Volume 22, Issue 130 (4-2015)
RJMS 2015, 22(130): 16-20 |
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yegane A, mottaghi A, tabe-arjmand K, shahhoseini G, Farahani H. Result of first metatarsal proximal osteotomy and Mc bride procedure in the treatment of Hallux valgus defomity. RJMS 2015; 22 (130) :16-20
URL: http://rjms.iums.ac.ir/article-1-2325-en.html
URL: http://rjms.iums.ac.ir/article-1-2325-en.html
Department of Orthopaedics, Besat Hospital, Hamedan University of Medical Sciences, Hamedan, Iran. , drarash54@yahoo.com
Abstract: (2531 Views)
Background: Hallux valgus deformity is a common and debilitating disease. Proximal osteotomy of first metatarsal and Mc Bride b:union:ectomy procedure is a common procedure for this deformity.the goal of this study is to evaluate the result of this operation in Rasoul-e-akram hospital in Tehran.
Methods: 50 cases of hallux valgus deformity in 48 patients over a 5 years period who have been treated with this method were evaluated in Rasoul-e-akram hospital in Tehran. In this study mean of pre and post hallux valgus angle (HVA), intermetatarsal angle (IMA), and, pain were compared with each and also patient satisfaction and complications were evaluated
Results: The mean angles correction for hallux valgus (HVA), intermetatarsal (IMA) were 27.9 and 6.5 degrees respectively. Patient satisfaction was good in 28 patients and there was meaningfull correlation between angle correction and Patient satisfaction (p<0.05).mean age of patiens was 41. In 38 (79%) patients post-operative pain decreased and in 10 (20%) patients arch of motion decreased. In 4 patients (8%) subtle mal:union: were noted.there were no cases of metatarsal head osteonecrosis, non:union:, hallux varus deformity, and infection.
Conclusion: Proximal first metatarsal osteotomy and Mc Bride b:union:ectomy procedure is a reasonable procedure in Patints with moderate to severe hallux valgus deformity considering its low complication rate and good result in this study. Residual Pain and first MTP joint decreased arch of motion are the two main side effects.
Methods: 50 cases of hallux valgus deformity in 48 patients over a 5 years period who have been treated with this method were evaluated in Rasoul-e-akram hospital in Tehran. In this study mean of pre and post hallux valgus angle (HVA), intermetatarsal angle (IMA), and, pain were compared with each and also patient satisfaction and complications were evaluated
Results: The mean angles correction for hallux valgus (HVA), intermetatarsal (IMA) were 27.9 and 6.5 degrees respectively. Patient satisfaction was good in 28 patients and there was meaningfull correlation between angle correction and Patient satisfaction (p<0.05).mean age of patiens was 41. In 38 (79%) patients post-operative pain decreased and in 10 (20%) patients arch of motion decreased. In 4 patients (8%) subtle mal:union: were noted.there were no cases of metatarsal head osteonecrosis, non:union:, hallux varus deformity, and infection.
Conclusion: Proximal first metatarsal osteotomy and Mc Bride b:union:ectomy procedure is a reasonable procedure in Patints with moderate to severe hallux valgus deformity considering its low complication rate and good result in this study. Residual Pain and first MTP joint decreased arch of motion are the two main side effects.
Type of Study: Research |
Subject:
Orthopedic Surgery
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