Abstract

Objective of the Study: Evaluate the effectiveness of different options for surgical treatment of hallux valgus by functional and radiographic results of osteotomies saving the metatarsophalangeal joint.

Materials and Methods: 342 patients with hallux valgus I, II, III degrees were studied. Patients were examined before surgery, 3, 6 and 12 months after operation. X-ray results were assessed by the hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular angle (DMMA) before and after the operations. AOFAS score-rating scale (Kitaoka) was used for the functional assessment of the results of surgical treatment.

Discussion: The result of the study showed that a positive correlation was found between the correction of the HVA and high AOFAS scores in the group of patients operated by the Scarf method. The Austin osteotomy patient group had a direct correlation between the value of the IMA correction and the increasing functional activity of the foot. There was a correlation between DMMA correction and high AOFAS scores in patients after Bosh-Magnan surgery.

Conclusion: According to the study Scarf osteotomy should be used in case of Hallux valgus deformity determined mainly by the HVA. Austin osteotomy should be used for Hallux valgus deformity which is predominantly determined by the IMA. Attention should be paid to the Bosch-Magnan osteotomy in case of Hallux valgus deformity determined mainly by the DMMA. The absence of complications in these types of osteotomies is explained by the analysis of long-term results, which did not reveal significant differences in soft tissues before and after surgery, since the wounds healed by primary intention.

Keywords: Hallux Valgus; Scarf Osteotomy; Austin Osteotomy; Bosh-Magnan Osteotomy; Correlation Analysis

References

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Citation

Citation: Yakupova Ekaterina Rishatovna., et al. “Comparison of Three Treatment Modalities for Hallux Valgus Surgery Using Xray and Functional Scoring Methods".Acta Scientific Orthopaedics 4.11 (2021): 14-18 .

Copyright

Copyright: © 2021 Yakupova Ekaterina Rishatovna., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.