Modified chevron osteotomy fixed with stofella pin for hallux valgus.
BACKGROUND
The purpose of this study was to present the mid-term results of hallux valgus patients who underwent a modified chevron osteotomy.


METHODS
Fifty-six patients (73 feet) with mild to moderate hallux valgus underwent a modified chevron osteotomy and Stoffella pin fixation between January 1999 and December 2004. Patients were evaluated clinically by the American Orthopedic Foot and Ankle Society (AOFAS) score. Pre- and postoperative radiographs were evaluated for the hallux valgus and intermetatarsal angles and sesamoid position.


RESULTS
An improvement of 44.8 points in the AOFAS score was found. A change of 17.4 degrees in the hallux valgus angle and by 5.3 degrees in the intermetatarsal angle was achieved (p < 0.05). The change in the sesamoid position was significantly improved. Superficial skin infection in 3 cases, transient hypoesthesia in 2 cases, and bursitis due to screw irritation in 4 cases were the complications.


CONCLUSIONS
Stable and rigid fixation by modified chevron osteotomy using Stoffella pins allows early mobilization and weightbearing without a cast. We believe early mobilization of the joint provides better functional outcomes with fewer complications compared to other fixation techniques.
Gülhane Military Medical Academy, Department of Orthopedics and Traumatology, Etlik, Ankara, Turkey. kurklumd@yahoo.com
Mustafa
M
Kürklü
Bahtiyar
B
Demiralp
Yüksel
Y
Yurttaş
Engin Ilker
EI
Ciçek
Ali Sabri
AS
Ateşalp
D000328:Adult; D000368:Aged; D001858:Bone Nails; D015331:Cohort Studies; D004434:Early Ambulation; D005260:Female; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*; D008683:Metatarsophalangeal Joint / Q000503:physiopathology; D008875:Middle Aged; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D011859:Radiography; D016896:Treatment Outcome; D016474:Weight-Bearing / Q000502:physiology