Extended plantar limb (modified) chevron osteotomy versus scarf osteotomy for hallux valgus correction: A randomised controlled trial

被引：36

作者：

Mahadevan, Devendra ^{[1
]}

Lines, Stephen ^{[1
]}

Hepple, Stephen ^{[1
]}

Winson, Ian ^{[1
]}

Harries, William ^{[1
]}

机构：

[1] Southmead Hosp, Avon Orthopaed Ctr, Bristol BS10 5NB, Avon, England

来源：

FOOT AND ANKLE SURGERY | 2016年 / 22卷 / 02期

关键词：

Hallux valgus; Correction; Osteotomy; Scarf; Modified chevron; DISPLACEMENT OSTEOTOMY; SURGERY; QUESTIONNAIRE; VALIDATION; AOFAS; SCORE;

D O I：

10.1016/j.fas.2015.05.012

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: The purpose of this RCT was to compare the extended plantar limb (modified) chevron osteotomy with the scarf osteotomy in correcting hallux valgus deformity and improving functional scores and patient satisfaction. Methods: Patients were randomly assigned and kept blind to surgical allocation. Cases requiring additional procedures including the Akin osteotomy were excluded. Outcomes were measured at 1 year following surgery. Results: 84 patients (109 feet) were analysed (60 modified chevron; 49 Scarf). The mean age was 50.7 years (75F: 9M). Post-operative intermetatarsal angle (IMA) was significantly lower in the modified chevron group (5.8 degrees versus 6.9 degrees, p = 0.045). Hallux valgus angle and distal metatarsal articular angle were similar. The magnitude of IMA correction with the modified chevron was also significantly greater (9.1 degrees versus 7.1 degrees, p = 0.007). Both osteotomies produced comparable MOxFQ scores and satisfaction ratings. Conclusion: The modified chevron was superior to the scarf osteotomy in correcting IMA in hallux valgus deformity. (C) 2015 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：109 / 113

页数：5

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