Modified chevron osteotomy fixed with stofella pin for hallux valgus

The purpose of this study was to present the mid-term results of hallux valgus patients who underwent a modified chevron osteotomy. 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 200...

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Bibliographic Details
Published in:Foot & ankle international 2008-05, Vol.29 (5), p.478-482
Main Authors: Kürklü, Mustafa, Demiralp, Bahtiyar, Yurttaş, Yüksel, Ciçek, Engin Ilker, Ateşalp, Ali Sabri
Format: Article
Language:English
Subjects:
Adult
Aged
Bone Nails
Cohort Studies
Early Ambulation
Female
Hallux Valgus - diagnostic imaging
Hallux Valgus - physiopathology
Hallux Valgus - surgery
Humans
Male
Metatarsal Bones - surgery
Metatarsophalangeal Joint - physiopathology
Middle Aged
Osteotomy - instrumentation
Osteotomy - methods
Radiography
Treatment Outcome
Weight-Bearing - physiology
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Summary:The purpose of this study was to present the mid-term results of hallux valgus patients who underwent a modified chevron osteotomy. 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. 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. 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.
ISSN:1071-1007
DOI:10.3113/FAI.2008.0478