Importance of postoperative sesamoid reduction on the outcomes of proximal chevron osteotomy for moderate to severe hallux valgus deformity
| Autor: | Kyung-Soon Park, Gun-Woo Lee, Keun-Bae Lee, Myung-Sun Kim |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Moderate to severe Proximal metatarsal medicine.medical_specialty Chevron osteotomy medicine.medical_treatment Radiography 03 medical and health sciences 0302 clinical medicine Recurrence medicine Humans Orthopedics and Sports Medicine Hallux Valgus Metatarsal Bones Reduction (orthopedic surgery) Aged Retrospective Studies Valgus deformity Postoperative Care 030222 orthopedics business.industry 030229 sport sciences Middle Aged medicine.disease Osteotomy Surgery Treatment Outcome Hallux Female Sesamoid Bones business |
| Zdroj: | Foot and Ankle Surgery. 25:434-440 |
| ISSN: | 1268-7731 |
| DOI: | 10.1016/j.fas.2018.02.006 |
| Popis: | Background The purpose of this study was to compare the clinical and radiographic outcomes between feet with or without postoperative sesamoid reduction of proximal metatarsal chevron osteotomy for moderate to severe hallux valgus deformity. Methods All of 110 feet were allocated into two groups (reduction group; 66 feet, non-reduction group; 44 feet) according to the reduction status of sesamoid at 6 months after surgery. The clinical and radiographic results of the two groups were compared preoperatively, 6 months follow-up, and at last follow-up. Results The overall improvement in clinical outcomes was similar in both groups at average 4-year follow-up. However, the radiographic outcomes and recurrence rate were significantly worse in the sesamoid non-reduction group. Conclusions Our results suggested that postoperative incomplete reduction of sesamoid may increase a risk for the recurrence of hallux valgus deformity. |
| Databáze: | OpenAIRE |
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