Advanced Hallux Valgus Deformity: Long-Term Results Utilizing the Distal Soft Tissue Procedure and Proximal Metatarsal Osteotomy

Author:

Dreeben Sharon1,Mann Roger A.2

Affiliation:

1. Private practice, orthopaedic surgery, limited to disorders of the foot and ankle, 8875 La Mesa Blvd., Suite A, La Mesa, California 91941.

2. Director, Foot Fellowship Program, Chief of Foot Surgery, Staff Orthopaedic Surgeon, Samuel Merrith Hospital, Oakland, and Associate Clinical Professor, Department of Orthopaedic Surgery, University of California, San Francisco, School of Medicine, San Francisco, California.

Abstract

A series of 28 cases with a moderate to severe hallux valgus deformity and intermetatarsal angle of 14° or greater was followed an average of 5½ years to determine whether any significant loss of correction occurred. All feet were treated with a distal soft tissue procedure and proximal metatarsal osteotomy. The average correction of the intermetatarsal angle was 13.2° (7–20°), and the average loss of correction was 1.4°; the average correction of the hallux valgus angle was 26.7° (−2° to 48°), and the average loss of correction was 3.8°. In three cases, a recurrent deformity developed; in three other cases, a hallux varus deformity developed, two of which were symptomatic. Patient satisfaction was 85%. This study indicates that in most patients with a hallux valgus deformity and an intermetatarsal angle of 14° or greater, there is sufficient inherent stability of the first metatarsocuneiform joint that it does not require stabilization to obtain a satisfactory long-term result.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Surgery

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