title: Surgical Treatment of Moderate Hallux Valgus: A Comparison of Distal Chevron Metatarsal Osteotomy With and Without Lateral Soft-Tissue Release.
abstract: OBJECTIVE
  The purpose of the study was to determine whether lateral soft-tissue release (LSTR) has a beneficial or detrimental effect on the outcome of distal Chevron first metatarsal osteotomy (DCMO) in the treatment of moderate hallux valgus (HV).
  
  
  METHODS
  We compared the effect of different surgical treatments in 2 groups of patients: group I (23 patients, 25 feet, average age of 55 [from 43 to 77] years) was subjected to DCMO only, whereas group II (18 patients, 23 feet, average age of 59 [from 52 to 70] years]) was subjected to DCMO with LSTR. The American Orthopaedic Foot and Ankle Society's Hallux Metatarsophalangeal-Interphalangeal scale survey was conducted postoperatively, followed by the brief survey on postoperative patient satisfaction. The patient follow-up period was from 18 to 24 months after surgical treatment, on average.
  
  
  RESULTS
  After surgical intervention, both groups of patients presented with an improved HV angle, but there was no significant difference between the groups. However, group II showed significant improvements in medial sesamoid bone position and patient satisfaction scores as compared with group I.
  
  
  CONCLUSIONS
  Our midterm follow-up of surgical treatments for moderate HV deformity suggests that both procedures provide good postoperative results. However, according to our results, DCMO with LSTR provides better results than procedures without LSTR.
  
  
  METHODS
  Therapeutic, Level III: Retrospective comparative study.
authors.affiliation: Department of Orthopaedic Surgery, Mostar University Hospital Center, Mostar, Bosnia and Herzegovina (MG).|Department of Orthopaedic Surgery, Sveti Duh University Hospital, Zagreb, Croatia (GV, VH).|Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia (IB).|Addiction Prevention and Outpatient Care Centre, Mostar, Bosnia and Herzegovina (MM).|Department of ENT, Sveti Duh University Hospital, Zagreb, Croatia (IB).|Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Croatia (LS).|University Hospital for Orthopaedics and Traumatology, Lovran, School of Medicine, University of Rijeka, Rijeka, Croatia (ZJ).
authors.forename: Maki
authors.initials: M
authors.lastname: Grle
authors.affiliation: Department of Orthopaedic Surgery, Mostar University Hospital Center, Mostar, Bosnia and Herzegovina (MG).|Department of Orthopaedic Surgery, Sveti Duh University Hospital, Zagreb, Croatia (GV, VH).|Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia (IB).|Addiction Prevention and Outpatient Care Centre, Mostar, Bosnia and Herzegovina (MM).|Department of ENT, Sveti Duh University Hospital, Zagreb, Croatia (IB).|Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Croatia (LS).|University Hospital for Orthopaedics and Traumatology, Lovran, School of Medicine, University of Rijeka, Rijeka, Croatia (ZJ).
authors.forename: Goran
authors.initials: G
authors.lastname: Vrgoc
authors.affiliation: Department of Orthopaedic Surgery, Mostar University Hospital Center, Mostar, Bosnia and Herzegovina (MG).|Department of Orthopaedic Surgery, Sveti Duh University Hospital, Zagreb, Croatia (GV, VH).|Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia (IB).|Addiction Prevention and Outpatient Care Centre, Mostar, Bosnia and Herzegovina (MM).|Department of ENT, Sveti Duh University Hospital, Zagreb, Croatia (IB).|Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Croatia (LS).|University Hospital for Orthopaedics and Traumatology, Lovran, School of Medicine, University of Rijeka, Rijeka, Croatia (ZJ).
authors.forename: Ivan
authors.initials: I
authors.lastname: Bohacek
authors.affiliation: Department of Orthopaedic Surgery, Mostar University Hospital Center, Mostar, Bosnia and Herzegovina (MG).|Department of Orthopaedic Surgery, Sveti Duh University Hospital, Zagreb, Croatia (GV, VH).|Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia (IB).|Addiction Prevention and Outpatient Care Centre, Mostar, Bosnia and Herzegovina (MM).|Department of ENT, Sveti Duh University Hospital, Zagreb, Croatia (IB).|Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Croatia (LS).|University Hospital for Orthopaedics and Traumatology, Lovran, School of Medicine, University of Rijeka, Rijeka, Croatia (ZJ).
authors.forename: Vladimir
authors.initials: V
authors.lastname: Hohnjec
authors.affiliation: Department of Orthopaedic Surgery, Mostar University Hospital Center, Mostar, Bosnia and Herzegovina (MG).|Department of Orthopaedic Surgery, Sveti Duh University Hospital, Zagreb, Croatia (GV, VH).|Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia (IB).|Addiction Prevention and Outpatient Care Centre, Mostar, Bosnia and Herzegovina (MM).|Department of ENT, Sveti Duh University Hospital, Zagreb, Croatia (IB).|Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Croatia (LS).|University Hospital for Orthopaedics and Traumatology, Lovran, School of Medicine, University of Rijeka, Rijeka, Croatia (ZJ).
authors.forename: Marko
authors.initials: M
authors.lastname: Martinac
authors.affiliation: Department of Orthopaedic Surgery, Mostar University Hospital Center, Mostar, Bosnia and Herzegovina (MG).|Department of Orthopaedic Surgery, Sveti Duh University Hospital, Zagreb, Croatia (GV, VH).|Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia (IB).|Addiction Prevention and Outpatient Care Centre, Mostar, Bosnia and Herzegovina (MM).|Department of ENT, Sveti Duh University Hospital, Zagreb, Croatia (IB).|Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Croatia (LS).|University Hospital for Orthopaedics and Traumatology, Lovran, School of Medicine, University of Rijeka, Rijeka, Croatia (ZJ).
authors.forename: Iva
authors.initials: I
authors.lastname: Brkic
authors.affiliation: Department of Orthopaedic Surgery, Mostar University Hospital Center, Mostar, Bosnia and Herzegovina (MG).|Department of Orthopaedic Surgery, Sveti Duh University Hospital, Zagreb, Croatia (GV, VH).|Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia (IB).|Addiction Prevention and Outpatient Care Centre, Mostar, Bosnia and Herzegovina (MM).|Department of ENT, Sveti Duh University Hospital, Zagreb, Croatia (IB).|Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Croatia (LS).|University Hospital for Orthopaedics and Traumatology, Lovran, School of Medicine, University of Rijeka, Rijeka, Croatia (ZJ).
authors.forename: Lovro
authors.initials: L
authors.lastname: Stefan
authors.affiliation: Department of Orthopaedic Surgery, Mostar University Hospital Center, Mostar, Bosnia and Herzegovina (MG).|Department of Orthopaedic Surgery, Sveti Duh University Hospital, Zagreb, Croatia (GV, VH).|Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia (IB).|Addiction Prevention and Outpatient Care Centre, Mostar, Bosnia and Herzegovina (MM).|Department of ENT, Sveti Duh University Hospital, Zagreb, Croatia (IB).|Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Croatia (LS).|University Hospital for Orthopaedics and Traumatology, Lovran, School of Medicine, University of Rijeka, Rijeka, Croatia (ZJ).
authors.forename: Zdravko
authors.initials: Z
authors.lastname: Jotanovic
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008023:Ligaments, Articular / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D010147:Pain Measurement; D011859:Radiography / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D013710:Tendons / Q000601:surgery; D016896:Treatment Outcome
keywords: comparative diagnostics; foot surgery techniques; hallux valgus; soft-tissue repair