Correction of Hallux Valgus Using Lateral Soft-Tissue Release and Proximal Chevron Osteotomy Through a Medial Incision

2007 ◽  
Vol 89 (suppl 1) ◽  
pp. 82-89 ◽  
Author(s):  
Woo-Chun Lee ◽  
Yu-Mi Kim
2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0051
Author(s):  
Zhijian Wang ◽  
Tao Zhong

Category: Bunion Introduction/Purpose: To define the effect of distal chevron osteotomy with and without lateral soft tissue release for the correction of mild and moderate hallux valgus. Methods: 24 consecutive patients were enrolled in this prospective study. In Group A, 12 patients underwent a chevron osteotomy only. In Group B, 12 patients underwent a chevron osteotomy with lateral soft tissue release. The hallux valgus angle (HVA) and intermetatarsalangle (IMA), and AOFAS score were measured preoperatively, and 6-month follow up postoperatively and complications were evaluated. Results and complications were evaluated. Results: The change in HVA, IMA and AOFAS score were insignificant (p > 0.05) between Group A and Group B. Complications of digital neuritis and cosmetically dissatisfied scarring of the dorsal web space were seen only in Group B. No cases had avascular necrosis of the metatarsal head, malunion or nonunion. Conclusion: Lateral soft tissue release may not be needed for mild or moderate hallux valgus deformities which may prevent neuritis of dorsal or plantar lateral digital nerve and cosmetic dissatisfaction of adorsal scar.


2010 ◽  
Vol 16 (3) ◽  
pp. 126-131 ◽  
Author(s):  
Turlough O’Donnell ◽  
Niall Hogan ◽  
Matthew Solan ◽  
Michael M. Stephens

The Foot ◽  
2019 ◽  
Vol 40 ◽  
pp. 27-33 ◽  
Author(s):  
J. de las Heras-Romero ◽  
A.M. Lledó-Alvarez ◽  
J. Andrés-Grau ◽  
F. Picazo-Marín ◽  
J.F. Moreno-Sánchez ◽  
...  

2010 ◽  
Vol 31 (4) ◽  
pp. 291-295 ◽  
Author(s):  
Ho-Jin Lee ◽  
Jin-Wha Chung ◽  
In-Tak Chu ◽  
Yoon-Chung Kim

2021 ◽  
Vol 23 (4) ◽  
pp. 287-293
Author(s):  
Mohd Rafeeq Wani ◽  
Mohd Iqbal Wani ◽  
Arshid Bashir ◽  
Manzoor Ahmad Halwai ◽  
Stanzin Sonum ◽  
...  

Background. The study was done to evaluate short term clinico-radiological results of distal chevron oste­otomy without lateral soft tissue release in mild to moderate hallux valgus. Materials and methods. This was a prospective study consisting of a total of 35 cases with mild to moderate hallux valgus deformity. All these patients were treated by distal chevron osteotomy without lateral soft tissue release. Results. In our study, the average value of hallux angle preoperatively was 32° (range, 24°-40°) and at final follow-up it was 14° (range, 8°-31°). The average reduction was 18°. The average intermetatarsal angle showed mean reduction of 5.3° at the final follow-up. Average range of motion of the first metatarsophalyngeal joint preoperatively and at final follow-up showed a small reduction of 5 degrees. The average preoperative AOFAS score was 49, which improved by 35 points to 84 at the final follow-up. 11.42% of the patients in the study group had a recurrence. Conclusions. 1. Based on our experience with distal chevron osteotomy without lateral soft tissue release, we found the procedure easy to perform with good procedural outcomes. 2. The possible complications of lateral soft tissue release are avoided.


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