Radiographic Outcomes of Hallux Valgus Deformity Correction With Chevron and Scarf Osteotomies

Kuliński, Patryk; Tomczyk, Łukasz; Pawik, Łukasz; Olech, Jarosław; Morasiewicz, Piotr

doi:10.1053/j.jfas.2023.02.007

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…Osteotomy is performed to correct the bone structure of the foot and restore a relatively normal weightbearing relationship. Several osteotomy methods are available for different HV situations [7][8], such as Chevron osteotomy, scarf osteotomy, and Lapidus osteotomy [9][10][11]. Most mild-to-moderate HV can be resolved by Chevron osteotomy coupled with soft-tissue release.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive K-wire Osteotomy versus Open Chevron Osteotomy for Hallux Valgus Correction

Hu,

He,

Yang

et al. 2023

Preprint

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Background The treatment of hallux valgus has become increasingly minimally invasive. Following the framework of three generations of minimally invasive hallux valgus techniques, we designed the minimally invasive K-wire osteotomy (MIK) technique. We aimed to compare the radiological outcomes and clinical efficacy of the MIK technique with those of open surgery and to evaluate its clinical value. Methods In this retrospective study, we analyzed the data of patients who underwent hallux valgus surgery from July 2018 to July 2021. Patients were divided into the MIK and open groups according to the surgical method. Perioperative data, radiographicmeasurements of the hallux valgus angle (HVA) and intermetatarsal angle (IMA), American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal Scale (AOFAS) scores, and visual analog scale (VAS) scores to assess efficacy were recorded. Results Seventy patients (72 feet) with hallux valgus were enrolled in this study, including 36 patients (38 feet) in the MIK group and 34 patients (34 feet) in the open group. The operation time and hospital stay were shorter in the MIK group than in the open group (P﹤0.05). No significant differences were observed in the HVA and IMA between the two groups at 6 weeks post-surgery and at the last follow-up (P﹥0.05). Six weeks post-operatively, the AOFAS and VAS scores of the MIK group were better than those of the open group (P﹤0.05). At the last follow-up, no significant difference was observed in the AOFAS and VAS scores between the two groups (P﹥0.05). The internal fixation was removed in one case in the MIK group and in two cases in the open group due to screw protrusion and skin irritation. No cases of wound infection, deformity recurrence, hallux varus, or metastatic metatarsalgia were observed in the two groups. Conclusion The MIK technique demonstrates comparable radiographic results and clinical efficacy to open surgery. It saves operation time and results in less trauma, less pain, faster functional recovery, and improved aesthetics. This technique does not require specialized equipment, making it suitable for application in most hospitals.

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Section: Introductionmentioning

confidence: 99%

Minimally Invasive K-wire Osteotomy versus Open Chevron Osteotomy for Hallux Valgus Correction

Hu,

He,

Yang

et al. 2023

Preprint

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Biomechanical comparison of reverse offset‐L osteotomy and chevron osteotomy in cadaveric hallux valgus surgery

Cingoz,

Ziroglu,

Bozdag

et al. 2024

Journal of Foot and Ankle Research

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ObjectiveChevron osteotomy offers near‐excellent clinical results and adequate stability at lower shift percentages, among the techniques used to correct hallux valgus deformity. This cadaveric study aimed to compare the Chevron osteotomy with the reverse offset‐L osteotomy, which may provide a greater surface area and a more stable geometry to withstand higher cantilever forces at higher shift percentages.MethodsMetatarsal bones obtained from 20 human cadavers with similar bone quality were divided into two groups: Chevron osteotomy was applied to the 1st group and reverse offset‐L osteotomy was applied to the 2nd group. The load‐to‐failure, displacement in the y‐axis, and total displacement values of both groups were compared statistically. Furthermore, bone densities were compared between the groups with computed tomography imaging.ResultsWhen outliers in both groups were excluded, a statistically significant difference was found in favor of reverse offset‐L (143 ± 42 vs. 204 ± 51.2 N, p = 0.02) in terms of failure load. The groups were similar in terms of displacement on the y‐axis and total displacement values. Bone densities were similar.ConclusionThe reverse offset‐L osteotomy has been shown to withstand greater loads before failure compared to the standard Chevron osteotomy. This significant difference in load‐to‐failure may enable reverse offset‐L to provide reliable stability in osteotomies performed in advanced HV cases requiring higher shifts.

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Radiographic Outcomes of Hallux Valgus Deformity Correction With Chevron and Scarf Osteotomies

Cited by 2 publications

References 28 publications

Minimally Invasive K-wire Osteotomy versus Open Chevron Osteotomy for Hallux Valgus Correction

Minimally Invasive K-wire Osteotomy versus Open Chevron Osteotomy for Hallux Valgus Correction

Biomechanical comparison of reverse offset‐L osteotomy and chevron osteotomy in cadaveric hallux valgus surgery

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