Effect of load-bearing radiographs on hallux valgus surgical planning

Folia Medica

卷:68

Research Article

Galip Beltir¹  Cihan Kırçıl¹  Mehmet Fevzi Çakmak¹  Levent Horoz¹  Recep Öztürk² 

[1] Department of Orthopedic and Traumatology, Faculty of Medicine, Kırşehir Ahi Evran University, Kırşehir, Turkey, Department of Orthopedic and Traumatology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Türkiye, https://ror.org/02nj8cq30

[2] Department of Orthopedic and Traumatology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey, Department of Orthopedic and Traumatology, Faculty of Medicine, Kırşehir Ahi Evran University, Kırşehir, Türkiye, https://ror.org/05rrfpt58

关键词: hallux valgus;    imaging;    preoperative planning;    radiograph;    weight bearing;   

DOI  :  10.3897/folmed.68.e180364

 received in 2025-11-25, accepted in 2026-02-23,  发布年份 2026

来源: Pensoft

【 摘 要 】

AbstractIntroduction: Patients often present to the clinic with radiographs taken without weight bearing. However, weight-bearing radiographs are typically required for surgical planning, resulting in additional cost and radiation exposure.Aim: This study aimed to evaluate the effect of weight-bearing X-ray imaging on angular measurements and clinical decision-making in patients with hallux valgus.Materials and methods: Sixty-one feet from thirty-two patients presenting to our hospital in 2023–2024 were included. Hallux valgus angle (HVA) and intermetatarsal angle (IMA) measurements were compared between weight-bearing and non-weight-bearing radiographs. The association between these imaging differences and surgical decision-making was analyzed.Results: HVA was significantly higher on non-weight-bearing radiographs, whereas IMA was significantly higher on weight-bearing radiographs (p=0.004 and p<0.001, respectively). Surgical planning differed between the two imaging modalities in only 2 of 61 feet (3.3%).Conclusion: Despite measurable differences in angular values, non-weight-bearing radiographs can be reliably used for preoperative planning in most cases. Surgeons often base their decisions on experience and preferred techniques rather than small variations in measurements.

【 授权许可】

CC BY   
Galip Beltir, Cihan Kırçıl, Mehmet Fevzi Çakmak, Levent Horoz, Recep Öztürk

【 图 表 】

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