Radiological outcome of hallux valgus deformity correction with metatarsal osteotomy from a single-center cohort - Best results achieved by foot and ankle surgeons
: Erjanti, Tuuli; Keskinen, Heli; Rissanen, Tiia; Mäkelä, Keijo; Lankinen, Petteri; Laaksonen, Inari; Koivu, Helka
Publisher: Elsevier
: 2024
Foot and Ankle Surgery
: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
: Foot Ankle Surg
: 30
: 1
: 32
: 36
: 1268-7731
: 1460-9584
DOI: https://doi.org/10.1016/j.fas.2023.08.004
: https://doi.org/10.1016/j.fas.2023.08.004
: 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.
