A1 Refereed original research article in a scientific journal
Radiological outcome of hallux valgus deformity correction with metatarsal osteotomy from a single-center cohort - Best results achieved by foot and ankle surgeons
Authors: Erjanti Tuuli, Keskinen Heli, Rissanen Tiia, Mäkelä Keijo, Lankinen Petteri, Laaksonen Inari, Koivu Helka
Publisher: Elsevier
Publication year: 2024
Journal: Foot and Ankle Surgery
Journal name in source: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
Journal acronym: Foot Ankle Surg
Volume: 30
Issue: 1
First page : 32
Last page: 36
ISSN: 1268-7731
eISSN: 1460-9584
DOI: https://doi.org/10.1016/j.fas.2023.08.004
Web address : https://doi.org/10.1016/j.fas.2023.08.004
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/181162336
Background
To evaluate the radiological outcome, especially undercorrection of hallux valgus deformity correction with first metatarsal osteotomy.
Patients and methods
439 1st metatarsal osteotomies including 241 distal (55 %), 175 midshaft (40 %), and 23 proximal (5 %) were available for analysis with median follow-up time was 48 days (range 27–990 days).
Results
The postoperative HVA was normal in 237 (54 %), mild in 110 (25 %), moderate in 87 (20 %), and severe in 5 (1 %) of the cases. BMI (p = 0.0127), sex (p = 0.0004), preoperative HVA (p = 0.0028), and surgeons experience (p < 0.0001) were associated with radiological outcome, whereas age, hospital, and type of osteotomy had no effect. Foot and ankle surgeons achieved normal postoperative HVA in 76 %, general orthopedic surgeons in 41 %, and residents in 47 % of the operations.
Conclusion
Radiological undercorrection was common. As foot and ankle surgeons achieved best radiological correction, hallux valgus deformity should be operated by specialists.
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