Evaluation of Hallux Valgus Correction With Versus Without Akin Proximal Phalanx Osteotomy
| Autor: | Daniel C. Jupiter, Naohiro Shibuya, Britton S. Plemmons, Jakob C. Thorud, Lanster R. Martin |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Metatarsophalangeal Joint musculoskeletal diseases medicine.medical_specialty Proximal phalanx medicine.medical_treatment Radiography Arthrodesis Osteotomy 03 medical and health sciences Postoperative Complications 0302 clinical medicine Hallux Valgus correction Deformity medicine Humans Orthopedics and Sports Medicine Hallux Valgus Aged Retrospective Studies Valgus deformity 030222 orthopedics business.industry 030229 sport sciences Middle Aged musculoskeletal system medicine.disease Metatarsus Primus Varus Surgery Treatment Outcome Hallux Female medicine.symptom business human activities |
| Zdroj: | The Journal of Foot and Ankle Surgery. 55:910-914 |
| ISSN: | 1067-2516 |
| DOI: | 10.1053/j.jfas.2016.03.016 |
| Popis: | Although the efficacy of Akin proximal phalanx closing wedge osteotomy as a sole procedure for correction of hallux valgus deformity is questionable, when used in combination with other osseous corrective procedures, the procedure has been believed to be efficacious. However, a limited number of comparative studies have confirmed the value of this additional procedure. We identified patients who had undergone osseous hallux valgus correction with first metatarsal osteotomy or first tarsometatarsal joint arthrodesis with (n = 73) and without (n = 81) Akin osteotomy and evaluated their radiographic measurements at 3 points (preoperatively, within 3 months after surgery, and ≥6 months after surgery). We found that those people who had undergone the Akin procedure tended to have a larger hallux abduction angle and a more laterally deviated tibial sesamoid position preoperatively. Although the radiographic correction of the deformity was promising immediately after corrective surgery with the Akin osteotomy, maintenance of the correction was questionable in our cohort. The value of additional Akin osteotomy for correction of hallux valgus deformity is uncertain. |
| Databáze: | OpenAIRE |
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