Modified Chevron osteotomy combined with adductor pollicis amputation for treatment of mild or moderate hallux valgus
YU Lei1, ZUO Jinbu1, and SONG Likun2
YU Lei1, ZUO Jinbu1, and SONG Likun2. 1. Department of Orthopaedics, Beijing Municipal Corps Hospital, Chinese People’s Armed Police Forces, Beijing 100027, China; 2. Department of Orthopaedics, General Hospital of Chinese People’s Armed Police Forces, Beijing 100039, China
Abstract：Objective To evaluate the clinical effect of modified Chevron osteotomy combined with adductor pollicis amputation for treatment of mild or moderate hallux valgus by observing patients’recovery and prognosis. Methods The pre-operative and post-operative clinical data of 36 cases of mild or moderate hallux valgus (50 feet) were analyzed retrospectively. The AOFAS and VAS for the effect of operation were quantified. Results The scores and follow-up results showed that postoperative hallux valgus symptoms of all the patients had greatly improved. No wound infection, necrosis of the metatarsal head or nonunion was observed. The mean pre-operative HVA was 31.1°±4.3°, but was decreased to 14.8°±2.9°(P<0.05) post-operatively. IMA was decreased from 14.5°±3.4° to 7.4°±2.5°(P<0.05). The mean AOFAS score was improved from 48.7±7.0 points to 85.1±5.7 points(P<0.05).According to the performance assessment, 20 cases (26 feet) were excellent, 12 (19 feet) were good, and 4 cases (5 feet) were average, with an excellent and good rate of 90%. Conclusion The modified Chevron osteotomy combined with adductor pollicis amputation can be used in the treatment of mild or moderate hallux valgus to a good. effect This approach is worthy of improvement and clinical application .
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2016, Vol. 27 
