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.
Translated title of the contribution | Different surgical techniques for correction of hallux valgus deformity: Clinical Results |
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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 |
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery