Scarf osteotomisi ileri seviye halluks valguslarda Turan ve Distal chevron osteotomileri kadar etkili midir ?

Yıl 2019, Cilt: 3 Sayı: 2, 141 - 146, 23.08.2019

Fatih Eken Çağrı Özcan , Tuhan Kurtulmus Necdet Sağlam

https://doi.org/10.30565/medalanya.486477

Öz

Amaç: Orta ve ileri seviye halluks valgus hastalarında 2 farklı distal (Turan, Chevron) ve diafiz osteotomisi (Scarf)‘nin klinik ve radyolojik sonuçlarını karşılaştırmaktır. 

Materyal ve metod:2013-2016 yılları arasında opere dilen 77 hastadan 38 hasta çalışmaya dahil edildi.17 hastaya Turan osteotomisi , 12 hastaya Distal Chevron osteotomisi 9 hastaya Scarf osteotomisi yapıldı. Hastalar preoperatif ve postoperatif klinik parametreler ve radyolojik parametreler ile değerlendirildi. 

Bulgular: Her üç grubun postoperatif HVA (halluksvalgus açısı), İMA (intermetatarsal açı), DMAA (distalmetatarsalartikular açı), Metatars uzunluğu, AOFAS, VAS ve HMS (hasta memnuniyet skoru) , OneWay ANOVA yöntemi kullanılarak yapılan analizde anlamlı fark bulunmuştur. Bu değerler Turek testi incelenerek birbirleri arasında kıyaslandığında; HVA, İMA, DMAA Scarfosteotomisi yapılan hastalarda distal Chevron ve Turan osteotomisi yapılan hastalara göre anlamlı derecede daha yüksek kaldığı görülmüştür.AOFAS, VAS ve HMS ise ScarfOsteotomisi yapılan hastalarda distal Chevron ve Turan osteotomisi yapılan hastalara göre anlamlı derecede daha düşük olduğu görülmüştür. 

Sonuç: Turan ve Chevron osteotomilerinin klinik ve radyolojik sonuçları arasında anlamlı fark bulunamamıştır. Çalışmamıza göre bu iki osteotomininScarfosteotomisine göre klinik ve radyolojik olarak üstün olduğu gösterilmiştir. 

Anahtar Kelimeler

Halluks Valgus, Halluks Valgus, Scarf Osteotomisi, Turan Osteotomisi

Is scarf osteotomy as effective as Turan and Distal chevron osteotomy in advance hallux valgus ?

Öz

Aim :Clinical and radiologic comparison of diaphyseal osteotomy (Scarf) with two different distal osteotomies (Chevron and Turan) in moderate and advanced hallux valgus patients. 

Material and method:In this retrospective study, 77 patients were evaluated between 2013-2016. The remaining 38 patients who met the inclusion criteria of 77 patients were included in the study. Turan osteotomies were performed on 17 patients. Chevron osteotomies were performed on 12 patients and Scarf osteotomies were performed on 9 patients.Patients were evaluated with preoperative and postoperative clinical parameters (AOFAS, VAS, PSS) and radiological parameters (HVA, IMA, DMAA, SP, 1.ML, 1.W.S.). 

Results:All three groups, postoperative HVA, IMA, DMAA, Metatarsal length, AOFAS, VAS and PSS were found significantly different in the analysis using One Way ANOVA method. When these values were compared between each other by examining the Turek test; HVA, IMA, DMMA were significantly higher in Scarf osteotomy patients than patients treated with distal Chevron and Turan osteotomy.AOFAS, VAS and PSS were found to be significantly lower in patients with Scarf osteotomy compared to patients withDistal Chevron and Turan osteotomy. 

Conclusion:There was no statistically significant difference between the clinical and radiological results of Turan and Chevron osteotomies.The clinical and radiological superiority of these two osteotomies to Scarf osteotomy was statistically determined. 

Anahtar Kelimeler

Hallux Valgus, Scarf Osteotomy, Turan Osteotomy

Kaynakça

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