Percutaneous Chevron Osteotomy in Treating Hallux Valgus: Hong Kong Experience and Mid-Term Results
Background/Purpose: Minimally invasive surgery (MIS) has become popular in every specialty. Different distal metatarsal osteotomy methods using minimally invasive percutaneous approach with or without fixation have been proposed to treat mild to moderate degrees of hallux valgus. Methods: From June...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2015-06-01
|
| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2210491715000032 |
| _version_ | 1818406660269408256 |
|---|---|
| author | Ka-Lee Karry Lam Siu-Wah Kong Yuen-Hon Chow |
| author_facet | Ka-Lee Karry Lam Siu-Wah Kong Yuen-Hon Chow |
| author_sort | Ka-Lee Karry Lam |
| collection | DOAJ |
| description | Background/Purpose: Minimally invasive surgery (MIS) has become popular in every specialty. Different distal metatarsal osteotomy methods using minimally invasive percutaneous approach with or without fixation have been proposed to treat mild to moderate degrees of hallux valgus.
Methods: From June 2010 to May 2012, we performed 23 percutaneous chevron osteotomies with screw fixation in 20 patients.
Results: At 18 months postoperatively, the mean hallux valgus angle (HVA) was corrected from 31.68° to 14.39°, mean intermetatarsal angle (IMA) from 13.77° to 7.98° and mean American Orthopaedic Foot and Ankle Society (AOFAS) score from 59.26 to 88.35. There were four cases of medial plication stitch impingement and four cases with screw impingement but no other complications such as joint stiffness, avascular necrosis of metatarsal head, union complication, wound infection or deep vein thrombosis.
Conclusion: The mid-term results are encouraging, indicating that this is an effective method in the treatment of mild to moderate hallux valgus with advantages of percutaneous technique. Further study with longer-term results and larger sample size is needed in order to compare with other percutaneous or open techniques. |
| first_indexed | 2024-12-14T09:15:28Z |
| format | Article |
| id | doaj.art-fa170a4645d9448789a4741c3e5cc9b6 |
| institution | Directory Open Access Journal |
| issn | 2210-4917 |
| language | English |
| last_indexed | 2024-12-14T09:15:28Z |
| publishDate | 2015-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj.art-fa170a4645d9448789a4741c3e5cc9b62022-12-21T23:08:27ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172015-06-01191253010.1016/j.jotr.2014.02.001Percutaneous Chevron Osteotomy in Treating Hallux Valgus: Hong Kong Experience and Mid-Term ResultsKa-Lee Karry LamSiu-Wah KongYuen-Hon ChowBackground/Purpose: Minimally invasive surgery (MIS) has become popular in every specialty. Different distal metatarsal osteotomy methods using minimally invasive percutaneous approach with or without fixation have been proposed to treat mild to moderate degrees of hallux valgus. Methods: From June 2010 to May 2012, we performed 23 percutaneous chevron osteotomies with screw fixation in 20 patients. Results: At 18 months postoperatively, the mean hallux valgus angle (HVA) was corrected from 31.68° to 14.39°, mean intermetatarsal angle (IMA) from 13.77° to 7.98° and mean American Orthopaedic Foot and Ankle Society (AOFAS) score from 59.26 to 88.35. There were four cases of medial plication stitch impingement and four cases with screw impingement but no other complications such as joint stiffness, avascular necrosis of metatarsal head, union complication, wound infection or deep vein thrombosis. Conclusion: The mid-term results are encouraging, indicating that this is an effective method in the treatment of mild to moderate hallux valgus with advantages of percutaneous technique. Further study with longer-term results and larger sample size is needed in order to compare with other percutaneous or open techniques.http://www.sciencedirect.com/science/article/pii/S2210491715000032hallux valgusminimally invasive surgerypercutaneous chevron osteotomyscrew fixation |
| spellingShingle | Ka-Lee Karry Lam Siu-Wah Kong Yuen-Hon Chow Percutaneous Chevron Osteotomy in Treating Hallux Valgus: Hong Kong Experience and Mid-Term Results Journal of Orthopaedics, Trauma and Rehabilitation hallux valgus minimally invasive surgery percutaneous chevron osteotomy screw fixation |
| title | Percutaneous Chevron Osteotomy in Treating Hallux Valgus: Hong Kong Experience and Mid-Term Results |
| title_full | Percutaneous Chevron Osteotomy in Treating Hallux Valgus: Hong Kong Experience and Mid-Term Results |
| title_fullStr | Percutaneous Chevron Osteotomy in Treating Hallux Valgus: Hong Kong Experience and Mid-Term Results |
| title_full_unstemmed | Percutaneous Chevron Osteotomy in Treating Hallux Valgus: Hong Kong Experience and Mid-Term Results |
| title_short | Percutaneous Chevron Osteotomy in Treating Hallux Valgus: Hong Kong Experience and Mid-Term Results |
| title_sort | percutaneous chevron osteotomy in treating hallux valgus hong kong experience and mid term results |
| topic | hallux valgus minimally invasive surgery percutaneous chevron osteotomy screw fixation |
| url | http://www.sciencedirect.com/science/article/pii/S2210491715000032 |
| work_keys_str_mv | AT kaleekarrylam percutaneouschevronosteotomyintreatinghalluxvalgushongkongexperienceandmidtermresults AT siuwahkong percutaneouschevronosteotomyintreatinghalluxvalgushongkongexperienceandmidtermresults AT yuenhonchow percutaneouschevronosteotomyintreatinghalluxvalgushongkongexperienceandmidtermresults |