Clinical and radiological results after modified distal metatarsal osteotomy for hallux valgus.
BACKGROUND
The chevron osteotomy is an acceptable method for correction of mild and moderate hallux valgus, but can result in instability at the osteotomy site. The purpose of this study was to present clinical and radiological results with our modified technique of osteotomy.


METHODS
We performed a modified technique of distal osteotomy of the first metatarsal on 77 feet of 46 patients with symptomatic hallux valgus; followed up for an average of 52 months.


RESULTS
All of the patients experienced satisfactory pain relief and acceptable cosmesis. The mean postoperative reduction in the intermetatarsal angle was 6.5 degrees and of the metatarsophalangeal angle was 23.0 degrees. There was no loss of correction and there was no discrepancy in preoperative and postoperative lengths of the first metatarsal during the followup period.


CONCLUSIONS
We found our modified distal metatarsal osteotomy to be an effective method of correcting hallux valgus.
Department of Orthopaedic Surgery, Inha University Hospital 7-206, 3-Ga Shinheung-Dong, Jung-Gu, Inchon 400-103, South Korea. Orthooh@Inha.ac.kr
In Suk
IS
Oh
Sung Wook
SW
Choi
Myung Ku
MK
Kim
Seung Yeol
SY
Lee
Joong Sun
JS
Lee
D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D006215:Hallux Valgus / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D017060:Patient Satisfaction; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome