Abstract | BACKGROUND: MATERIALS AND METHODS: Between September 2004 and June 2007, 31 patients (40 feet) underwent proximal chevron first metatarsal osteotomy with a distal soft tissue procedure, with preoperatively painful plantar callosities under lesser metatarsal heads. Clinical results were evaluated using a visual analogue scale (VAS), the American Orthopaedic Foot and Ankle Society (AOFAS) hallux-metatarsophalangeal interphalangeal scales, and a modified 70-point clinical scale. Radiographic evaluations included hallux valgus angle and intermetatarsal angle. RESULTS: Thirty-two (80%) of the 40 feet had no pain and callosity and 5 (12.5%) had no pain but residual plantar callosities, and 3 (7.5%) were not improved at final evaluation. The mean VAS and AOFAS scores were improved from 7.8 +/- 1.6 to 1.9 +/- 1.5 points and from 53.8 +/- 14.2 to 92.6 +/- 15.3 points, respectively. In terms of the 70-point clinical scale, overall clinical results were good in 34 feet and fair in 6. The mean hallux valgus and intermetatarsal angles were improved from 36.6 +/- 6.2 to 12.5 +/- 5.9 degrees and from 17.5 +/- 3.9 to 8.6 +/- 3.5 degrees, respectively. CONCLUSION:
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Authors | Keun-Bae Lee, Ju-Kwon Park, Young-Hoon Park, Hyung-Yeon Seo, Myung-Sun Kim |
Journal | Foot & ankle international
(Foot Ankle Int)
Vol. 30
Issue 11
Pg. 1048-52
(Nov 2009)
ISSN: 1071-1007 [Print] United States |
PMID | 19912713
(Publication Type: Journal Article)
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Topics |
- Adult
- Callosities
(epidemiology)
- Comorbidity
- Female
- Hallux Valgus
(diagnostic imaging, epidemiology, surgery)
- Humans
- Male
- Metatarsal Bones
(diagnostic imaging, surgery)
- Middle Aged
- Osteotomy
(methods)
- Pain Measurement
- Prognosis
- Radiography
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