Actual tendencies of Hallux Valgus surgical treatment.
The purpose of this study is to evaluate which of the methods selected in patients with moderate or severe hallux valgus a result in a better correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) in Scarf osteotomy as compared to Chevron osteotomy. Material and methods; In our s...
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| Format: | Article |
| Language: | English |
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Albanian Society for Trauma and Emergency Surgery
2022-01-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
| Subjects: | |
| Online Access: | http://journal.astes.org.al/index.php/AJTES/article/view/264 |
| _version_ | 1818999716357079040 |
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| author | Julian Ruci Edvin Selmani |
| author_facet | Julian Ruci Edvin Selmani |
| author_sort | Julian Ruci |
| collection | DOAJ |
| description | The purpose of this study is to evaluate which of the methods selected in patients with moderate or severe hallux valgus a result in a better correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) in Scarf osteotomy as compared to Chevron osteotomy.
Material and methods; In our study, we selected 36 patients, 16 scarf and 20 chevron osteotomies, with all surgical options from skin incision, capsular and bunionectomy to bone reorientation. Deformities of patients were classified as mild, moderate and severe according to clinical and radiological findings. The results were measured using radiographic HVA, IMA and distal metatarsal articular angle (DMAA).
Results: No statistical differences were found in HVA, IMA and DMAA between scarf and chevron osteotomy in mild to moderate hallux valgus. In severe hallux valgus, Scarf osteotomy corrected HVA better than Chevron, although this group consisted of twelve patients. Two patients in the Chevron group and three in the Scarf group developed subluxation of the metatarsophalangeal joint.
Conclusion: In patients with moderate and severe hallux valgus the results of Scarf and Chevron osteotomy have no specific difference. Change to IMA angle with the subluxation of the first metatarsophalangeal joint some months after operation were the main cause for insufficient correction. We favor the Scarf osteotomy because it is more profitable, with correction of HVA and IMA. |
| first_indexed | 2024-12-20T22:21:51Z |
| format | Article |
| id | doaj.art-8a70a288620c422290974b4d844df834 |
| institution | Directory Open Access Journal |
| issn | 2521-8778 2616-4922 |
| language | English |
| last_indexed | 2024-12-20T22:21:51Z |
| publishDate | 2022-01-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj.art-8a70a288620c422290974b4d844df8342022-12-21T19:24:55ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222022-01-016110.32391/ajtes.v6i1.264Actual tendencies of Hallux Valgus surgical treatment.Julian Ruci0Edvin Selmani1University Hospital of Trauma, Tirana,University Hospital of Trauma, Tirana,The purpose of this study is to evaluate which of the methods selected in patients with moderate or severe hallux valgus a result in a better correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) in Scarf osteotomy as compared to Chevron osteotomy. Material and methods; In our study, we selected 36 patients, 16 scarf and 20 chevron osteotomies, with all surgical options from skin incision, capsular and bunionectomy to bone reorientation. Deformities of patients were classified as mild, moderate and severe according to clinical and radiological findings. The results were measured using radiographic HVA, IMA and distal metatarsal articular angle (DMAA). Results: No statistical differences were found in HVA, IMA and DMAA between scarf and chevron osteotomy in mild to moderate hallux valgus. In severe hallux valgus, Scarf osteotomy corrected HVA better than Chevron, although this group consisted of twelve patients. Two patients in the Chevron group and three in the Scarf group developed subluxation of the metatarsophalangeal joint. Conclusion: In patients with moderate and severe hallux valgus the results of Scarf and Chevron osteotomy have no specific difference. Change to IMA angle with the subluxation of the first metatarsophalangeal joint some months after operation were the main cause for insufficient correction. We favor the Scarf osteotomy because it is more profitable, with correction of HVA and IMA.http://journal.astes.org.al/index.php/AJTES/article/view/264hallux valgusbunionectomyosteotomymetatarsophalangeal joint |
| spellingShingle | Julian Ruci Edvin Selmani Actual tendencies of Hallux Valgus surgical treatment. Albanian Journal of Trauma and Emergency Surgery hallux valgus bunionectomy osteotomy metatarsophalangeal joint |
| title | Actual tendencies of Hallux Valgus surgical treatment. |
| title_full | Actual tendencies of Hallux Valgus surgical treatment. |
| title_fullStr | Actual tendencies of Hallux Valgus surgical treatment. |
| title_full_unstemmed | Actual tendencies of Hallux Valgus surgical treatment. |
| title_short | Actual tendencies of Hallux Valgus surgical treatment. |
| title_sort | actual tendencies of hallux valgus surgical treatment |
| topic | hallux valgus bunionectomy osteotomy metatarsophalangeal joint |
| url | http://journal.astes.org.al/index.php/AJTES/article/view/264 |
| work_keys_str_mv | AT julianruci actualtendenciesofhalluxvalgussurgicaltreatment AT edvinselmani actualtendenciesofhalluxvalgussurgicaltreatment |