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Stabilization of chevron osteotomy with a capsuloperiosteal flap: Results in 15 years of follow-up     
Yazarlar
Murat Köken
Ufuk Üniversitesi, Türkiye
Doç. Dr. Hakkı Çağdaş BASAT Doç. Dr. Hakkı Çağdaş BASAT
Kırşehir Ahi Evran Üniversitesi, Türkiye
Ahmet Hakan Kara
Ufuk Üniversitesi, Türkiye
Ali Kemal Us
Ankara Üniversitesi, Türkiye
Berk Güçlü
Ufuk Üniversitesi, Türkiye
Özet
Purpose: Distal chevron osteotomy (DCO) is used more frequently than other methods for the correction of mild-to-moderate hallux valgus deformity because it is markedly more stable. Here, we evaluated the use of a capsuloperiosteal flap to stabilize DCO and presented our last longer follow-up. Methods: This study included a total of 57 patients (86 feet) made up of 50 women (79 feet) and 7 men (7 feet) with a mean age of 37.8 years who were diagnosed with hallux valgus and met the inclusion criteria. These patients received treatment using a capsuloperiosteal flap to stabilize DCO from 1994 to 2000. Clinical outcomes of the patients were assessed using the American Orthopaedic Foot and Ankle Society hallux scale. Results: The mean follow-up duration was 14.8 years. The score increased from a preoperative mean of 52 points to a mean of 90.5 points at last follow-up. The mean hallux valgus angle changed from 30.3 degrees preoperatively to 14.4 degrees postoperatively at the last follow-up. The first to second intermetatarsal angle changed from 13.6 degrees preoperatively to 10.5 degrees postoperatively. The correction in the range of motion proved to be consistent with only an average of 1 degrees correction loss and 5.5 degrees loss. Eighty-four feet (97.6%) were pain-free. Discomfort with shoe wear was absent in 82 feet (95.3%) postoperatively, and 23 of 24 (95.8%) patients were fascinated cosmetically. Conclusion: Correction of mild-to-moderate hallux valgus deformity with the use of capsuloperiosteal flap for stabilization of DCO provided findings comparable with the literature regarding clinical and radiological outcomes at long-term follow-up.
Anahtar Kelimeler
chevron | hallux valgus | modification | osteotomy
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı JOURNAL OF ORTHOPAEDIC SURGERY
Dergi ISSN 1022-5536
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 03-2019
Cilt No 27
Sayı 1
Sayfalar 1 / 6
Doi Numarası 10.1177/2309499019833059
Makale Linki http://journals.sagepub.com/doi/10.1177/2309499019833059