Clinical Outcomes after Chevron Procedure are Better than Pedobarographic Results

2014 ◽  
Vol 601 ◽  
pp. 177-180
Author(s):  
Radu Prejbeanu ◽  
Dinu Vermesan ◽  
Horia Hărăgus ◽  
Simona Vermesan ◽  
Dan Ioan Stoia
Keyword(s):  
Clinical Outcomes ◽  
Hallux Valgus ◽  
Pressure Sensors ◽  
Valgus Deformity ◽  
Physical Contact ◽  
Chevron Osteotomy ◽  
Hallux Valgus Deformity ◽  
Reaction Forces ◽  
Severe Hallux Valgus ◽  
Better Than

The distal Chevron or Austin procedure, is arguably the most prominent of the distal metatarsal osteotomies. Recent studies in the literature have shown a trend in recommending this osteotomy or one if it’s modifications for even severe hallux valgus deformities. Therefore we aimed to compare the clinical and pedobarographic results after chevron osteotomy in patients with moderate hallux valgus deformity. We investigated a homogeneous lot of 10 patients undergoing hallux valgus correction using distal chevron technique. In order to quantify the improvement of the gait in these patients, several biomechanical parameters have been measured using a matrix of pressure sensors that provide us the vertical reaction forces when the foot is in physical contact with it. Results show an improvement in patient’s velocity and cadence after the surgery, and also a smaller variability in gait. Nevertheless, optimal clinical outcomes are still found to have altered ground reaction forces on pedobarographic assessment.

scholarly journals A Comparison of Proximal and Distal Chevron Osteotomy for the Correction of Severe Hallux Valgus Deformity

2020 ◽  
Vol 24 (4) ◽  
pp. 129-134
Author(s):  
Hyung Seok Park ◽  
Jun Young Lee ◽  
Kang Yeol Ko ◽  
Jehong Ryu ◽  
Jae Hwan Lim
Keyword(s):  
Hallux Valgus ◽  
Valgus Deformity ◽  
Chevron Osteotomy ◽  
Hallux Valgus Deformity ◽  
Severe Hallux Valgus

Distal Chevron Osteotomy with Distal Soft Tissue Procedure for Moderate to Severe Hallux Valgus Deformity

2010 ◽  
Vol 31 (8) ◽  
pp. 683-688 ◽  
Author(s):  
Long Bin Bai ◽  
Keun Bae Lee ◽  
Chang Young Seo ◽  
Eun Kyoo Song ◽  
Taek Rim Yoon
Keyword(s):  
Soft Tissue ◽  
Hallux Valgus ◽  
Valgus Deformity ◽  
Soft Tissue Procedure ◽  
Chevron Osteotomy ◽  
Hallux Valgus Deformity ◽  
Severe Hallux Valgus

scholarly journals Comparison of the clinical outcomes of Scarf and Chevron Osteotomy for Hallux Valgus Deformity: a meta-analysis of randomized controlled trial

2019 ◽  
Author(s):  
Wei Ye ◽  
Yafang Liu ◽  
WeiFeng Liu ◽  
XiaoLong Li ◽  
Yanqiang Fei ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Hallux Valgus ◽  
Meta Analysis ◽  
Valgus Deformity ◽  
Hallux Valgus Angle ◽  
Scarf Osteotomy ◽  
Randomized Controlled ◽  
Chevron Osteotomy ◽  
Hallux Valgus Deformity ◽  
Valgus Angle

Abstract Background Scarf and Chevron Osteotomy have been widely used for Hallux Valgus Deformity(HVD) to correcting hallux valgus angle (HVA) and intermetatarsal 1-2 angle (IMA), but there still have controversy which approach is the best way to repair HVD,this study aims to use meta-analysis to evaluate the clinical outcomes of Scarf and Chevron Osteotomy for Hallux Valgus Deformity.Methods Pubmed, Embase, Medline and Cochrane library databases were searched for relevant studies published before September 1, 2019. Studies clearly reporting a comparison of Scarf and Chevron Osteotomy for Hallux Valgus Deformity were selected. The Post-operative hallux valgus angle (HVA) and intermetatarsal 1-2 angle (IMA) were evaluated and also the correction of HVA and IMA. The weighted mean differences and relative risks were calculated using a fixed-effects or random-effects model.Results Five studies were included in this meta-analysis,one were prospective randomized controlled trials and three were randomized control trials.A total of 434 patients (210 Scarf and 224 Chevron) were enrolled in the studies.Compare Scarf Osteotomy,Chevron Osteotomy can significantly decreaseed Post-operative hallux valgus angle (HVA)[MD = 1.92 95% CI (1.21 to 2.63),P < 0.0001],but there have no significantly difference between Scarf and Chevron Osteotomy groups in terms of Postoperative intermetatarsal angle (IMA),the correction of IMA and HVA(C-IMA/HVA),DMAA,AOFAS and complication incidence[MD = 0.42, 95% CI (-0.34 to 1.17),P=0.28;MD = -0.30, 95% CI (-0.72 to 0.12),P =0.16; MD = -0.88, 95% CI (-2.34 to 0.57),P =0.23;MD = -0.78, 95% CI (-2.29 to 0.72),P =0.31;MD = -2.01, 95% CI (-9.81 to 5.61),P =0.59 and OR=0.80, 95% CI (0.40 to 1.60),P=0.53 respectively].Conclusion Compare Scarf osteotomy,Chevron Osteotomy can significantly decreaseed Post-operative hallux valgus angle (HVA) and other clinical outcomes are similar between the two treatments.

Chevron Osteotomy as the Treatment of Moderate to Severe Hallux Valgus Deformity

1999 ◽  
Vol 34 (2) ◽  
pp. 467
Author(s):  
Jang Seok Choi ◽  
Young Chang Kim ◽  
Seung Seok Seo ◽  
Ki Chan Ahn ◽  
Jin Wan Kim
Keyword(s):  
Hallux Valgus ◽  
Valgus Deformity ◽  
Chevron Osteotomy ◽  
Hallux Valgus Deformity ◽  
Severe Hallux Valgus
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