Distal osteotomy for bunionectomy and hallux valgus correction

Gill, Lowell H.

doi:10.1016/s1083-7515(03)00106-2

Cited by 17 publications

(8 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, an extensive plantar and plantar lateral network of vessels provided circulation to the head. These findings explain reason of no avascular necrosis recorded in this study and also in other studies [8,11,18,27,40,43,54] . Radl et al [42] use fixation by k-wires and they removed it after 4 weeks post-operatively.…”

Section: Discussionsupporting

confidence: 90%

“…Holstein and Lewis [14] reported second metatarsalgia in 17 of their 98 cases operated with Wilson osteotomy due to shortening of the first metatarsal, Chevron osteotomy do not carry that risk as it is considered as displacement osteotomy is transverse plane. Gill [8] reported that shortening is less likely to occur with Chevron osteotomy compared with some other distal osteotomies. Klosok et al [26] in a study comparing Chevron and Wilson metatarsal osteotomy reported that the patients in the chevron group returned to work earlier and mobilized faster.…”

Section: Discussionmentioning

confidence: 99%

“…No evidence of avascular of the metatarsal head was recorded in this series. Other studies did not report that also after Chevron osteotomy [8,11,18,27,40,43,54] . Some studies reported that patients underwent for corrective surgery for hallux valgus are at a low risk for venous thrombosis following the surgical procedure [42] .…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Surgical treatment of hallux valgus using chevron technique

Abdeldayem¹,

Fekry²,

Fouda³

2018

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Background:The great toe is affected by many congenital and acquired conditions including hallux valgus. Hallux valgus was first reported in 1856. Most patients with hallux valgus are young females. High heel shoes are extrinsic factors which are important in the development of hallux valgus. More than 130 procedures have been described in the treatment of hallux valgus. The chevron osteotomy is one of the most widely used distal metatarsal osteotomies for the treatment of this deformity in adults. The idea of the Chevron osteotomy is that, it is a V shaped horizontally oriented with lateral displacement of the head of the first metatarsal accompanied with release and balancing of the soft tissue structure on both sides of the joint. Patients and Methods: Study include 36 patients, all were females. The mean age was 35 years. All patients have symptomatic bilateral hallux valgus deformity. Pain was the primary reason for surgery. Study designed for comparison of results of Chevron's osteotomy with fixation by 2 k-wires versus no fixation. Fifty percent of cases subjected for fixation and 50 percent with no fixation. No specific selection was performed. Results: Evaluation of the results includes radiological and clinical observations. Assessment using the American Orthopaedic Foot and Ankle Society's hallux-metatarsophalangeal-interphalangeal scale was also done. Inter-metatarsal angle averaged 18° pre-operatively and 10° post-operatively, the corresponding values for hallux angle was 25° and 16° respectively. No complications of thrombophlebitis, non-union or avascular necrosis were recorded. Overall results show 94% as excellent or good results. Conclusion: The Chevron osteotomy disclosed excellent relief of pain, good cosmetic correction and overall patient satisfaction. Stability and the technical ease make this procedure preferable for correction of moderate hallux valgus deformity.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical treatment of hallux valgus using chevron technique

Abdeldayem¹,

Fekry²,

Fouda³

2018

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

show abstract

“…Shortening can happen if the dorsal arm of the osteotomy is not cut perpendicularly to the long axis of the second metatarsal. 4,7,20,36,37 Impaired Range of Motion at the MP-I Joint Lengthening of the first metatarsal through an oblique distally oriented osteotomy (dorsal arm) and excessive medial capsular tightening may lead to impaired range of motion of the MP-I joint. However, this problem can be treated by early passive mobilization of the MP-I joint.…”

Section: Metatarsalgiamentioning

confidence: 99%

A New Modified Distal First Metatarsal Osteotomy for the Treatment of Hallux Valgus Deformity

Espinosa

Meyer

Campe

et al. 2006

Techniques in Foot &Amp; Ankle Surgery

View full text Add to dashboard Cite

Many different surgical procedures exist to correct hallux valgus deformity which may confuse foot and ankle surgeons in finding the appropriate solution. The optimal surgical strategy of hallux valgus treatment has remained an issue of debate. Maximal pain alleviation and stable restoration of a physiological metatarsophalangeal and intermetatarsal angle should be the main goals of the operative treatment.Among all described procedures the distal chevron osteotomy is a very popular one allowing correction of mild and moderate hallux valgus deformities, using a simple technique and providing inherent stability. The reversed L-shaped distal first metatarsal osteotomy has been designed to obtain durable correction of moderate and severe hallux valgus deformities using a simple standardized surgical technique through a minimal medial approach to respect cosmetic appearance. Preliminary short-term results are encouraging with no avascular necrosis observed and stable anatomical correction of even larger hallux valgus deformities (ie, hallux valgus angle Q35-) achieved. Despite the easy technique of the reversed L-shape, further investigations and longer follow-up periods are still necessary to confirm its overall effectiveness.

show abstract

“…Long-term follow-up of the Mitchell osteotomy has shown satisfactory results in 85% of patients, including those with moderate to severe HV deformities (1,6). The advantage of chevron osteotomy is direct weightbearing postoperatively owing to the stable fixation, but patients with a Mitchell osteotomy are treated postoperatively with a plaster (7). The complications described for both techniques have included avascular necrosis of the first metatarsal head and stiffness of the first metatarsal joint (8,9).…”

mentioning

confidence: 99%