Comparison of clinical and radiological outcomes of Lindgren-Turan and Chevron osteotomies in the treatment of Hallux valgus

Year 2020, Volume: 45 Issue: 3, 778 - 794, 30.09.2020

Mahmut Günay , Abdulhamit Mısır , Mustafa Özçamdallı , Turan Kızkapan , Erdal Uzun , Mahmut Mutlu

Abstract

Purpose: The aim of this studywas to evaluate clinical and radiological outcomes of Lindgren-Turan and Chevron osteotomies in the treatment of hallux valgus.
Materials and Methods: This study included 34 patients with hallux valgus who underwent Lindgren-Turan (Group 1, n=16 patients, 20 feet) or Chevron (Group 2, n=18 patients, 20 feet) osteotomy between June 2010 and June 2014. HVA, IMA and DMAA changes and first metatarsal shortening was evaluated in weight bearing AP radiographs. American Orthopedic Foot and Ankle Society (AOFAS) score was used in the clinical evaluation. Also, EQ-5D score was used in the evaluation of health-related quality of life of patients. Visual analog scale (VAS) was used to evaluate subjective pain scores of patients preoperatively and postoperatively.
Results: There was no significant difference between Lindgren-Turan and Chevron osteotomy groups regarding preoperative and postoperative HVA, IMA and DMAA and shortening of the first metatarsus). Also, there was no significant differences between two groups regarding AOFAS and EQ-5D scores.
Conclusion: Both Lindgren-Turan and Chevron osteotomies are useful techniques in the surgical treatment of hallux valgus. Adequate pain relief, osteotomy union, deformity correction and high patient satisfaction rates can be achieved by two techniques.

Keywords

Hallux valgus, osteotomy, outcome

Halluks valgus tedavisinde Lindgren-Turan ve Chevron osteotomilerinin klinik ve radyolojik sonuçlarının karşılaştırılması

Abstract

Amaç: Bu çalışmanın amacı Halluks valgus tedavisinde Lindgren-Turan ve Chevron osteotomilerinin klinik ve radyolojik sonuçlarını değerlendirmektir.
Gereç ve Yöntem: Bu çalışmaya Haziran 2010 ile Haziran 2014 arasında Lindgren-Turan (Grup 1, n = 16 hasta, 20 ayak) veya Chevron (Grup 2, n = 18 hasta, 20 ayak) osteotomisi uygulanan 34 halluks valguslu hasta dahil edildi. HVA, IMA ve DMAA değişiklikleri ve birinci metatars kısalığı basarak AP radyografilerinde değerlendirildi. Klinik değerlendirmede Amerikan Ortopedik Ayak ve Ayak Bileği Derneği (AOFAS) skoru kullanıldı. Ayrıca hastaların sağlıkla ilişkili yaşam kalitesinin değerlendirilmesinde EQ-5D skoru kullanıldı. Ameliyat öncesi ve sonrası hastaların subjektif ağrı skorlarını değerlendirmek için görsel analog skala (VAS) kullanıldı.
Bulgular: Lindgren-Turan ve Chevron osteotomi grupları arasında preoperatif ve postoperatif HVA, IMA ve DMAA ve ilk metatarsusun kısalması açısından anlamlı fark yoktu. Ayrıca AOFAS ve EQ-5D skorları açısından iki grup arasında anlamlı fark yoktu.
Sonuç: Hem Lindgren-Turan hem de Chevron osteotomileri, halluks valgusunun cerrahi tedavisinde faydalı tekniklerdir. Yeterli ağrı kontrolü, osteotomi kaynaması, deformite düzeltmesi ve yüksek hasta memnuniyet oranları iki teknikle de sağlanabilir.

Keywords

Hallux valgus, osteotomi, Chevron, sonlanım

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