Abstract:
BACKGROUND:There are no comparative studies of proximal and distal osteotomy for treatment of moderate to severe hallux valgus. Our purpose was to compare the surgical outcomes of modified proximal Ludloff (oblique diaphyseal) osteotomy with modified distal Bösch (distal linear) osteotomy by a single surgeon in moderate to severe hallux valgus. METHODS:This retrospective study included feet with a hallux valgus angle greater than 30 degrees. A total of 30 feet (average age, 64.5 years) underwent Ludloff and 32 feet (average age, 61.1 years) underwent Bösch osteotomy. Both osteotomies were combined with distal soft tissue procedure. Clinical outcomes including AOFAS score and satisfaction rate were compared and radiographic parameters analyzed at 2~years of followup. RESULTS:AOFAS scores were equivalent (p=0.483), with comparable satisfaction rates in both groups (p=0.418). The radiographic results including hallux valgus angle (p=0.026), intermetatarsal angle 1-2 (p<0.001), sesamoid position (p=0.008), correction of intermetatarsal angle 1-2 (p<0.001), and change of sesamoid position (p<0.001) were significantly better in the Bösch group. Correction of hallux valgus angle (p=0.308) and shortening of the first metatarsal (p=0.086) were insignificant with the numbers available. Recurrence developed in eight feet of the Ludloff group and two of the Bösch group (p=0.040). Dorsiflexion malunion occurred in four feet in the Bösch group, as compared with one in the Ludloff group. CONCLUSION:Our study found that distal linear osteotomy was a more reliable reconstruction with equivalent function outcomes than an oblique diaphyseal osteotomy. Additional fixation may be necessary to decrease sagittal malunion in distal Bösch osteotomy.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Chiang CC,Lin CF,Tzeng YH,Huang CK,Chen WM,Liu CLdoi
10.3113/FAI.2012.0479subject
Has Abstractpub_date
2012-06-01 00:00:00pages
479-86issue
6eissn
1071-1007issn
1944-7876pii
50062309journal_volume
33pub_type
杂志文章abstract:BACKGROUND:Previous studies that investigated mobilization with movement (MWM) treatment assessed only improvements in passive range of motion (ROM). No information is currently available regarding the efficacy of modified MWM by application of tape. Therefore, we investigated the effect of uphill walking with modified...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714543797
更新日期:2014-11-01 00:00:00
abstract::The purpose of this study was to quantify tibiotalar translation and rotation under various stages of fibular displacement and injury to the syndesmotic and deltoid ligaments. Ten unpaired specimens amputated below the knee were studied using an unconstrained testing apparatus. The specimens were moved through a dorsi...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:Staged care with interval external fixation is a successful established treatment strategy for high energy periarticular fractures with often extensive soft tissue damage such as the tibial plateau and plafond. The aim of the current study was to determine whether staged care of high energy midfoot fracture/...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:There is limited consensus on the optimal operative technique for correcting heel varus in patients with Charcot-Marie-Tooth (CMT) disease. This comparative study evaluated the ability of 4 lateralizing calcaneal osteotomies, with and without Dwyer wedge resection and coronal rotation of the posterior tubero...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract::The purpose of this study was to evaluate the function of the ankle joint during walking before and after Scandinavian Total Ankle Replacement (STAR). Nine patients (six males and three females) with an average age of 65 years, scheduled for unilateral total ankle replacement for osteoarthritis and rheumatoid arthriti...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110070402500602
更新日期:2004-06-01 00:00:00
abstract::26 patients with 28 pes planovalgus feet secondary to Johnson stage 2 posterior tibial tendon insufficiency were treated with flexor digitorum longus tendon transfer, lateral column lengthening, medial displacement calcaneal osteotomy, and heel cord lengthening. The mean patient age at surgery was 48.5 years. The AOFA...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract::A case of Pacinian hyperplasia of the right great toe is reported. Pacinian hyperplasia is a rare benign and recently recognized painful lesion composed of an excess of well formed or hyperplastic Pacinian corpuscules, normaly involved in sensory innervation. This lesion that is usually observed in the hand, must be d...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200413
更新日期:2001-04-01 00:00:00
abstract::This prospective, randomized study compares the treatment of an interdigital neuroma (IDN) by the standard resection operation with a technique in which the IDN is transposed into the inter-muscular space between the adductor hallucis and the interossei muscles after division of the digital nerves distal to the IDN. T...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
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abstract::Between 1984 and 1994, 40 patients with a posttraumatic compartment syndrome of the lower leg and foot were treated for talipes equinovarus adductus foot deformity, which subsequently developed. Twenty patients had a wedge osteotomy followed by arthrodesis of the midtarsal joint (Chopart joint). Another 17 patients ha...
journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
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更新日期:2014-01-01 00:00:00
abstract::Eight transtibial amputees had localized unremitting discomfort and pain in the distal anterior residual limb during prosthetic wear while weightbearing. Modification of the prosthetic socket did not change this pain. It was not consistent with "phantom limb" or causalgia/reflex sympathetic dystrophy-type etiologies. ...
journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:1996-09-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:The Self-reported Foot and Ankle Score (SEFAS) is a patient-reported outcome measure, while the American Orthopedic Foot and Ankle Society Score (AOFAS) is a clinician-based score, both used for evaluation of foot and ankle disorders. The purpose of this study was to compare the psychometric properties of th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714543647
更新日期:2014-10-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300714
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abstract:BACKGROUND:Numerous operative procedures around the foot and ankle use bone graft to augment healing. Autologous bone graft remains the preferred type for these procedures. This can be harvested from the iliac crest, but complications are frequent. The purpose of our study was to investigate the option of harvesting th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600604
更新日期:2005-06-01 00:00:00
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pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2003-03-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:1997-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2002-09-01 00:00:00
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pub_type: 杂志文章
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