Advanced hallux valgus deformity: long-term results utilizing the distal soft tissue procedure and proximal metatarsal osteotomy.
A series of 28 cases with a moderate to severe hallux valgus deformity and intermetatarsal angle of 14 degrees or greater was followed an average of 5 1/2 years to determine whether any significant loss of correction occurred. All feet were treated with a distal soft tissue procedure and proximal metatarsal osteotomy. The average correction of the intermetatarsal angle was 13.2 degrees (7-20 degrees), and the average loss of correction was 1.4 degrees; the average correction of the hallux valgus angle was 26.7 degrees (-2 degrees to 48 degrees), and the average loss of correction was 3.8 degrees. In three cases, a recurrent deformity developed; in three other cases, a hallux varus deformity developed, two of which were symptomatic. Patient satisfaction was 85%. This study indicates that in most patients with a hallux valgus deformity and an intermetatarsal angle of 14 degrees or greater, there is sufficient inherent stability of the first metatarsocuneiform joint that it does not require stabilization to obtain a satisfactory long-term result.
Dreeben
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Foot Fellowship Program, Samuel Merrith Hospital, Oakland, California, USA.
Mann
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RA
D000293:Adolescent; D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome; D016474:Weight-Bearing