Proximal metatarsal osteotomy: relation between 1- to greater than 3-years results.
We analyzed the relationship between the 1-year and greater than 3-years results of a distal soft tissue procedure with a proximal osteotomy for hallux valgus in the same patient population. The series consisted of 55 feet treated with this procedure. The results at 1 year and greater than 3 years were evaluated. The final followup was greater than 3 years. Patients with pain in the first metatarsophalangeal joint at the 1-year followup had a greater risk of having pain at the final followup than did patients without pain at the 1-year followup. Patients with metatarsalgia at the 1-year followup had a greater risk of having metatarsalgia at the final followup than did patients without metatarsalgia at the 1-year followup. The extension of the first metatarsophalangeal joint at the final followup was greater than extension at the 1-year followup. In 48 feet (87%), radiologic evaluation showed no or minimal changes in the hallux valgus and intermetatarsal angles between 1 year and greater than 3 years followup. The data suggest the 1-year results predict those beyond 3 years, although the extension of the first metatarsophalangeal joint may increase 1 year after surgery.


METHODS
Prognostic study, Level III. See the Guidelines for Authors for a complete description of levels of evidence.
Okuda
Ryuzo
R
Department of Orthopedic Surgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki 569-8686, Osaka, Japan. ort071@poh.osaka-med.ac.jp
Kinoshita
Mitsuo
M
Morikawa
Junichi
J
Yasuda
Toshito
T
Abe
Muneaki
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D005260:Female; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D010147:Pain Measurement; D011379:Prognosis; D016059:Range of Motion, Articular; D018709:Statistics, Nonparametric; D016896:Treatment Outcome