F‐Shaped Osteotomy Combined with Basal Opening Wedge Osteotomy for Severe Hallux Valgus

Objective To evaluate the safety and effectiveness of osteotomy adjacent to the articular surface of the metatarsal head combined with basal opening wedge osteotomy for severe hallux valgus. Methods The double osteotomy procedure was carried out in 56 patients (72 feet) with severe hallux valgus def...

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Bibliographic Details
Published in:Orthopaedic surgery 2019-08, Vol.11 (4), p.604-612
Main Authors: Li, Chang, Lu, Liang, Zhang, Yu, Ai‐Xin‐Jue‐Luo, Qi‐cheng, Wang, Zhen‐tang, Wang, Jun‐feng
Format: Article
Language:English
Subjects:
Basal opening wedge osteotomy
Bone surgery
Clinical
Knee
Metatarsal
Metatarsophalangeal
Orthopedics
Reverdin osteotomy
Severe hallux valgus
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Summary:Objective To evaluate the safety and effectiveness of osteotomy adjacent to the articular surface of the metatarsal head combined with basal opening wedge osteotomy for severe hallux valgus. Methods The double osteotomy procedure was carried out in 56 patients (72 feet) with severe hallux valgus deformity, with an average follow‐up of 25 months from March 2010 to February 2019. Hallux valgus angle (HVA), distal metatarsal articular angle (DMAA), intermetatarsal angle (IMA), and distal articular set angle (DASA) were measured for all patients via weight‐bearing anteroposterior (AP) X‐ray images. In addition, the American Orthopedic Foot & Ankle Society (AOFAS) scale was used for evaluating the function of the hallux. Results The HVA, IMA, and DMAA reduced from 49.30 ± 6.60, 19.33 ± 4.70, and 29.85 ± 10.96 to 13.19 ± 6.10, 5.97 ± 3.13, and 5.63 ± 3.44, respectively (P 
ISSN:1757-7853
1757-7861
DOI:10.1111/os.12505