Operative treatment of hallux valgus – the effect of three osteotomy types on the first metatarsal, hallux valgus and metatarsal distal articulation angles
<p><strong>Background:</strong> Modern approach to hallux valgus deformations enables not only the stage treatment considering the magnitude of the deformity but also the objective evaluation of the results.We investigated the influence of the three most commonly used osteotomies o...
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| Format: | Article |
| Language: | English |
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Slovenian Medical Association
2007-11-01
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| Series: | Zdravniški Vestnik |
| Subjects: | |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1918 |
| _version_ | 1818931296684998656 |
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| author | Andrej Prlja Ivica Avberšek-Lužnik |
| author_facet | Andrej Prlja Ivica Avberšek-Lužnik |
| author_sort | Andrej Prlja |
| collection | DOAJ |
| description | <p><strong>Background:</strong> Modern approach to hallux valgus deformations enables not only the stage treatment considering the magnitude of the deformity but also the objective evaluation of the results.We investigated the influence of the three most commonly used osteotomies on three most common demonstrative factors, especially proximal osteotomy on the distal metatasal articulation angle.</p><p><strong>Methods:</strong> Three groups were created regarding the magnitude of the deformation. X rays of 15 corrections in each group were reviewed (45 cases, 34 women, 2 men). Each group was treated with only one of the three osteotomies: distal chevron osteotomy (Ch), distal chevron osteotomy with medial edge (ChM) and proximal osteotomy (POT). The effect on the three most comonly used demonstrative factors were noted: first intermetatarsal angle (IM), hallux valgus angle (HV), distal metatarsal articulation angle (DMAA). The age and the demonstrative factors were compared pre- and postoperative, in and between the groups.</p><p><strong>Results:</strong> The correct, graded selection of the patients for the treatment was confirmed and false negative results excluded. Preoperative values of HV and DMAA are significantely different between three groups (p < 0.001) while IM are not (p = 0.118). Postoperative values of the HV and IM are significantely lower in all three groups (p < 0.001). DMAA is statisticaly different (positive) postoperatively in the ChM group (p < 0.001) but not in the Ch and POT groups (P = 0.398; p = 0.456).</p><p><strong>Conclusions:</strong> Modern approach on hallux valgus deformations enables stage treatment and objective evaluation of the results what is demonstrated by the effect of the osteotomies on the demonstrative factors. Further investigations of the factors not yet considered or even unknown are also possible as shown on the example of the difference between the expected and measured effect of POT on DMAA.</p> |
| first_indexed | 2024-12-20T04:14:20Z |
| format | Article |
| id | doaj.art-29f91be0c9024dc3a7fa007e9d4c41c2 |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-12-20T04:14:20Z |
| publishDate | 2007-11-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-29f91be0c9024dc3a7fa007e9d4c41c22022-12-21T19:53:49ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242007-11-0176111419Operative treatment of hallux valgus – the effect of three osteotomy types on the first metatarsal, hallux valgus and metatarsal distal articulation anglesAndrej PrljaIvica Avberšek-Lužnik<p><strong>Background:</strong> Modern approach to hallux valgus deformations enables not only the stage treatment considering the magnitude of the deformity but also the objective evaluation of the results.We investigated the influence of the three most commonly used osteotomies on three most common demonstrative factors, especially proximal osteotomy on the distal metatasal articulation angle.</p><p><strong>Methods:</strong> Three groups were created regarding the magnitude of the deformation. X rays of 15 corrections in each group were reviewed (45 cases, 34 women, 2 men). Each group was treated with only one of the three osteotomies: distal chevron osteotomy (Ch), distal chevron osteotomy with medial edge (ChM) and proximal osteotomy (POT). The effect on the three most comonly used demonstrative factors were noted: first intermetatarsal angle (IM), hallux valgus angle (HV), distal metatarsal articulation angle (DMAA). The age and the demonstrative factors were compared pre- and postoperative, in and between the groups.</p><p><strong>Results:</strong> The correct, graded selection of the patients for the treatment was confirmed and false negative results excluded. Preoperative values of HV and DMAA are significantely different between three groups (p < 0.001) while IM are not (p = 0.118). Postoperative values of the HV and IM are significantely lower in all three groups (p < 0.001). DMAA is statisticaly different (positive) postoperatively in the ChM group (p < 0.001) but not in the Ch and POT groups (P = 0.398; p = 0.456).</p><p><strong>Conclusions:</strong> Modern approach on hallux valgus deformations enables stage treatment and objective evaluation of the results what is demonstrated by the effect of the osteotomies on the demonstrative factors. Further investigations of the factors not yet considered or even unknown are also possible as shown on the example of the difference between the expected and measured effect of POT on DMAA.</p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1918hallux valgusosteotomiesmetatarsal distal articulation angles |
| spellingShingle | Andrej Prlja Ivica Avberšek-Lužnik Operative treatment of hallux valgus – the effect of three osteotomy types on the first metatarsal, hallux valgus and metatarsal distal articulation angles Zdravniški Vestnik hallux valgus osteotomies metatarsal distal articulation angles |
| title | Operative treatment of hallux valgus – the effect of three osteotomy types on the first metatarsal, hallux valgus and metatarsal distal articulation angles |
| title_full | Operative treatment of hallux valgus – the effect of three osteotomy types on the first metatarsal, hallux valgus and metatarsal distal articulation angles |
| title_fullStr | Operative treatment of hallux valgus – the effect of three osteotomy types on the first metatarsal, hallux valgus and metatarsal distal articulation angles |
| title_full_unstemmed | Operative treatment of hallux valgus – the effect of three osteotomy types on the first metatarsal, hallux valgus and metatarsal distal articulation angles |
| title_short | Operative treatment of hallux valgus – the effect of three osteotomy types on the first metatarsal, hallux valgus and metatarsal distal articulation angles |
| title_sort | operative treatment of hallux valgus the effect of three osteotomy types on the first metatarsal hallux valgus and metatarsal distal articulation angles |
| topic | hallux valgus osteotomies metatarsal distal articulation angles |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/1918 |
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