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Hallux Valgus Repair with Chevron Osteotomy Significantly Narrows Forefoot Width
Background: Hallux valgus (HV) is a common adult foot deformity. There is uncertainty concerning the effect of HV surgery on foot width. We examined the effect of chevron first metatarsal osteotomy on forefoot width using calibrated pre and postoperative standing radiographs. Methods: A retrospectiv...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094931/ https://www.ncbi.nlm.nih.gov/pubmed/37048690 http://dx.doi.org/10.3390/jcm12072607 |
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author | Lotan, Raphael Shlomov, Benzion Dotan, Amit Bermant, Alex Hershkovich, Oded |
author_facet | Lotan, Raphael Shlomov, Benzion Dotan, Amit Bermant, Alex Hershkovich, Oded |
author_sort | Lotan, Raphael |
collection | PubMed |
description | Background: Hallux valgus (HV) is a common adult foot deformity. There is uncertainty concerning the effect of HV surgery on foot width. We examined the effect of chevron first metatarsal osteotomy on forefoot width using calibrated pre and postoperative standing radiographs. Methods: A retrospective cohort of 50 patients underwent chevron osteotomy HV surgery. All had HVA > 30°, IMA > 11°, DMMA > 3°, >6-month follow-up, and calibrated pre and postoperative standing foot radiographs. Bony width (BW) and soft tissue width (STW) were used to measure the surgery’s effect on foot width. Measurements were made preoperatively and 3–6 months following surgery. Results: The study group included 42 women with an average age of 63.4 (±8.3) and a mean BMI of 28.7 (±4.9). Preoperative HVA and IMA were 31.7° (±6.8°) and 13.4° (±2.8°), respectively. Following surgery, HVA and IMA improved significantly, by 15.6° (±5.7°) and 8.7° (±2.3°), respectively. The preoperative average BW was 9.4 cm (±0.6), and the STW was 10.6 cm (±0.7). Following surgery, significant changes in BW and STW were measured, with a mean narrowing of 1.2 cm (±0.4) in BW (p < 0.001) and 0.95 cm (±0.5) in STW (p < 0.001). Paradoxically, an increase in age led to a lower correction of the IMA (p = 0.04, r = 0.57), but higher BW and STW reductions (p = 0.01, r = 0.35 and p = 0.008, r = 0.37, respectively). Conclusions: This study reinforced chevron osteotomy as a valid treatment option that significantly narrows forefoot width; it is thus expected to improve cosmetic outcomes, shoe selection options, and quality of life. This study also found that older age correlates with better forefoot narrowing following hallux valgus repair, possibly due to stiffer soft tissues. |
format | Online Article Text |
id | pubmed-10094931 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100949312023-04-13 Hallux Valgus Repair with Chevron Osteotomy Significantly Narrows Forefoot Width Lotan, Raphael Shlomov, Benzion Dotan, Amit Bermant, Alex Hershkovich, Oded J Clin Med Brief Report Background: Hallux valgus (HV) is a common adult foot deformity. There is uncertainty concerning the effect of HV surgery on foot width. We examined the effect of chevron first metatarsal osteotomy on forefoot width using calibrated pre and postoperative standing radiographs. Methods: A retrospective cohort of 50 patients underwent chevron osteotomy HV surgery. All had HVA > 30°, IMA > 11°, DMMA > 3°, >6-month follow-up, and calibrated pre and postoperative standing foot radiographs. Bony width (BW) and soft tissue width (STW) were used to measure the surgery’s effect on foot width. Measurements were made preoperatively and 3–6 months following surgery. Results: The study group included 42 women with an average age of 63.4 (±8.3) and a mean BMI of 28.7 (±4.9). Preoperative HVA and IMA were 31.7° (±6.8°) and 13.4° (±2.8°), respectively. Following surgery, HVA and IMA improved significantly, by 15.6° (±5.7°) and 8.7° (±2.3°), respectively. The preoperative average BW was 9.4 cm (±0.6), and the STW was 10.6 cm (±0.7). Following surgery, significant changes in BW and STW were measured, with a mean narrowing of 1.2 cm (±0.4) in BW (p < 0.001) and 0.95 cm (±0.5) in STW (p < 0.001). Paradoxically, an increase in age led to a lower correction of the IMA (p = 0.04, r = 0.57), but higher BW and STW reductions (p = 0.01, r = 0.35 and p = 0.008, r = 0.37, respectively). Conclusions: This study reinforced chevron osteotomy as a valid treatment option that significantly narrows forefoot width; it is thus expected to improve cosmetic outcomes, shoe selection options, and quality of life. This study also found that older age correlates with better forefoot narrowing following hallux valgus repair, possibly due to stiffer soft tissues. MDPI 2023-03-30 /pmc/articles/PMC10094931/ /pubmed/37048690 http://dx.doi.org/10.3390/jcm12072607 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Brief Report Lotan, Raphael Shlomov, Benzion Dotan, Amit Bermant, Alex Hershkovich, Oded Hallux Valgus Repair with Chevron Osteotomy Significantly Narrows Forefoot Width |
title | Hallux Valgus Repair with Chevron Osteotomy Significantly Narrows Forefoot Width |
title_full | Hallux Valgus Repair with Chevron Osteotomy Significantly Narrows Forefoot Width |
title_fullStr | Hallux Valgus Repair with Chevron Osteotomy Significantly Narrows Forefoot Width |
title_full_unstemmed | Hallux Valgus Repair with Chevron Osteotomy Significantly Narrows Forefoot Width |
title_short | Hallux Valgus Repair with Chevron Osteotomy Significantly Narrows Forefoot Width |
title_sort | hallux valgus repair with chevron osteotomy significantly narrows forefoot width |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094931/ https://www.ncbi.nlm.nih.gov/pubmed/37048690 http://dx.doi.org/10.3390/jcm12072607 |
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