Stabilization of chevron osteotomy with a capsuloperiosteal flap: Results in 15 years of follow-up
| Autor: | H. Cagdas Basat, Berk Güçlü, A Kemal Us, Murat Köken, A Hakan Kara |
|---|---|
| Přispěvatelé: | Kırşehir Ahi Evran Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri, Ortopedi ve Travmatoloji ABD |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Time Factors Chevron osteotomy medicine.medical_treatment chevron Osteotomy Surgical Flaps 03 medical and health sciences Young Adult 0302 clinical medicine lcsh:Orthopedic surgery medicine Chevron (geology) Humans Hallux Valgus Range of Motion Articular Valgus deformity Retrospective Studies Orthodontics 030222 orthopedics modification business.industry 030229 sport sciences Middle Aged medicine.disease Radiography lcsh:RD701-811 Treatment Outcome Surgery Female business Follow-Up Studies |
| Zdroj: | Journal of Orthopaedic Surgery, Vol 27 (2019) |
| ISSN: | 2309-4990 |
| Popis: | WOS: 000460166700001 PubMed ID: 30827181 Purpose: Distal chevron osteotomy (DCO) is used more frequently than other methods for the correction of mild-to-moderate hallux valgus deformity because it is markedly more stable. Here, we evaluated the use of a capsuloperiosteal flap to stabilize DCO and presented our last longer follow-up. Methods: This study included a total of 57 patients (86 feet) made up of 50 women (79 feet) and 7 men (7 feet) with a mean age of 37.8 years who were diagnosed with hallux valgus and met the inclusion criteria. These patients received treatment using a capsuloperiosteal flap to stabilize DCO from 1994 to 2000. Clinical outcomes of the patients were assessed using the American Orthopaedic Foot and Ankle Society hallux scale. Results: The mean follow-up duration was 14.8 years. The score increased from a preoperative mean of 52 points to a mean of 90.5 points at last follow-up. The mean hallux valgus angle changed from 30.3 degrees preoperatively to 14.4 degrees postoperatively at the last follow-up. The first to second intermetatarsal angle changed from 13.6 degrees preoperatively to 10.5 degrees postoperatively. The correction in the range of motion proved to be consistent with only an average of 1 degrees correction loss and 5.5 degrees loss. Eighty-four feet (97.6%) were pain-free. Discomfort with shoe wear was absent in 82 feet (95.3%) postoperatively, and 23 of 24 (95.8%) patients were fascinated cosmetically. Conclusion: Correction of mild-to-moderate hallux valgus deformity with the use of capsuloperiosteal flap for stabilization of DCO provided findings comparable with the literature regarding clinical and radiological outcomes at long-term follow-up. |
| Databáze: | OpenAIRE |
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