Chevron Osteotomy with Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results

Tuluhan Yunus Emre

doi:10.17343/sdutfd.266020

Chevron Osteotomy with Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results

Abstract

Giriş

Halluks valgus 1.parmağın abduktor ve adduktor kaslarında gelişen dengesizlik sonucu meydana gelen ağrılı bir deformitedir. Chevron osteotomisi hafif ve ortaşiddette seyreden halluks valgus deformitelerin cerrahi tedavisinde etkili bir yöntemdir.

Gereç ve Yöntem

Ortopedi ve Travmatoloji kiliniğine başvuran, hafif ve orta şiddetli ağrılı halluks valgus deformitesi olan 33 genç hasta çalışmaya dahil edildi. Herbert vidası kullanılarak distal chevron osteotomy uygulanan hastalar ortalama 18 ay (6-30 ay) takip edildi. Hastaların değerlendirilmesinde preoperative ve postoperative 12. ayda The American Orthopedic Foot and Ankle Society’s (AOFAS) hallux-metatarsophalangeal-interphalangeal skalası kullanıldı.

Sonuçlar

Preoperatif ve postoperatif ortalama halluks valgus açıları (HVA) sırasıyla 28.93 ° ± 6.66º ve 9.48 ° ± 3.21 ° olarak ölçüldü. HVA arasındaki fark istatistiksel olarak anlamlı bulundu (p=0.0001). İntermetatarsal açı (İMA) ise preoperative dönemde ortalama 11.51 ° ± 2.41 ‘den postoperatif dönemde ortalama 7.53° ± 2.10° ‘ye düştüğü saptanmıştır (p = 0.0001). Metatarsofalanjial dorsifleksiyon derecesinde 52.48 ° ± 9.71 °’den 61.90 ° ± 10.47 °’ye yükselme gözlenmiştir (p = 0.0001). Plantar fleksiyon skorlarında ise anlamlı yükselme saptanmıştır (p = 0.0001) . Preoperatif AOFAS skoru ortalaması 43,77 ± 14.14 iken postoperatif dönemde ortalama 85.38 ± 14.34 olarak saptanmıştır (p = 0.0001).

Tartışma

Halluks valgus cerrahisinde Herbert vidası ile yapılan Chevron osteotomisi ile kalıcı rotasyonel ve translasyonel stabilite sağlanabilmektedir.

Keywords

Halluks valgus,Chevron osteotomy

References

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Details

Primary Language

English

Subjects

Clinical Sciences

Journal Section

Research Article

Authors

Tuluhan Yunus Emre
Gelişim Üniversitesi
Türkiye

Publication Date

September 1, 2017

Submission Date

November 14, 2016

Acceptance Date

-

Published in Issue

Year 2017 Volume: 24 Number: 3

DOI

https://doi.org/10.17343/sdutfd.266020

IZ

https://izlik.org/JA23RW68YX

Cite

RIS / Bibtex

APA

Emre, T. Y. (2017). Chevron Osteotomy with Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results. Medical Journal of Süleyman Demirel University, 24(3), 75-83. https://doi.org/10.17343/sdutfd.266020

AMA

1.Emre TY. Chevron Osteotomy with Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results. Med J SDU. 2017;24(3):75-83. doi:10.17343/sdutfd.266020

Chicago

Emre, Tuluhan Yunus. 2017. “Chevron Osteotomy With Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results”. Medical Journal of Süleyman Demirel University 24 (3): 75-83. https://doi.org/10.17343/sdutfd.266020.

EndNote

Emre TY (September 1, 2017) Chevron Osteotomy with Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results. Medical Journal of Süleyman Demirel University 24 3 75–83.

IEEE

[1]T. Y. Emre, “Chevron Osteotomy with Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results”, Med J SDU, vol. 24, no. 3, pp. 75–83, Sept. 2017, doi: 10.17343/sdutfd.266020.

ISNAD

Emre, Tuluhan Yunus. “Chevron Osteotomy With Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results”. Medical Journal of Süleyman Demirel University 24/3 (September 1, 2017): 75-83. https://doi.org/10.17343/sdutfd.266020.

JAMA

1.Emre TY. Chevron Osteotomy with Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results. Med J SDU. 2017;24:75–83.

MLA

Emre, Tuluhan Yunus. “Chevron Osteotomy With Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results”. Medical Journal of Süleyman Demirel University, vol. 24, no. 3, Sept. 2017, pp. 75-83, doi:10.17343/sdutfd.266020.

Vancouver

1.Tuluhan Yunus Emre. Chevron Osteotomy with Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results. Med J SDU. 2017 Sep. 1;24(3):75-83. doi:10.17343/sdutfd.266020