COMPARISON OF RESULTS OF TREATMENT OF PATIENTS WITH HALLUX VALGUS USING A VARIOUS COMBINED BONE AND TENDON TECHNIQUES

Authors

  • Антон Викторович Бойченко St. Petersburg State University, 7/9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation;City Hospital N 2, 5, Uchebniy per., St. Petersburg. 194354, Russian Federation
  • Евгений Константинович Гуманенко St. Petersburg State University, 7/9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
  • Леонид Николаевич Соломин St. Petersburg State University, 7/9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation ; Russian Research Institution of Traumatology and Orthopedics named aft er R. R. Vreden, 8, ul. Akademika Baykova, St. Petersburg, 195427, Russian Federation
  • Сергей Геннадьевич Парфеев St. Petersburg State University, 7/9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation;City Hospital N 2, 5, Uchebniy per., St. Petersburg. 194354, Russian Federation
  • Илья Эсатович Обухов City Hospital N 2, 5, Uchebniy per., St. Petersburg. 194354, Russian Federation
  • Евгений Олегович Тюлькин St. Petersburg State University, 7/9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation;City Hospital N 2, 5, Uchebniy per., St. Petersburg. 194354, Russian Federation
  • Мария Сергеевна Белокрылова St. Petersburg State University, 7/9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation

Abstract

Background. Th e aim of the present study was to compare the methods of adductor hallucis muscle fixation in treatment of patients with hallux valgus followed by a modifi ed scarf procedure.
Methods. Th e data on 40 patients (60 feet) with hallux valgus that were operated on between 2011 and 2015 in St. Petersburg hospital 2, using modifi ed scarf procedure combined with adductor hallucis muscle transposition was analysed. Functional assessment (AOFAS score) and X-ray examination were performed preoperatively, 3, 6 and 12 months aft er the procedure. Comparative analysis between groups with anchor fi xation and bone suture has been carried out.
Results. We did not fi nd any signifi cant diff erence between these two groups in mean AOFAS score, which improved to 86,5 ± 7,1 in bone suture group and 84,7 ± 5,9 in anchor group 12 months after the surgery. 12 months aft er surgery in mean intermetatarsal angle was 8,5 ± 0,7° in group 1 and 8,7 ± 0,7° in group 2 (p > 0,05). Th ere was no signifi cant diff erence between radiographic parameters in both groups, except mean metatarsophalangeal angle 12 months aft er the operation (13,3 ± 1,1° and 12,7 ± 1,0° (р < 0,05), which was better in anchor group. Nevertheless the diff erence 0,6° was out of practical importance and did not exceed the computational error. Conclusion. According to data obtained, modifi ed scarf procedure combined with adductor hallucis muscle transposition with anchor fi xation compared to bone suture does not improve functional and x-ray results though facilitating this stage of the operation. Refs 18. Figs 5. Тables 4.

Keywords:

adductor plasty, hallux valgus, osteotomy, metatarsalgia, scarf

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References

Литература

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Roddy, E. Zhang W., Doherty M. Prevalence and associations of hallux valgus in a primary care population // Arthritis & Rheumatism (Arthritis Care & Research). 2008. Vol. 59, N 6. P. 857–862.

Gallentine, J. W. Deorio J. K., Deorio M. J. Bunion surgery using locking-plate fi xation of proximal metatarsal chevron osteotomies // Foot Ankle International. 2007. N 28 (3). P. 361–368.

Fakoor M., Sarafan N., Mohammadhoseini P., Khorami M., Arti H., Mosavi S., Aghaeeaghdam A. Comparison of Clinical Outcomes of Scarf and Chevron Osteotomies and the McBride Procedure in the Treatment of Hallux Valgus Deformity // Archives of Bone and Joint Surgery. 2014. Mart. N 2(1).

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Vopat B. G., Lareau C. R., Johnson J., Reinert S. E., DiGiovanni C. W. Comparative study of scarf and extended chevron osteotomies for correction of hallux valgus // Foot and Ankle Specialist. 2013. N 6 (6).P. 409–416.

Smith S. E., Landorf K. B., Butterworth P. A., Menz H. B. Scarf versus chevron osteotomy for the correction of 1–2 intermetatarsal angle in hallux valgus: a systematic review and meta-analysis // The Journal of Foot and Ankle Surgery. 2012. N 51 (4). P. 437–444.

Martínez-Nova A., Sánchez-Rodríguez R., Gómez-Martín B., Escamilla E. Martínez, Expósito-Arcas A., Novel-Martí V. The eff ect of adductor tendon transposition in the modifi ed McBride procedure // Foot and Ankle Specialist. 2008. N 1 (5). P. 275–279.

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Минасов, Б. Ш., Гутов С. П., Билялов А. Р. Способ реконструкции переднего отдела стопы при вальгусной деформации I пальца // Травматология и ортопедия России. 2007. № 2. С. 84–88.

Jolly G. P. Hallux abducto valgus and surgery of the fi rst ray / eds L. A. Levy, V. J. Hetherington. Principles and Practice of Podiatric Medicine. Churchill Livingstone, New York, 1990. 823 p.

Jardé O., Trinquier-Lautard J. L., Meire P., Gabrion A., Vives P. Treatment of hallux valgus by varus osteotomy of the fi rst phalanx associated with adductor plasty. [Article in French] // Revue de Chirurgie Orthopédique et Réparatrice de l’Appareil Moteur. 1996. N 82 (6). P. 541–548.

Vega M. R., Jackson-Smith J. L. A variable fi rst metatarsal distal “L” osteotomy with adductor tendon transfer // Th e Journal of Foot and Ankle Surgery. 1995. N 34 (4). P. 384–388.

Granberry W. M., Hickey C. H. Hallux valgus correction with metatarsal osteotomy: eff ect of a lateral distal soft tissue procedure // Foot Ankle International. 1995. N 16 (3). P. 132–138.

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Resch S., Stenström A., Reynisson K., Jonsson K. Chevron osteotomy for hallux valgus not improved by additional adductor tenotomy. A prospective, randomized study of 84 patients // Acta Orthopaedica Scandinavica. 1994. N 65. P. 541–544.

Havlícek V., Kovanda M., Kunovský R. Surgical management of hallux valgus by techniques preserving the first metatarsophalangeal joint: long-term results [Article in Czech] // Acta chirurgiae orthopaedicaeet traumatologiae Cechoslovaca. 2007. N 74 (2). P. 105–110.

Steck J. K., Ringstrom J. B. Long Z-osteotomy: a review and new modifi cation to correct troughing //The Journal of Foot and Ankle Surgery. 2001. N 40 (5). P. 305–310.

Бойченко А. В., Соломин Л. Н., Парфеев С. Г., Обухов И. Э., Белокрылова М. С., Пашукова Т. А.Сравнение результатов односторонней и двусторонней хирургической коррекции hallux valgus.Травматология и ортопедия России. 2014. № 3 (73). С. 44–51.

References

Nix, S., Smith M., Vicenzino B. Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. Journal of Foot and Ankle Research, 2010, no. 3, 21 p.

Roddy, E. Zhang W., Doherty M. Prevalence and associations of hallux valgus in a primary care population. Arthritis & Rheumatism (Arthritis Care & Research), 2008, vol. 59, no. 6, pp. 857–862.

Gallentine, J. W. Deorio J. K., Deorio M. J. Bunion surgery using locking-plate fi xation of proximal

metatarsal chevron osteotomies. Foot Ankle International, 2007, no. 28 (3), pp. 361–368.

Fakoor M., Sarafan N., Mohammadhoseini P., Khorami M., Arti H., Mosavi S., Aghaeeaghdam A.

Comparison of Clinical Outcomes of Scarf and Chevron Osteotomies and the McBride Procedure in the Treatment of Hallux Valgus Deformity. Archives of Bone and Joint Surgery, 2014, Mart, no. 2 (1), pp. 31–36.

Vopat B. G., Lareau C. R., Johnson J., Reinert S. E., DiGiovanni C. W. Comparative study of scarf and extended chevron osteotomies for correction of hallux valgus. Foot and Ankle Specialist, 2013, no. 6 (6),pp. 409–416.

Smith, S. E., Landorf K. B., Butterworth P. A., Menz H. B. Scarf versus chevron osteotomy for the correction of 1–2 intermetatarsal angle in hallux valgus: a systematic review and meta-analysis. The Journal of Foot and Ankle Surgery, 2012, no. 51 (4), pp. 437–444.

Martínez-Nova A., Sánchez-Rodríguez R., Gómez-Martín B., Escamilla E. Martínez, Expósito-Arcas A., Novel-Martí V. The eff ect of adductor tendon transposition in the modifi ed McBride procedure.Foot and Ankle Specialist, 2008, no. 1 (5), pp. 275–279.

Mann R. A. Hallux valgus and complications of hallux valgus.R. A. Mann, M. J. Coughlin. Mann R. A, editor: Surgery of the foot, St Louis, CV Mosby, 1986, pp. 167–296.

Minasov, B. Sh., Gutov S. P., Bilialov A. R. Sposob rekonstruktsii perednego otdela stopy pri

val’gusnoi deformatsii I pal’tsa [Th e New method of forefoot reconstruction in patients with hallux valgus]. Travmatologiia i ortopediia Rossii [Traumatology and orthopedics Russia], 2007, no. 2, pp. 84–88. (In Russian)

Jolly G. P. Hallux abducto valgus and surgery of the fi rst ray. Eds L. A. Levy, V. J. Hetherington. Principles and Practice of Podiatric Medicine. Churchill Livingstone, New York, 1990. 823 p.

Jardé O., Trinquier-Lautard J. L., Meire P., Gabrion A., Vives P. Treatment of hallux valgus by varus osteotomy of the fi rst phalanx associated with adductor plasty. [Article in French]. Revue de Chirurgie Orthopédique et Réparatrice de l’Appareil Moteur, 1996, no. 82 (6), pp. 541–548.

Vega M. R., Jackson-Smith J. L. A variable fi rst metatarsal distal “L” osteotomy with adductor tendon transfer. The Journal of Foot and Ankle Surgery, 1995, no. 34 (4), pp. 384–388.

Granberry W. M., Hickey C. H. Hallux valgus correction with metatarsal osteotomy: eff ect of a lateral distal soft tissue procedure. Foot Ankle International, 1995, no. 16 (3), pp. 132–138.

Kardanov A. A., Zagorodnii N. V., Makinian L. G., Lukin M. P. Nash opyt khirurgicheskogo lecheniia val’gusnogo otkloneniia pervogo pal’tsa stopy posredstvom osteotomii SCARF [Our experience of hallux valgus surgical treatment by scarf osteotomy]. Travmatologiia i ortopediia Rossii [Traumatology and orthopedics Russia], 2008, no. 2, pp. 437–431. (In Russian)

Resch S., Stenström A., Reynisson K., Jonsson K. Chevron osteotomy for hallux valgus not improved by additional adductor tenotomy. A prospective, randomized study of 84 patients. Acta Orthopaedica Scandinavica, 1994, no. 65, pp. 541–544.

Havlícek V., Kovanda M., Kunovský R. Surgical management of hallux valgus by techniques preserving the first metatarsophalangeal joint: long-term results [Article in Czech]. Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca, 2007, no. 74 (2), pp. 105–110.

Steck J. K., Ringstrom J. B. Long Z-osteotomy: a review and new modifi cation to correct troughing.The Journal of Foot and Ankle Surgery, 2001, no. 40 (5), pp. 305–310.

Boichenko A. V., Solomin L. N., Parfeev S. G., Obukhov I. E., Belokrylova M. S., Pashukova T. A. Sravnenie rezul’tatov odnostoronnei i dvustoronnei khirurgicheskoi korrektsii hallux valgus [Comparison of unilateral and bilateral surgical correction of hallux valgus]. Travmatologiia i ortopediia Rossii [Traumatology and orthopedics Russia], 2014, no. 3 (73), pp. 44–51. (In Russian)

Вестник Санкт-Петербургского университета. Медицина

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Published

2016-07-07

How to Cite

Бойченко, А. В., Гуманенко, Е. К., Соломин, Л. Н., Парфеев, С. Г., Обухов, И. Э., Тюлькин, Е. О., & Белокрылова, М. С. (2016). COMPARISON OF RESULTS OF TREATMENT OF PATIENTS WITH HALLUX VALGUS USING A VARIOUS COMBINED BONE AND TENDON TECHNIQUES. Vestnik of Saint Petersburg University. Medicine, 11(1), 94–103. Retrieved from https://medicine-journal.spbu.ru/article/view/6030

Issue

Vol. 11 No. 1 (2016)

Section

Traumatology and orthopedics

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