November 24, 2014
Among patients with moderate-to-severe hallux valgus and increased intermetatarsal angle, proximal opening wedge osteotomy with wedge-plate fixation and proximal chevron osteotomy in combination with a distal soft-tissue procedure both offered predictably successful results, according to study results.
Researchers randomly assigned 75 patients with hallux valgus with an increased intermetatarsal angle to receive a proximal opening wedge osteotomy of the first metatarsal with wedge-plate fixation or a proximal chevron osteotomy fixed with two mini-fragment screws only and no plate. Clinical outcome scores of the SF-36, the American Orthopaedic Foot & Ankle Society forefoot questionnaire, and VAS for pain, activity and patient satisfaction were collected, and patients were assessed prior to surgery and at 3, 6 and 12 months postoperatively. Using questionnaires and operative times required for each procedure, the researchers evaluated surgeon preference.