Vergleich zweier Operationsmethoden beim Hallux valgus- proximale keilförmige Metatarsale 1 Osteotomie vs. Großzehengrundgelenkarthrodese

Im Rahmen der vorliegenden Arbeit wurden 55 Patienten mit einer operativen Korrek-tur eines Hallux valgus nachuntersucht. Bei fünf dieser Patienten war eine beidseitige Operation durchgeführt worden. Es handelte sich um acht Männer und 47 Frauen. 36 Patienten wurden einer Osteotomie unterzogen, 19 P...

Full description

Saved in:
Bibliographic Details
Main Author: Helmer, Anke
Contributors: Fuchs-Winkelmann, Susanne (Prof. Dr.) (Thesis advisor)
Format: Dissertation
Language:German
Published: Philipps-Universität Marburg 2009
Orthopädie und Rheumatologie
Subjects:
Online Access:PDF Full Text
Tags: Add Tag
No Tags, Be the first to tag this record!
Table of Contents: Between 1999 and 2001, 73 patients (79 feet) were treated with a proximal metatarsal wedge osteotomy or an arthrodesis of the first metatarsophalangeal joint. At an average follow-up of 23 months + 4 month, 2 men and 34 women (40 feet) treated by proximal osteotomy, and 6 men and 13 women (20 feet) treated by arthrodesis were retrospectively reviewed. The mean age was 58 years, patients satisfaction was exzellent or good in 82,5% after proximal wedge osteotomy and 80% after arthrodesis. In the osteotomy- group 72,5% felt no pain in their feet, in the arthrodesis- group 65%. The Hallux Metatarosphalangeal- Interphalangeal Scale Kitaoka- Score (total 100 points) average was 87 points after proximal wedge osteotomy and 78 points after arthrodesis. The average hallux valgus (HV) angle was reduced from 35,1° preoperatively to 15,9° postoperatively (proximal wedge osteotomy) and 36,5° preoperatively to 15,4° postoperatively (arthrodesis). The value for the intermetatarsal angle (IM) were 16,6° to 12° (osteotomy) and 13,7° to 7,6° (arthrodesis). Complications included 1 case of hypaesthesia (osteotomy) and in 3 cases a decrease of correction (osteotomy). The conclusion is that proximal wedge osteotomy and arthrodesis are effective in correction hallux valgus deformity. No correlation between the preoperative hallux valgus angle and Kitaoka- Score value was found.