Stabilization of the Chevron procedure for hallux valgus deformity with a capsuloperiostal flap

This article reports on the use of a Chevron procedure in the treatment of hallux valgus for better stabilization of the osteotomy. This procedure was performed on 31 feet of 24 patients, Twenty-two of the patients were female and two were male. The average age was 41 and average follow-up time was...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 1999, Vol.38 (1), p.2-7
Main Authors: Us, Kemal, Yilmaz, Cengiz, Özdemir, Mustafa, Öğün, Tunç
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Chevron
Female
Follow-Up Studies
hallux valgus
Hallux Valgus - complications
Hallux Valgus - physiopathology
Hallux Valgus - surgery
Humans
Male
Medical sciences
Metatarsal Bones - surgery
Metatarsophalangeal Joint - physiopathology
Middle Aged
modification
Orthopedic surgery
osteotomy
Osteotomy - adverse effects
Osteotomy - methods
Pain - etiology
Pain - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
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Summary:This article reports on the use of a Chevron procedure in the treatment of hallux valgus for better stabilization of the osteotomy. This procedure was performed on 31 feet of 24 patients, Twenty-two of the patients were female and two were male. The average age was 41 and average follow-up time was 14 months. The average correction of the 1–2 intermetatarsal angle was 3.8° and average correction of the hallux valgus angle was 15.3°. On the follow-up, 93.5% of the feet were pain free and 81% did not have any discomfort with shoewear. There were two cases of superficial infection, and two patients complained of dysesthesia or hypoesthesia after the operation. Results revealed less correction loss, shorter union time, less metatarsophalangeal stiffness, and more postoperative patient tolerance. The authors attached the distally based “V”-shaped medial capsuloperiostal flap to the metatarsal shaft and, because of obtained stability, used no internal fixation or postoperative cast but only night splint, allowed weightbearing on the heel as soon as the patient tolerated it, and encountered no displacement of fragments, malunion, or recurrence of the deformity.
ISSN:1067-2516
1542-2224
DOI:10.1016/S1067-2516(99)80081-7