title: [Clinical investigation of the minimal invasive osteotomy for the treatment of hallux valgus combined with tailor's bunion].
abstract: OBJECTIVE
  To investigate the clinical effects of the minimal invasive osteotomy treatment for hallux valgus combined with tailor's bunion deformity.
  
  
  METHODS
  From May 2007 to May 2009, Forty-nine feet of 32 patients (a mean age of 57 years old) of hallux valgus combined with tailor's bunion deformity were reviewed retrospectively, including 2 males(2 feet) and 30 females (47 feet). All patients were treated by the minimal invasive osteotomy. The axial and lateral films of all feet with loading were taken before and after operation. The hallux abducto valgus angle(HAV),intermetatarsal angle(IM), fourth-fifth intermetatarsal angle (IM 4 to 5), modified fourth-fifth intermetatarsal angle (MIM 4 to 5), Metatarsophalangeal-fifth angle (MPA) and lateral deviation of the fifth matatarsal angle (LDA) were compared before and after operation. Therapeutic effects of all the patients were observed after operation, the item including AFAS score and WEN Jian-min's therapeutic effects standard.
  
  
  RESULTS
  The average operating time was 40 minutes. All the patients were followed up,and the duration ranged from 6 to 24 months. The HAV angle, IM angle, IM 4 to 5 angle, MIM 4 to 5 angle,MPA angle and LDA angle significantly decreased after operation. The AFAS score significantly raised after operation. According to the criteria, 33 feet got an excellent result, 15 good and 1 fair.
  
  
  CONCLUSIONS
  The minimal invasive osteotomy treatment for hallux valgus combined with tailor's bunion is effective and safe. This method is mini-trauma,less pain and it can make a very soon rehabilitation. This method has widely clinical value.
authors.affiliation: Department of Foot Ankle Surgery, the Pu'ai Hospital Affiliated to Huazhong Science and Technology University, Wuhan 430030, Hubei, China. likun2121@yahoo.com.cn
authors.forename: Jing
authors.initials: J
authors.lastname: Li
authors.forename: Ming
authors.initials: M
authors.lastname: Xie
authors.forename: Wu-sheng
authors.initials: WS
authors.lastname: Kan
authors.forename: Kun
authors.initials: K
authors.lastname: Li
authors.forename: Zhen-hua
authors.initials: ZH
authors.lastname: Fang
authors.forename: Ruo-kun
authors.initials: RK
authors.lastname: Huang
authors.forename: Jing-jing
authors.initials: JJ
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D050489:Bunion, Tailor's / Q000601:surgery*; D005260:Female; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000379:methods*