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Original article
peer-reviewed

A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities



Abstract

Introduction

Hallux valgus is one of the most common forefoot deformities worldwide. Females are affected more often than males. The three most common clinical symptoms are the painful bunion, transfer metatarsalgia, and hammer or claw toes.

Methods

This case series consisted of 20 patients who had chevron osteotomy from January 2015 to January 2016. The clinical assessment was measured by The American Orthopedic Foot and Ankle Score (AOFAS), and radiologic assessment was determined by preoperative and postoperative hallux valgus angle (HVA) and intermetatarsal angle (IMA).

Results

The patients’ mean age was 56 years. Out of 20 patients, 19 were female, and one was male. The mean AOFAS improved from 51 preoperatively to 82 postoperatively. The HVA improved from 26° preoperatively to 14°. There were five complications including four Kirschner (K)-wire complications.

Conclusion

Distal chevron osteotomy is a reliable and time-tested procedure. The K-wire fixation has a relatively high complication rate. We planned to use other methods of fixation and then compared them with K-wires fixation results for future studies.



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Original article
peer-reviewed

A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities


Author Information

MN Baig Corresponding Author

Orthopaedics, Galway University Hospital

Usman Baig

Medicine, Quaid-E-Azam Medical College, Bahawalpur.

Ali Tariq

Trauma & Orthopaedics, Galway University Hospital

Robert Din

Department of Orthopaedics, Poole Hospital, Poole, United Kingdom


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Original article
peer-reviewed

A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities


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Original article
peer-reviewed

A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities

MN Baig">MN Baig , Usman Baig">Usman Baig, Ali Tariq">Ali Tariq, Robert Din">Robert Din

  • Author Information
    MN Baig Corresponding Author

    Orthopaedics, Galway University Hospital

    Usman Baig

    Medicine, Quaid-E-Azam Medical College, Bahawalpur.

    Ali Tariq

    Trauma & Orthopaedics, Galway University Hospital

    Robert Din

    Department of Orthopaedics, Poole Hospital, Poole, United Kingdom


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: September 20, 2017

    DOI

    10.7759/cureus.1704

    Cite this article as:

    Baig M, Baig U, Tariq A, et al. (September 20, 2017) A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities. Cureus 9(9): e1704. doi:10.7759/cureus.1704

    Publication history

    Received by Cureus: September 06, 2017
    Peer review began: September 14, 2017
    Peer review concluded: September 16, 2017
    Published: September 20, 2017

    Copyright

    © Copyright 2017
    Baig et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Categories

    Keywords

    chevron osteotomy, k wires

Abstract

Introduction

Hallux valgus is one of the most common forefoot deformities worldwide. Females are affected more often than males. The three most common clinical symptoms are the painful bunion, transfer metatarsalgia, and hammer or claw toes.

Methods

This case series consisted of 20 patients who had chevron osteotomy from January 2015 to January 2016. The clinical assessment was measured by The American Orthopedic Foot and Ankle Score (AOFAS), and radiologic assessment was determined by preoperative and postoperative hallux valgus angle (HVA) and intermetatarsal angle (IMA).

Results

The patients’ mean age was 56 years. Out of 20 patients, 19 were female, and one was male. The mean AOFAS improved from 51 preoperatively to 82 postoperatively. The HVA improved from 26° preoperatively to 14°. There were five complications including four Kirschner (K)-wire complications.

Conclusion

Distal chevron osteotomy is a reliable and time-tested procedure. The K-wire fixation has a relatively high complication rate. We planned to use other methods of fixation and then compared them with K-wires fixation results for future studies.



Want to read more?

Create a free account to continue reading this article.

Already a member? Login.



MN Baig

Orthopaedics, Galway University Hospital

For correspondence:
nouman142@gmail.com

Usman Baig

Medicine, Quaid-E-Azam Medical College, Bahawalpur.

Ali Tariq

Trauma & Orthopaedics, Galway University Hospital

Robert Din

Department of Orthopaedics, Poole Hospital, Poole, United Kingdom

MN Baig

Orthopaedics, Galway University Hospital

For correspondence:
nouman142@gmail.com

Usman Baig

Medicine, Quaid-E-Azam Medical College, Bahawalpur.

Ali Tariq

Trauma & Orthopaedics, Galway University Hospital

Robert Din

Department of Orthopaedics, Poole Hospital, Poole, United Kingdom