Abstract
Aim: The aim of the study was to compare the mid term results of different surgical techniques for the correction of mild to moderate hallux valgus deformity. Methods: Two hundred and seven patients, monolaterally operated for correction of hallux valgus deformity at the Department of Orthopaedic Surgery of the University of Milan (Italy)-IRCCS Policlinico San Donato in the years 2000-2005, were retrospectively clinically re-evaluated. Different surgical techniques were employed (distal osteotomies and soft tissue procedures); proximal metatarsal and percutaneous osteotomies were excluded. Both American Orthopaedic Foot and Ankle Society (AOFAS) objective score and Foot Function Index (FFI) subjective index were used for clinical evaluation. Results: One hundred and nine patients were reviewed (96 females and 13 males) spanning the ages between 37 and 83 years; 34 of them have been treated by distal chevron osteotomy according to Austin, 33 by osteotomy according to Reverdin-Green, 17 have been operated on with the technique described by Regnauld, 16 by Lelièvre operation and 9 have been treated according to Viladot (but this last cohort of patients was not considered in the statistic evaluation due to such a small number). Clinical results were very similar for the four aforementioned main techniques: for the Lelièvre method only the global functional scores were slightly lower. Conclusion: From these results it is not possible to draw definite conclusions regarding the best surgical method for treatment of hallux valgus deformity; however, when a more aggressive technique is used, with sacrifice of the articular cartilage, the functional results are worse.
| Original language | Italian |
|---|---|
| Pages (from-to) | 93-98 |
| Number of pages | 6 |
| Journal | Minerva Ortopedica e Traumatologica |
| Volume | 60 |
| Issue number | 2 |
| Publication status | Published - Apr 2009 |
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ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
Differenti metodi di intervento nella correzione dell'alluce valgo : Valutazione dei risultati clinici different surgical techniques for correction of hallux valgus deformity: Clin-Ical results. / Parrini, M. M.; Spada, A.; Vasilopoulos, S.; Cabitza, P.
In: Minerva Ortopedica e Traumatologica, Vol. 60, No. 2, 04.2009, p. 93-98.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Differenti metodi di intervento nella correzione dell'alluce valgo
T2 - Valutazione dei risultati clinici different surgical techniques for correction of hallux valgus deformity: Clin-Ical results
AU - Parrini, M. M.
AU - Spada, A.
AU - Vasilopoulos, S.
AU - Cabitza, P.
PY - 2009/4
Y1 - 2009/4
N2 - Aim: The aim of the study was to compare the mid term results of different surgical techniques for the correction of mild to moderate hallux valgus deformity. Methods: Two hundred and seven patients, monolaterally operated for correction of hallux valgus deformity at the Department of Orthopaedic Surgery of the University of Milan (Italy)-IRCCS Policlinico San Donato in the years 2000-2005, were retrospectively clinically re-evaluated. Different surgical techniques were employed (distal osteotomies and soft tissue procedures); proximal metatarsal and percutaneous osteotomies were excluded. Both American Orthopaedic Foot and Ankle Society (AOFAS) objective score and Foot Function Index (FFI) subjective index were used for clinical evaluation. Results: One hundred and nine patients were reviewed (96 females and 13 males) spanning the ages between 37 and 83 years; 34 of them have been treated by distal chevron osteotomy according to Austin, 33 by osteotomy according to Reverdin-Green, 17 have been operated on with the technique described by Regnauld, 16 by Lelièvre operation and 9 have been treated according to Viladot (but this last cohort of patients was not considered in the statistic evaluation due to such a small number). Clinical results were very similar for the four aforementioned main techniques: for the Lelièvre method only the global functional scores were slightly lower. Conclusion: From these results it is not possible to draw definite conclusions regarding the best surgical method for treatment of hallux valgus deformity; however, when a more aggressive technique is used, with sacrifice of the articular cartilage, the functional results are worse.
AB - Aim: The aim of the study was to compare the mid term results of different surgical techniques for the correction of mild to moderate hallux valgus deformity. Methods: Two hundred and seven patients, monolaterally operated for correction of hallux valgus deformity at the Department of Orthopaedic Surgery of the University of Milan (Italy)-IRCCS Policlinico San Donato in the years 2000-2005, were retrospectively clinically re-evaluated. Different surgical techniques were employed (distal osteotomies and soft tissue procedures); proximal metatarsal and percutaneous osteotomies were excluded. Both American Orthopaedic Foot and Ankle Society (AOFAS) objective score and Foot Function Index (FFI) subjective index were used for clinical evaluation. Results: One hundred and nine patients were reviewed (96 females and 13 males) spanning the ages between 37 and 83 years; 34 of them have been treated by distal chevron osteotomy according to Austin, 33 by osteotomy according to Reverdin-Green, 17 have been operated on with the technique described by Regnauld, 16 by Lelièvre operation and 9 have been treated according to Viladot (but this last cohort of patients was not considered in the statistic evaluation due to such a small number). Clinical results were very similar for the four aforementioned main techniques: for the Lelièvre method only the global functional scores were slightly lower. Conclusion: From these results it is not possible to draw definite conclusions regarding the best surgical method for treatment of hallux valgus deformity; however, when a more aggressive technique is used, with sacrifice of the articular cartilage, the functional results are worse.
KW - Hallux valgus
KW - Metatarsal bones
KW - Osteotomy
UR - http://www.scopus.com/inward/record.url?scp=69549120095&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=69549120095&partnerID=8YFLogxK
M3 - Articolo
AN - SCOPUS:69549120095
VL - 60
SP - 93
EP - 98
JO - Minerva Ortopedica
JF - Minerva Ortopedica
SN - 0026-4911
IS - 2
ER -