Bunion Surgery Using Locking-Plate Fixation of Proximal Metatarsal Chevron Osteotomies

Gallentine, James W.; DeOrio, James K.; DeOrio, Matthew

doi:10.3113/fai.2007.0361

Cited by 50 publications

(35 citation statements)

References 32 publications

(51 reference statements)

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“…Comparing recurrence rate in this study with previous reports, the plate group had higher recurrence rate [19,20,23]. However, most studies either did not mention the recurrence rate or provided recurrence rates without a definition of recurrence [5,19,23,24]. Mean postoperative hallux valgus angle in this study also was comparable to previous reports (Table 3).…”

Section: Discussionsupporting

confidence: 80%

“…Fixation using a plate was introduced to solve these problems of fixation, and has been reported to have an advantage of secure fixation without loss of correction and no need to remove hardware [5]. Plates were used for fixation of opening wedge osteotomy of the proximal metatarsal in most articles [19,20].…”

Section: Discussionmentioning

confidence: 99%

“…The gap becomes even greater when the supination is added to the angulation. Therefore, various fixation methods, such as Kirschner wires, screws, and plates have been used to stabilise the osteotomy [3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Gallentine et al [5] concluded that a proximal chevron osteotomy fixed with low profile locking plate demonstrates good stability and less complication associated with hardware. No previous clinical study has compared the results of proximal osteotomy according to the method of stabilisation by Kirschner wires and a plate and screws.…”

Section: Introductionmentioning

confidence: 99%

“…However, transfer metatarsalgia often occurs due to the long moment arm of the distal fragment and insecure fixation. Accordingly, several different methods have been introduced to enhance the stability of the fixation [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Plate fixation for proximal chevron osteotomy has greater risk for hallux valgus recurrence than Kirschner wire fixation

Park

Ahn

Kim

et al. 2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to compare the results of hallux valgus surgery between feet fixed with Kirschner wires and those fixed with a plate and screws. Methods Between December 2008 and November 2009, 53 patients (62 feet) were treated with proximal chevron osteotomy and distal soft tissue procedure for symptomatic moderate to severe hallux valgus deformity. Thirty-four patients (41 feet) were stabilised with Kirschner wires (K-wire group) and 19 patients (21 feet) were stabilised with a locking plate (plate group). Clinical results were assessed using American Orthopaedic Foot and Ankle Society (AOFAS) score. Radiographic parameters were compared between these groups. Recurrence rate at the last follow-up was compared between the K-wire and plate groups. Results Mean AOFAS score was lower in the plate group, however, the difference between the groups was not statistically significant in AOFAS score at the last follow-up. Hallux valgus angle and intermetatarsal angle were significantly larger in the plate group at the last follow-up. Mean 1-2 metatarsal (MT) distance on immediately postoperative radiographs was significant larger in the plate group. Four (9.8 %) of the 41 feet in the K-wire group and 7 (33.3 %) of the 21 feet in the plate group showed hallux valgus recurrence at the last follow-up. The plate group had a significantly higher risk of recurrence than the K-wire group. Conclusions Fixation of proximal chevron osteotomy using a plate and screws has a greater risk of hallux valgus recurrence than fixation using Kirschner wires.

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