Forefoot Width Correction in Hallux Valgus after Rotational Scarf Osteotomy

Autor: Franco L. Mombello, Ana I. Butteri, Cristian A. Ortiz MD, Manuel J. Pellegrini MD, Giovanni M. Carcuro MD, Felipe R. Chaparro MD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Foot & Ankle Orthopaedics, Vol 7 (2022)
Druh dokumentu: article
ISSN: 2473-0114
24730114
DOI: 10.1177/2473011421S00822
Popis: Category: Bunion; Other Introduction/Purpose: Hallux valgus is a common deformity represented by a wider forefoot, associated with pain, shoe restrictions, and cosmetic problems. The goal of hallux valgus surgery is to achieve a painless foot by realigning the deviated first ray, thereby reducing friction between bony prominences and regular footwear. There is limited evidence on the effect of osseous procedures after hallux valgus surgery on the width of the resulting foot. Methods: We retrospectively performed measurements of forefoot width (bony and soft tissues) on AP standard x-ray from the first metatarsal head to the fifth metatarsal head, pre-and postoperatively at 3 months. Results: Thirty patients met the inclusion criteria, with a total of 42 feet. Radiographically, the preoperative mean 1-5 metatarsal bony width was 89.30mm SD (5.8) to 80.42mm postoperative SD (3.5). Regarding the soft tissue width, the preoperative average was 102.45mm SD (6.4) to 98.3mm postoperative SD (5.1). The ICC between both observers was 'excellent' in most measures (range, 0.884-0.973). Values obtained had a significance of p
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