSION: Distal chevron osteotomy is beneficial for patients aged 50 and older with moderate-to- severe hallux valgus deformity, but correction loss may occur in patients with marked subluxation of the 1st metatarsophalangeal joint or a severe 1st-2nd intermetatarsal angle.
