Surgical treatment of hallux valgus using chevron technique
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Background: The great toe is affected by many congenital and acquired conditions including hallux valgus. Hallux valgus was first reported in 1856. Most patients with hallux valgus are young females. High heel shoes are extrinsic factors which are important in the development of hallux valgus. More than 130 procedures have been described in the treatment of hallux valgus. The chevron osteotomy is one of the most widely used distal metatarsal osteotomies for the treatment of this deformity in adults. The idea of the Chevron osteotomy is that, it is a V shaped horizontally oriented with lateral displacement of the head of the first metatarsal accompanied with release and balancing of the soft tissue structure on both sides of the joint. Patients and Methods: Study include 36 patients, all were females. The mean age was 35 years. All patients have symptomatic bilateral hallux valgus deformity. Pain was the primary reason for surgery. Study designed for comparison of results of Chevron’s osteotomy with fixation by 2 k-wires versus no fixation. Fifty percent of cases subjected for fixation and 50 percent with no fixation. No specific selection was performed. Results: Evaluation of the results includes radiological and clinical observations. Assessment using the American Orthopaedic Foot and Ankle Society's hallux-metatarsophalangeal-interphalangeal scale was also done. Inter-metatarsal angle averaged 18° pre-operatively and 10° post-operatively, the corresponding values for hallux angle was 25° and 16° respectively. No complications of thrombophlebitis, non-union or avascular necrosis were recorded. Overall results show 94% as excellent or good results. Conclusion: The Chevron osteotomy disclosed excellent relief of pain, good cosmetic correction and overall patient satisfaction. Stability and the technical ease make this procedure preferable for correction of moderate hallux valgus deformity.
Authors and Affiliations
Ashraf Abd- Eldayem, Hossam Fekry, Nagy Fouda
Keywords
Related Articles
- EP ID EP486682
- DOI 10.22271/ortho.2018.v4.i2e.44
- Views 108
- Downloads 0
Outcome of intra articular distal femur fracture treated with locking compression plate
Background: Distal fractures of the femur especially comminuted, intra-articular distal femoral fractures AO classification 33-C remain challenging fractures for orthopaedic surgeons. Due to soft tissue damage, comminuti...
Long term results of uncemented hemi replacement fracture neck of femur in Indian context
Being human gives us the unique ability to walk on two limbs. Hip joint is responsible for this ability; neck of femur is an essential component of this joint, which is at high risk of being fractured specially in elderl...
A clinical study of minimally invasive percutaneous plate osteosynthesis of proximal tibial fractures using locking compression plate
Background: Proximal tibia being a prime component of knee joint, which is vital for weight bearing and mobility. Because of its superficial location and vulnerable position, proximal tibia is frequently injured, more fr...
Evaluation of surgical fixation of paediatric diaphyseal long bone fractures in lower limb with elastic stable intramedullary nailing (Esin)
Femoral shaft fractures account for 1.6% of all paediatric injuries. The best treatment for children between five to sixteen years of age is still questioned. patients in this transitional age group have high risk of sho...
Prospective study of management of old # capitellum orif with screws fixation-a review of 8 cases treated by open reduction and internal fixations with screws
Eight patients with displaced fractures of the humeral capitellum were treated by open reduction and internal fixation of the capitellar fragments with Herbert/ 4mm cc screws. As per Bryan and Morrey classification, ther...