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

1996; SAGE Publishing; Volume: 17; Issue: 3 Linguagem: Inglês

10.1177/107110079601700304

1944-7876

Sharon M. Dreeben, Roger A. Mann,

Lower Extremity Biomechanics and Pathologies

A series of 28 cases with a moderate to severe hallux valgus deformity and intermetatarsal angle of 14 degrees or greater was followed an average of 5 1/2 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 degrees (7-20 degrees), and the average loss of correction was 1.4 degrees; the average correction of the hallux valgus angle was 26.7 degrees (-2 degrees to 48 degrees), and the average loss of correction was 3.8 degrees. 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 degrees 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.