دورية أكاديمية
Intermetatarsal Angle and Hallux Abductus Angle Reduction After First Metatarsophalangeal Joint Arthrodesis in Mild, Moderate, and Severe Hallux Valgus.
| العنوان: | Intermetatarsal Angle and Hallux Abductus Angle Reduction After First Metatarsophalangeal Joint Arthrodesis in Mild, Moderate, and Severe Hallux Valgus. |
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| المؤلفون: | Cravey KS, Barron IM, Atway SA, Anthony ML, Monson EK |
| المصدر: | Journal of the American Podiatric Medical Association [J Am Podiatr Med Assoc] 2021 Mar 01; Vol. 111 (2). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Podiatry Association Country of Publication: United States NLM ID: 8501423 Publication Model: Print Cited Medium: Internet ISSN: 1930-8264 (Electronic) Linking ISSN: 19308264 NLM ISO Abbreviation: J Am Podiatr Med Assoc Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Washington, DC] : American Podiatry Association, [c1985- |
| مواضيع طبية MeSH: | Hallux* , Hallux Valgus*/diagnostic imaging , Hallux Valgus*/surgery , Metatarsal Bones*/diagnostic imaging , Metatarsal Bones*/surgery , Metatarsophalangeal Joint*/diagnostic imaging , Metatarsophalangeal Joint*/surgery, Arthrodesis ; Female ; Humans ; Male ; Reproducibility of Results ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Background: First metatarsophalangeal joint fusion is a commonly used procedure for treating many pathologic disorders of the first ray. Historically, hallux valgus deformity with severely increased intermetatarsal angle or metatarsus primus adductus indicated need for a proximal metatarsal procedure. However, the effectiveness and reliability of first metatarsophalangeal joint arthrodesis in reducing the intermetatarsal angle has been increasingly described in the literature. We compared findings at our institution with current literature for further validation of this well-accepted procedure in correcting hallux valgus deformity with high intermetatarsal angle. Methods: Weightbearing preoperative and postoperative radiographs of 43 patients, 31 women and 12 men, meeting the inclusion and exclusion criteria were identified. Two independent investigators measured the hallux abductus and intermetatarsal angles. Preoperative and postoperative measurements for each angle were compared and average reduction calculated. The data were further analyzed by grouping deformities as mild, moderate, and severe. Mean follow-up was 10 months. Results: The overall mean preoperative intermetatarsal and hallux abductus angles decreased significantly (from 13.09° to 9.33° and from 23.72° to 12.19°, respectively; both P < .01). When grouping deformities as mild, moderate, and severe, all of the categories maintained reduction of intermetatarsal and hallux abductus angles (P < .01). Furthermore, the mean reduction of the intermetatarsal and hallux abductus angles seemed to correlate with preoperative deformity severity. Conclusions: In patients undergoing correction of hallux valgus deformity, first metatarsophalangeal joint arthrodesis produced consistent reductions in the intermetatarsal and hallux abductus angles. Furthermore, these findings are consistent with those reported by other institutions. |
| تواريخ الأحداث: | Date Created: 20210419 Date Completed: 20210728 Latest Revision: 20210728 |
| رمز التحديث: | 20221213 |
| DOI: | 10.7547/19-050 |
| PMID: | 33872362 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1930-8264 |
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| DOI: | 10.7547/19-050 |