medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2005, Number 6

<< Back Next >>

Acta Ortop Mex 2005; 19 (6)

Chevron osteotomy as treatment for moderate hallux valgus: follow-up to 8 years

Orbezo FG, Navarrete AJM, Rojas MHA, Trueba DC, Busquets NR

Language: Spanish
References: 13
Page: 252-254
PDF size: 62.20 Kb.


ABSTRACT

The Chevron osteotomy for the first metatarsal was introduced by Corless in 1976, as an alternative for the Mc Bride modified buniectomy in patient with minimum to moderate hallux valgus deformity. Longitudinal prospective study was conducted from 1996 to 2000 in which 32 feet in 30 patients were treated surgically with a Chevron osteotomy in two planes a release of the lateral capsule of the metatarsophalangeal joint and tenotomy of the adductor. The main radiological measurements taken in to consideration were hallux valgus angle, intermetatarsal angle, proximal angle surface articular, distal articular surface angle and the position of the sesamoid bones, the indication for the surgery was pain during walking. Thirty two feet were operated in 30 patients, on with 24 females (75%) and 8 males (25%) and range of age 19-34 (means 26.5). The metatarsophalangeal formula of the first and second toes was plus in 13 feet (40.6%), Minus in 11 (34.3%) and plus minus in 8 (25%). This study demonstrates that a Chevron osteotomy is effective and has great results in the long run in patients with minimum to moderate hallux valgus.


REFERENCES

  1. Austin DW, Leventen EO: A new osteotomy for hallux valgus: a horizontally directed “ V” displacement of the metatarsal head for hallux valgus an Primus varus metatarsal. Clin Orthop 1981; 157: 25-30.

  2. Corless JRA: Modification of the Mitchell procedure. J Bone Joint Surg Br 1976; 58B: 138.

  3. Bruyn JM: Chevron closing base wedge bunionectomy. J Foot Ankle Surg 1993; 32(4): 382-389.

  4. Klosok JK, Pring DJ, Jessop JH, Maffulli N: Chevron or Wilson osteotomy for hallux valgus. A prospective randomized trial. J Bone and Joint Surg 1993; 75-B(5): 825-829.

  5. Glynn MK, Dunlop JB, Fitzpatrick D: The Mitchell distal metatarsal osteotomy for hallux valgus. J Bone Joint Surg 1980; 62B: 188-191.

  6. Gosal H, Singh P, Field R: Chevron osteotomy-subjective and objective evaluation. J Bone Joint Surg 2001: 83-B III.

  7. Johnson KA: Chevron osteotomy. In: Johnson KA, ed. The foot and ankle: master techniques in orthopaedic surgery. New York.

  8. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Meyerso MS, Sanders M: Clinical rating system for the ankle- hindfoot, midfoot, hallux, and lesser toes. Foot and Ankle Internat 1994; 15: 349-353.

  9. Sammarco G, James MD, Russo-Alesi, Frank G: Bunion correction using proximal Chevron osteotomy: A single–incision Technique. Foot and Ankle 1998; 19(7): 430-437.

  10. Schneider W, Aigner N, Pinggera O, Knahr K: Chevron osteotomy in hallux valgus ten years results of 112 cases. J Bone Joint Surg 2004; 86-B(7): 1016-1020.

  11. Pochatko DJ, Schlehr FJ, Murphey MD, Hamilton JJ: Distal chevron osteotomy with lateral release for treatment of hallux valgus deformity. Foot Ankle Int 1994; 15: 457-461.

  12. Trnka HJ, Zembsch A, Easley ME, Salzer M, Ritschl P, Meyerson MS: The Chevron osteotomy for correction of hallux valgus: Comparison of findings after two and five year of follow-up. J Bone Joint Surg 2000; 82-A (10): 1373-1378.

  13. Sammarco GJ, Brainard BJ, Sammarco VJ: Bunion correction using proximal Chevron osteotomy. Foot Ankle 1993; 14: 8-14.




2020     |     www.medigraphic.com