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Comparison of the proximal chevron and Ludloff osteotomies for the correction of hallux valgus

Authors
 Woo Jin Choi  ;  Han Kook Yoon  ;  Hang Seob Yoon  ;  Bom Soo Kim  ;  Jin Woo Lee 
Citation
 Foot & Ankle International, Vol.30(12) : 1154-1160, 2009 
Journal Title
 Foot & Ankle International 
ISSN
 1071-1007 
Issue Date
2009
MeSH
Bone Screws ; Female ; Hallux Valgus/diagnostic imaging ; Hallux Valgus/surgery* ; Humans ; Joint Capsule/surgery ; Male ; Metatarsal Bones/surgery ; Metatarsophalangeal Joint/surgery ; Middle Aged ; Osteotomy/methods* ; Pain Measurement ; Patient Satisfaction ; Radiography ; Retrospective Studies ; Treatment Outcome
Keywords
Hallux Valgus ; Proximal Chevron Osteotomy ; Ludloff Osteotomy
Abstract
BACKGROUND: Although several studies have described good results of proximal chevron and Ludloff osteotomies, there have been no studies comparing the results of these two techniques at a single institution. MATERIALS AND METHODS: We consecutively evaluated 46 patients who underwent proximal chevron osteotomies and 52 patients who underwent Ludloff osteotomies. Patients were evaluated by preoperative and postoperative weight bearing radiographs and the American Orthopaedic Foot and Ankle Society (AOFAS) hallux MP score. RESULTS: Both groups had similarly high AOFAS scores and good correction by radiographic parameters. No statistically significant differences were found with respect to correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) between the two groups. Significant shortening of the first metatarsal was found after Ludloff osteotomy (p < 0.05). At 6 weeks after surgery, the pain subscore was significantly lower in the proximal chevron group than in the Ludloff group (p < 0.05). CONCLUSIONS: The proximal chevron and Ludloff osteotomies yielded equivalent clinical and radiological results. The Ludloff osteotomy with lag screw fixation is more stable and does not require postoperative hardware removal, although it is technically demanding and has a tendency toward greater shortening of the first metatarsal.
Full Text
http://fai.sagepub.com/content/30/12/1154
DOI
10.3113/FAI.2009.1154
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Bom Soo(김범수)
Yoon, Han Kook(윤한국)
Lee, Jin Woo(이진우) ORCID logo https://orcid.org/0000-0002-0293-9017
Choi, Woo Jin(최우진)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105531
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