Is Double Metatarsal Osteotomy Superior to Proximal Chevron Osteotomy in Treatment of Hallux Valgus With Increased Distal Metatarsal Articular Angle?
Section snippets
Patient Selection
The institutional review board of our hospital approved the present study. We performed a retrospective analysis of the outcomes after proximal chevron and double metatarsal osteotomy to treat hallux valgus deformity with an increased DMAA. A first metatarsal osteotomy was performed in 70 patients (76 feet) with symptomatic hallux valgus associated with an increased DMAA (≥15°) by a single surgeon (W.-C.L.) from October 2008 to December 2012. The inclusion and exclusion criteria are listed in
Results
The AOFAS and VAS scale scores showed significant improvement in both groups at the last follow-up visit, with no significant intergroup differences. No difference in the mean range of motion of the first MTP joint at the last follow-up visit was observed between the PCO and DMO groups (Table 3).
Also, no differences were observed in the mean preoperative hallux valgus angles, intermetatarsal angles, and sesamoid positions. The changes in the hallux valgus angles, intermetatarsal angles, and
Discussion
The present study was conducted to compare the results of double metatarsal osteotomy and proximal chevron osteotomy for hallux valgus deformity with an increased DMAA. No significant differences in the clinical and radiographic results were observed for the 2 techniques at the last follow-up visit.
Double metatarsal osteotomy was developed to alleviate the high recurrence rate after correction of adolescent hallux valgus deformities with a congruent joint (1). In hallux valgus deformity with a
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Cited by (11)
The American College of Foot and Ankle Surgeons® Clinical Consensus Statement: Hallux Valgus
2022, Journal of Foot and Ankle SurgeryCitation Excerpt :For a specific example, although the pathoanatomic finding of lateral capsular and muscular contraction likely contributes to the symptomatology of HV, acceptable outcomes might be achieved with or without performing the lateral release procedure (239-242). For specific example, although the pathoanatomic finding of lateral cartilage deviation likely contributes to the symptomatology of HV, acceptable outcomes might be achieved with or without performing a specific articular realignment osteotomy (243-248). For specific example, although it is likely that the pathoanatomic finding of decreased sagittal plane joint motion contributes to the symptomatology of HV, acceptable outcomes might be achieved by performing the first metatarsal-phalangeal arthrodesis procedure resulting in complete elimination of joint motion (249-253).
Preoperative degree of deformity and underlying disease affect the postoperative deformity of joint-preserving hallux valgus surgery
2023, Journal of Orthopaedic SurgeryRadiographic evaluation of congruency of the first metatarsophalangeal joint in hallux valgus
2022, Journal of Orthopaedic Surgery and ResearchMedium-term outcomes of chevron osteotomy for hallux valgus correction in a spanish population radiologic and clinical parameters and patient satisfaction
2021, Journal of the American Podiatric Medical Association
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Conflict of Interest: None reported.