Clinical and radiological outcomes of modified Mitchell’s osteotomy using three-point fixation for hallux valgus
| العنوان: | Clinical and radiological outcomes of modified Mitchell’s osteotomy using three-point fixation for hallux valgus |
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| المؤلفون: | Sheng-Pin Lo, Chen-Hao Chiang, Chang-Hao Lin |
| المصدر: | International Orthopaedics. 46:249-253 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Metatarsalgia, medicine.medical_specialty, medicine.medical_treatment, Nonunion, Osteotomy, medicine, Humans, Orthopedics and Sports Medicine, Hallux Valgus, Metatarsal Bones, Fixation (histology), biology, business.industry, medicine.disease, biology.organism_classification, Surgery, Radiography, Valgus, Treatment Outcome, medicine.anatomical_structure, Radiological weapon, Orthopedic surgery, Ankle, business |
| الوصف: | This study examined the clinical and radiographic outcomes of modified Mitchell’s osteotomy using three-point fixation with a full-thread headless screw. This technique was described to resolve the problem of excessive shortening and overshifting of the metatarsal. A total of 33 feet of 26 patients underwent modified Mitchell’s osteotomy with three-point fixation for hallux valgus. Clinical and radiographic outcomes were assessed preoperatively and at specific time points of follow-up by using the American Orthopaedic Foot and Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal scale, hallux valgus angle (HVA), and intermetatarsal angle (IMA). The global AOFAS scale score (0–100) significantly improved from 50.7 ± 9.9 preoperatively to 84.4 ± 8.7 at the final follow-up. The HVA significantly improved from 30.2 $$^\circ$$ ± 6.0 $$^\circ$$ to 9.0 $$^\circ$$ ± 5.0 $$^\circ$$ , and the IMA significantly improved from 14.2 $$^\circ$$ ± 2.6 $$^\circ$$ to 5.1 $$^\circ$$ ± 2.0 $$^\circ$$ . None of the patients experienced nonunion and transfer metatarsalgia. Complications were observed in two feet, and one foot had recurrence of hallux valgus. Modified Mitchell’s osteotomy using three-point fixation with a full-thread headless screw is a reliable alternative treatment for hallux valgus, even in patients with severe deformities. |
| تدمد: | 1432-5195 0341-2695 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a2833728d743e5b0045618f6ec6dba67 https://doi.org/10.1007/s00264-021-05200-4 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....a2833728d743e5b0045618f6ec6dba67 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14325195 03412695 |
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