Outcomes of V‐cut Osteotomy on the First Metatarsal Head Combined with Fixation in Mortise‐shaped Bone Groove‐Plasty and Akin Osteotomy on the First Toe for Hallux Valgus Correction
Objective Hallux valgus (HV) is a common foot deformity, and recurrence is one of the most serious complications after HV correction. As a result, the surgical technique with a lower recurrence rate is a dream. The purpose of the article should be to observe the correction effect of hallux valgus us...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-11-01
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| Series: | Orthopaedic Surgery |
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| Online Access: | https://doi.org/10.1111/os.13528 |
| _version_ | 1797991398280003584 |
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| author | Xin Jiao Yaokai Gan Yiming Li Chen Xu Zengguang Wang Xin Sun Dingwei Shi Jie Zhao Kerong Dai |
| author_facet | Xin Jiao Yaokai Gan Yiming Li Chen Xu Zengguang Wang Xin Sun Dingwei Shi Jie Zhao Kerong Dai |
| author_sort | Xin Jiao |
| collection | DOAJ |
| description | Objective Hallux valgus (HV) is a common foot deformity, and recurrence is one of the most serious complications after HV correction. As a result, the surgical technique with a lower recurrence rate is a dream. The purpose of the article should be to observe the correction effect of hallux valgus using a novel “V‐cut” osteotomy on the first metatarsal head combined with fixation in mortise‐shaped bone groove‐plasty technique. Methods Twenty‐three consecutive patients (40 feet) with HV were included from March 2019 to May 2020, who were all treated using single screw fixation with V‐cut osteotomy on the first metatarsal head combined with mortise‐shaped metatarsal bone groove‐plasty and Akin osteotomy on the first toe for hallux valgus correction. With a mean follow‐up time of 21.7 months, the visual analogue scale (VAS) score and American Orthopedic Foot and Ankle Society (AOFAS) forefoot score and the changes of the hallux valgus angle (HVA), intermetatarsal angle (IMA) and distal metatarsal articular angle (DMAA) were evaluated during the clinical follow‐up. The paired t test was used for analytical statistics. Results The VAS score improved from 6.78 ± 1.74 to 1.87 ± 1.45 and the AOFAS score improved from 53.9 ± 12.3 preoperatively to 94.7 ± 6.8 in the latest follow‐up postoperatively (P < 0.01). Besides, the HVA improved from 30.0 ± 6.1° to 5.7 ± 2.8° (P < 0.01); the IMA changed from 13.1 ± 2.8° into 3.3 ± 1.6° (P < 0.01); and the DMAA ameliorated from 27.0 ± 8.4° to 5.9 ± 3.5° (P < 0.01). Only five toes had slight numbness and stiffness in early postoperative period, and these symptoms disappeared completely at 6 months after the surgery. Only one foot was corrected to excess. One screw stern protruding beneath the skin happened, which needed secondary screw removal under local anesthesia. Conclusions Single screw fixation with V‐cut osteotomy on the first metatarsal head combined with fixation in mortise‐shaped metatarsal bone groove‐plasty and Akin osteotomy on the first toe is an effective way with low recurrence rate for HV correction. |
| first_indexed | 2024-04-11T08:51:38Z |
| format | Article |
| id | doaj.art-28728d42b92641e78f8d478324e4134d |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-11T08:51:38Z |
| publishDate | 2022-11-01 |
| publisher | Wiley |
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| series | Orthopaedic Surgery |
| spelling | doaj.art-28728d42b92641e78f8d478324e4134d2022-12-22T04:33:33ZengWileyOrthopaedic Surgery1757-78531757-78612022-11-0114113070307710.1111/os.13528Outcomes of V‐cut Osteotomy on the First Metatarsal Head Combined with Fixation in Mortise‐shaped Bone Groove‐Plasty and Akin Osteotomy on the First Toe for Hallux Valgus CorrectionXin Jiao0Yaokai Gan1Yiming Li2Chen Xu3Zengguang Wang4Xin Sun5Dingwei Shi6Jie Zhao7Kerong Dai8Department of Orthopaedic Surgery Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine Shanghai ChinaDepartment of Orthopaedic Surgery Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine Shanghai ChinaDepartment of Orthopaedic Surgery Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine Shanghai ChinaDepartment of Orthopaedic Surgery Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine Shanghai ChinaDepartment of Orthopaedic Surgery Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine Shanghai ChinaDepartment of Orthopaedic Surgery Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine Shanghai ChinaDepartment of Orthopaedic Surgery Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine Shanghai ChinaDepartment of Orthopaedic Surgery Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine Shanghai ChinaDepartment of Orthopaedic Surgery Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine Shanghai ChinaObjective Hallux valgus (HV) is a common foot deformity, and recurrence is one of the most serious complications after HV correction. As a result, the surgical technique with a lower recurrence rate is a dream. The purpose of the article should be to observe the correction effect of hallux valgus using a novel “V‐cut” osteotomy on the first metatarsal head combined with fixation in mortise‐shaped bone groove‐plasty technique. Methods Twenty‐three consecutive patients (40 feet) with HV were included from March 2019 to May 2020, who were all treated using single screw fixation with V‐cut osteotomy on the first metatarsal head combined with mortise‐shaped metatarsal bone groove‐plasty and Akin osteotomy on the first toe for hallux valgus correction. With a mean follow‐up time of 21.7 months, the visual analogue scale (VAS) score and American Orthopedic Foot and Ankle Society (AOFAS) forefoot score and the changes of the hallux valgus angle (HVA), intermetatarsal angle (IMA) and distal metatarsal articular angle (DMAA) were evaluated during the clinical follow‐up. The paired t test was used for analytical statistics. Results The VAS score improved from 6.78 ± 1.74 to 1.87 ± 1.45 and the AOFAS score improved from 53.9 ± 12.3 preoperatively to 94.7 ± 6.8 in the latest follow‐up postoperatively (P < 0.01). Besides, the HVA improved from 30.0 ± 6.1° to 5.7 ± 2.8° (P < 0.01); the IMA changed from 13.1 ± 2.8° into 3.3 ± 1.6° (P < 0.01); and the DMAA ameliorated from 27.0 ± 8.4° to 5.9 ± 3.5° (P < 0.01). Only five toes had slight numbness and stiffness in early postoperative period, and these symptoms disappeared completely at 6 months after the surgery. Only one foot was corrected to excess. One screw stern protruding beneath the skin happened, which needed secondary screw removal under local anesthesia. Conclusions Single screw fixation with V‐cut osteotomy on the first metatarsal head combined with fixation in mortise‐shaped metatarsal bone groove‐plasty and Akin osteotomy on the first toe is an effective way with low recurrence rate for HV correction.https://doi.org/10.1111/os.13528Akin OsteotomyHallux ValgusMortise‐shaped bone groove‐plastyV‐cut Osteotomy |
| spellingShingle | Xin Jiao Yaokai Gan Yiming Li Chen Xu Zengguang Wang Xin Sun Dingwei Shi Jie Zhao Kerong Dai Outcomes of V‐cut Osteotomy on the First Metatarsal Head Combined with Fixation in Mortise‐shaped Bone Groove‐Plasty and Akin Osteotomy on the First Toe for Hallux Valgus Correction Orthopaedic Surgery Akin Osteotomy Hallux Valgus Mortise‐shaped bone groove‐plasty V‐cut Osteotomy |
| title | Outcomes of V‐cut Osteotomy on the First Metatarsal Head Combined with Fixation in Mortise‐shaped Bone Groove‐Plasty and Akin Osteotomy on the First Toe for Hallux Valgus Correction |
| title_full | Outcomes of V‐cut Osteotomy on the First Metatarsal Head Combined with Fixation in Mortise‐shaped Bone Groove‐Plasty and Akin Osteotomy on the First Toe for Hallux Valgus Correction |
| title_fullStr | Outcomes of V‐cut Osteotomy on the First Metatarsal Head Combined with Fixation in Mortise‐shaped Bone Groove‐Plasty and Akin Osteotomy on the First Toe for Hallux Valgus Correction |
| title_full_unstemmed | Outcomes of V‐cut Osteotomy on the First Metatarsal Head Combined with Fixation in Mortise‐shaped Bone Groove‐Plasty and Akin Osteotomy on the First Toe for Hallux Valgus Correction |
| title_short | Outcomes of V‐cut Osteotomy on the First Metatarsal Head Combined with Fixation in Mortise‐shaped Bone Groove‐Plasty and Akin Osteotomy on the First Toe for Hallux Valgus Correction |
| title_sort | outcomes of v cut osteotomy on the first metatarsal head combined with fixation in mortise shaped bone groove plasty and akin osteotomy on the first toe for hallux valgus correction |
| topic | Akin Osteotomy Hallux Valgus Mortise‐shaped bone groove‐plasty V‐cut Osteotomy |
| url | https://doi.org/10.1111/os.13528 |
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