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A comparison between the Regnauld arthroplasty and osteotomies of the first ray for the treatment of hallux valgus.

Abstract
This article is a retrospective study comparing the efficacy of Regnauld arthroplasty to first ray osteotomies for the treatment of hallux valgus. One hundred consecutive cases of Regnauld arthroplasties were compared with 100 consecutive first ray osteotomies. One hundred fourty-one patients were available for follow-up, and based on clinical/radiographic examinations, 72 were treated with the osteotomy protocol (group A) and 69 with Regnauld arthroplasty (group B). Age at surgery, clinical symptoms, and preoperative radiologic findings were similar for the 2 groups; there was a preponderance of female patients (90%). The average follow-up was 49 months in group A and 51 months in group B. Clinical evaluation showed in the osteotomy group a more stable correction (79% v 49%), greater pain reduction (measured in a visual analog scale from 0 = pain free to 10 = deep intolerable pain), increased residual articular excursion of the first metatarsophalangeal joint (27 degrees of active dorsiflexion from neutral position v 8 degrees ), and less presence of central metatarsalgia (15% v 34%) (P <.05). The radiographic evaluation expressed more stable correction values in group A for the following parameters: joint preservation, sesamoid position, intermetatarsal angle (7 degrees v 12 degrees ), abduction angle of the hallux (14 degrees v 20 degrees ), and proximal articular set angle (8 degrees v 18 degrees ) (P <.05).
AuthorsWalter Daghino, Luigi Milano, Sergio Ronco, Giorgio Ronco, Angelo Dettoni, Massimo Cartesegna
JournalThe Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons (J Foot Ankle Surg) 2003 May-Jun Vol. 42 Issue 3 Pg. 155-60 ISSN: 1067-2516 [Print] United States
PMID12815584 (Publication Type: Comparative Study, Journal Article, Multicenter Study)
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty (adverse effects, methods)
  • Female
  • Hallux Valgus (surgery)
  • Humans
  • Male
  • Metatarsal Bones (surgery)
  • Metatarsophalangeal Joint (surgery)
  • Middle Aged
  • Osteotomy (adverse effects, methods)
  • Retrospective Studies
  • Treatment Outcome

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