The corrective ability of the double chevron and Akin osteotomies on medial sesamoid position in Hallux Valgus deformity:

Foot & Ankle Orthopaedics

JieChen¹ 

关键词: Hallux valgus;    chevron;    akin;    osteotomy;    sesamoid;   

DOI  :  10.1177/2473011417S000131

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:BunionIntroduction/Purpose:Recurrence of hallux valgus deformity is a common post-operative complication with rates in the literature ranging from 2.7 – 30%. Lateral displacement of the great toe medial sesamoid is correlated with a high recurrence rate, and failure to reduce sesamoid position has been implicated as a risk factor for recurrence due to an uncorrected deforming force. Sesamoid position has been studied in relation with Scarf osteotomy, but not other corrective osteotomies. The goal of this study is to determine the efficacy of the double chevron and Akin osteotomy in reducing the great toe medial sesamoid.Methods:We retrospectively reviewed all patients in the last five years undergoing hallux valgus correction via the double chevron and Akin osteotomy method with pre-operative and post-operative weight bearing radiographs. We measured sesamoid position pre and post-operatively using the Hardy-Clapham (HC) scale of I-VII with V or greater representing a laterally displaced medial s...

【 授权许可】

CC BY