engleski

A Comparison of Distal Chevron Metatarsal Osteotomy With and Without Lateral Soft-Tissue Release

Purpose: The purpose of the study was to determine if lateral soft tissue release (LSTR) has either a beneficial or a detrimental effect on the outcome of distal chevron first metatarsal osteotomy (DCMO) in the treatment of moderate hallux valgus. Methods: We compared the effect of different surgical treatments in two groups of patients: Group I (23 patients, 25 feet, average age of 55 (from 43-77 years of age) was subjected to DCMO only, while Group II (18 patients, 23 feet, average age of 59 (from 52-70 years of age) was subjected to DCMO with LSTR. The American Orthopedic Foot and Ankle Society's Hallux Metatarsophalangeal- Interphalangeal (AOFAS Hallux MTP-IP) scale survey was conducted postoperatively, followed by the brief survey on postoperative patient satisfaction. The patient follow-up period was from 18-24 months after surgical treatment, on average. Results: After surgical intervention, both groups of patients presented with an improved hallux valgus angle, but there was no significant difference between the groups. However, Group II showed significant improvements in medial sesamoid bone position and patient satisfaction scores as compared to Group I. Conclusion: Our mid-term follow-up of surgical treatments for moderate hallux valgus deformity suggests that both procedures provide good postoperative results. However, according to our results, DCMO with LSTR provides better results than procedures without LSTR.

soft-tissue repair ; comparative diagnostics ; foot surgery techniques ; hallux valgus

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