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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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":[{"propositions":[],"lastnames":["Nedopil"],"firstnames":["Alexander"],"suffixes":[]},{"propositions":[],"lastnames":["Rudert"],"firstnames":["Maximilian"],"suffixes":[]},{"propositions":[],"lastnames":["Gradinger"],"firstnames":["Reiner"],"suffixes":[]},{"propositions":[],"lastnames":["Schuster"],"firstnames":["Tibor"],"suffixes":[]},{"propositions":[],"lastnames":["Bracker"],"firstnames":["Wolfgang"],"suffixes":[]}],"month":"March","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","bibtex":"@article{nedopil_closed_2010,\n\ttitle = {Closed wedge osteotomy in 66 patients for the treatment of moderate to severe hallux valgus.},\n\tvolume = {16},\n\tcopyright = {Copyright 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.},\n\tdoi = {10.1016/j.fas.2009.03.003},\n\tabstract = {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.},\n\tlanguage = {eng},\n\tnumber = {1},\n\tjournal = {Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons},\n\tauthor = {Nedopil, Alexander and Rudert, Maximilian and Gradinger, Reiner and Schuster, Tibor and Bracker, Wolfgang},\n\tmonth = mar,\n\tyear = {2010},\n\tpmid = {20152748},\n\tkeywords = {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},\n}\n\n","author_short":["Nedopil, A.","Rudert, M.","Gradinger, R.","Schuster, T.","Bracker, W."],"key":"nedopil_closed_2010","id":"nedopil_closed_2010","bibbaseid":"nedopil-rudert-gradinger-schuster-bracker-closedwedgeosteotomyin66patientsforthetreatmentofmoderatetoseverehalluxvalgus-2010","role":"author","urls":{},"keyword":["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"],"metadata":{"authorlinks":{}}},"bibtype":"article","biburl":"http://bibbase.org/zotero/Sekundant","dataSources":["pJ2gDcSFLrXk7eZwY","WpqJrRBQhNoHTa7v8","rgxjh7y5qmCqrrSPp","aD7o6ekSFi4Fwshm4","K3DXafbragRukXaf8","g9mKZJte5ye3gGfmC","LrpvndgpLMvYHiP2k","nHGD2MqFoyeGcZWi2","wRdPXZ3j9YtBpr3Ay","mvF3Tq4BuwZFZeLBE","2FjG4taAc7GQ27CQQ","8b2QPBHJQzKw74rqp"],"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"],"search_terms":["closed","wedge","osteotomy","patients","treatment","moderate","severe","hallux","valgus","nedopil","rudert","gradinger","schuster","bracker"],"title":"Closed wedge osteotomy in 66 patients for the treatment of moderate to severe hallux valgus.","year":2010}