Complications in the surgical treatment of adolescent hallux valgus
Objective: Evaluation the degree of complications in the surgical treatment of adolescent hallux valgus Material and method: The study examines 47 cases of surgically treated children with adolescent hallux valgus with a mean age of 14.3 years. Most of the patients were female - 93.75%. and the mos...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Bulgarian Orthopaedics and Trauma Association
2022-07-01
|
| Series: | Journal of the Bulgarian Orthopaedics and Trauma Association |
| Subjects: | |
| Online Access: | https://jbota.org/index.php/jbota/article/view/26 |
| Summary: | Objective: Evaluation the degree of complications in the surgical treatment of adolescent hallux valgus Material and method: The study examines 47 cases of surgically treated children with adolescent hallux valgus with a mean age of 14.3 years. Most of the patients were female - 93.75%. and the most affected is the right foot - 51.21%. For diagnosis and follow-up of the treatment result, X-ray methods were used with angular imaging measurements - hallux valgus angle (HVA) and intrametatarsal angle (IMA).
Results: The mean follow-up period was 15.8 m. The mean preoperative angle of hallux valgus was 30.19 o and the mean preoperative intrametatarsal angle was 11.44o. In the final results we report a loss of correction of HVA on average to - 20.46 o (min 6.8 o max 38.2 o) and preservation of IM with an average value of 7.35 o. The Clavien Dindo classification was used to account of the postoperative complications. The recurrence rate reported at 10 months postoperatively were 15 cases or 31.91%. The following postoperative complications were reported for the follow-up period: avascular necrosis of the metatarsal head 1 year postoperatively and intraoperative fracture of the first metatarsal bone.
Conclusions: Despite the many described surgical techniques, there are still no long-term indicative results for successfully used surgery. After processing our data and compare it with those of the world literature, we come to the conclusion that the rate of possible recurrence in the surgical treatment of AHV is high. The closure of the growth zone is confirmed as one of the criteria for the outcome of the treatment and the degree of postoperative recurrence of the deformity.
|
|---|---|
| ISSN: | 0473-4378 2815-3715 |