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

Translated title of the contribution: Different surgical techniques for correction of hallux valgus deformity: Clinical Results

M. M. Parrini, A. Spada, S. Vasilopoulos, P. Cabitza

Research output: Contribution to journalArticle

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 languageItalian
Pages (from-to)93-98
Number of pages6
JournalMinerva Ortopedica e Traumatologica
Volume60
Issue number2
Publication statusPublished - Apr 2009

Fingerprint

Hallux Valgus
Osteotomy
Orthopedics
Foot
Metatarsal Bones
Articular Cartilage
Ankle
Italy

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

@article{040a81689fd04f36a6dd3c35ef10fe62,
title = "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",
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 Leli{\`e}vre 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 Leli{\`e}vre 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.",
keywords = "Hallux valgus, Metatarsal bones, Osteotomy",
author = "Parrini, {M. M.} and A. Spada and S. Vasilopoulos and P. Cabitza",
year = "2009",
month = "4",
language = "Italian",
volume = "60",
pages = "93--98",
journal = "Minerva Ortopedica",
issn = "0026-4911",
publisher = "Edizioni Minerva Medica S.p.A.",
number = "2",

}

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 -