Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus Deformity
Minimally invasive surgery has recently been introduced for foot and ankle surgery, and hallux valgus surgery is no exception. The purpose of our study was to analyze the early results and to present our experience of minimally invasive distal metatarsal osteotomy in correcting mild-to-moderate hall...
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| Format: | Article |
| Language: | English |
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Wiley
2009-08-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09705388 |
| _version_ | 1819150039770988544 |
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| author | Yu-Chuan Lin Yuh-Min Cheng Je-Ken Chang Chung-Hwan Chen Peng-Ju Huang |
| author_facet | Yu-Chuan Lin Yuh-Min Cheng Je-Ken Chang Chung-Hwan Chen Peng-Ju Huang |
| author_sort | Yu-Chuan Lin |
| collection | DOAJ |
| description | Minimally invasive surgery has recently been introduced for foot and ankle surgery, and hallux valgus surgery is no exception. The purpose of our study was to analyze the early results and to present our experience of minimally invasive distal metatarsal osteotomy in correcting mild-to-moderate hallux valgus deformities. Between September 2005 and December 2006, 31 consecutive patients (47 feet) with mild-to-moderate hallux valgus deformities underwent minimally invasive distal metatarsal osteotomies. The clinical and radiographic outcomes were assessed. The satisfaction rate was 90.32%. The mean total American Orthopedic Foot and Ankle Society halluxmetatarsophalangeal-interphalangeal scale was 92.7 points. Complications included two (4.26%) episodes of stiffness, six (12.77%) episodes of pin tract infection, and one (2.13%) deep infection. There were no cases with nonunion, malunion, overcorrection, transfer metatarsalgia or osteonecrosis. On weight-bearing anteroposterior foot radiographs, the mean hallux valgus angle and first intermetatarsal angle corrections were 11.8° and 6.3°, respectively, which is a statistically significant difference (p < 0.001) between the preoperative and postoperative status. Here, minimally invasive distal metatarsal osteotomy was associated with good satisfaction, functional improvement and low complication rates. This technique offers an effective, safe and simple way to treat hallux valgus with a first intermetatarsal angle less than 15°. |
| first_indexed | 2024-12-22T14:11:10Z |
| format | Article |
| id | doaj.art-58ca83ad74034afc895ec182fb6b9c34 |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-22T14:11:10Z |
| publishDate | 2009-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-58ca83ad74034afc895ec182fb6b9c342022-12-21T18:23:13ZengWileyKaohsiung Journal of Medical Sciences1607-551X2009-08-0125843143710.1016/S1607-551X(09)70538-8Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus DeformityYu-Chuan LinYuh-Min ChengJe-Ken ChangChung-Hwan ChenPeng-Ju HuangMinimally invasive surgery has recently been introduced for foot and ankle surgery, and hallux valgus surgery is no exception. The purpose of our study was to analyze the early results and to present our experience of minimally invasive distal metatarsal osteotomy in correcting mild-to-moderate hallux valgus deformities. Between September 2005 and December 2006, 31 consecutive patients (47 feet) with mild-to-moderate hallux valgus deformities underwent minimally invasive distal metatarsal osteotomies. The clinical and radiographic outcomes were assessed. The satisfaction rate was 90.32%. The mean total American Orthopedic Foot and Ankle Society halluxmetatarsophalangeal-interphalangeal scale was 92.7 points. Complications included two (4.26%) episodes of stiffness, six (12.77%) episodes of pin tract infection, and one (2.13%) deep infection. There were no cases with nonunion, malunion, overcorrection, transfer metatarsalgia or osteonecrosis. On weight-bearing anteroposterior foot radiographs, the mean hallux valgus angle and first intermetatarsal angle corrections were 11.8° and 6.3°, respectively, which is a statistically significant difference (p < 0.001) between the preoperative and postoperative status. Here, minimally invasive distal metatarsal osteotomy was associated with good satisfaction, functional improvement and low complication rates. This technique offers an effective, safe and simple way to treat hallux valgus with a first intermetatarsal angle less than 15°.http://www.sciencedirect.com/science/article/pii/S1607551X09705388hallux valgusminimally invasive |
| spellingShingle | Yu-Chuan Lin Yuh-Min Cheng Je-Ken Chang Chung-Hwan Chen Peng-Ju Huang Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus Deformity Kaohsiung Journal of Medical Sciences hallux valgus minimally invasive |
| title | Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus Deformity |
| title_full | Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus Deformity |
| title_fullStr | Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus Deformity |
| title_full_unstemmed | Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus Deformity |
| title_short | Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus Deformity |
| title_sort | minimally invasive distal metatarsal osteotomy for mild to moderate hallux valgus deformity |
| topic | hallux valgus minimally invasive |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09705388 |
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