Closed wedge osteotomy in 66 patients for the treatment of moderate to severe hallux valgus. Nedopil, A., Rudert, M., Gradinger, R., Schuster, T., & Bracker, W. Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons, March, 2010.
doi  abstract   bibtex   
BACKGROUND: The intention of this study was to analyze the long-term results of the proximal closing wedge osteotomy for the correction of hallux valgus deformity, modified by adding a mini L-plate for osteosynthesis. METHODS: The outcome of a proximal first metatarsal closing wedge osteotomy was retrospectively evaluated after a mean follow-up of 52 months. A total of 66 female patients (86 feet) participated in this study. The AOFAS-score was used to evaluate the postoperative results. Pre- and postoperative weight-bearing radiographs were used to evaluate the osseous development. RESULTS: 95.5% of the patients were satisfied, 3 patients (4.5%) were not satisfied with the overall result of the operation. Transfer metatarsalgia was registered in 7 of 50 cases. The mean improvement of the HV-angle was 22.1 degrees (36.4 degrees to 14.3 degrees ) and the intermetatarsal angle was reduced from a mean of 17.6 degrees to a mean of 6.5 degrees . The mean first metatarsal shortening was 3.2mm. The mean AOFAS-score was 78 points. CONCLUSION: The results confirm, that the closing wedge osteotomy is indicated for moderate to severe hallux valgus. The shortening of the first ray is comparable with other well-established operative procedures. The risk of transfer metatarsalgia can only be lightly reduced by this procedure.
@article{nedopil_closed_2010,
	title = {Closed wedge osteotomy in 66 patients for the treatment of moderate to severe hallux valgus.},
	volume = {16},
	copyright = {Copyright 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.},
	doi = {10.1016/j.fas.2009.03.003},
	abstract = {BACKGROUND: The intention of this study was to analyze the long-term results of the proximal closing wedge osteotomy for the correction of hallux valgus deformity, modified by adding a mini L-plate for osteosynthesis. METHODS: The outcome of a proximal first metatarsal closing wedge osteotomy was retrospectively evaluated after a mean follow-up of 52 months. A total of 66 female patients (86 feet) participated in this study. The AOFAS-score was used to evaluate the postoperative results. Pre- and postoperative weight-bearing radiographs were used to evaluate the osseous development. RESULTS: 95.5\% of the  patients were satisfied, 3 patients (4.5\%) were not satisfied with the overall result of the operation. Transfer metatarsalgia was registered in 7 of 50 cases.  The mean improvement of the HV-angle was 22.1 degrees (36.4 degrees to 14.3 degrees ) and the intermetatarsal angle was reduced from a mean of 17.6 degrees to a mean of 6.5 degrees . The mean first metatarsal shortening was 3.2mm. The mean AOFAS-score was 78 points. CONCLUSION: The results confirm, that the closing wedge osteotomy is indicated for moderate to severe hallux valgus. The shortening of the first ray is comparable with other well-established operative procedures.  The risk of transfer metatarsalgia can only be lightly reduced by this procedure.},
	language = {eng},
	number = {1},
	journal = {Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons},
	author = {Nedopil, Alexander and Rudert, Maximilian and Gradinger, Reiner and Schuster, Tibor and Bracker, Wolfgang},
	month = mar,
	year = {2010},
	pmid = {20152748},
	keywords = {Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Hallux Valgus/radiography/*surgery, Humans, Middle Aged, Osteotomy/*methods, Pain Measurement, Patient Satisfaction, Postoperative Complications, Retrospective Studies, Treatment Outcome, Weight-Bearing},
}

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