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

Öz

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.

Anahtar Kelimeler

Halluks valgus,Chevron osteotomy

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Klinik Tıp Bilimleri

Bölüm

Araştırma Makalesi

Yazarlar

Tuluhan Yunus Emre
Gelişim Üniversitesi
Türkiye

Yayımlanma Tarihi

1 Eylül 2017

Gönderilme Tarihi

14 Kasım 2016

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2017 Cilt: 24 Sayı: 3

DOI

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

IZ

https://izlik.org/JA23RW68YX

Kaynak Göster

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. SDÜ Tıp Fak Derg. 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 (01 Eylül 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”, SDÜ Tıp Fak Derg, c. 24, sy 3, ss. 75–83, Eyl. 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 (01 Eylül 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. SDÜ Tıp Fak Derg. 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, c. 24, sy 3, Eylül 2017, ss. 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. SDÜ Tıp Fak Derg. 01 Eylül 2017;24(3):75-83. doi:10.17343/sdutfd.266020