Turkish Journal of Geriatrics 2015 , Vol 18, Issue 1
RESULTS OF COMBINED CHEVRON OSTEOTOMY AND FIRST PROXIMAL PHALANGEAL CLOSE-UP OSTEOTOMY WITHOUT SOFT TISSUE PROCEDURE WITH SEVERE HALLUX VALGUS IN PATIENTS AGED OVER 60 YEARS OF AGE
Melih MALKOÇ, Özgür KORKMAZ, Adnan KARA, İsmail OLTULU, Ali ŞEKER
Ä°stanbul Medipol University, Faculty of Medicine, Department of Orthopedics and Traumatology, Ä°STANBUL Introduction: Hallux valgus is associated with a medial deviation of the first metatarsal and subluxation or dislocation of the first metatarsophalangeal joint. This deformity is one of the most common chronic foot complaints, with a prevalence of up to 35.7% in elderly patients. In the present study, we examined 23 feet of 15 patients with severe hallux valgus deformity between April 2008 and December 2013.

Materials and Method: The inclusion criteria were age and severe hallux valgus angle and intermetatarsal angle. Patients who had any other foot deformities, were younger than 60 years, were subjected to inadequate follow-up, had moderate and mild hallux valgus angle and intermetatarsal angle, or underwent any type of prior surgery were excluded from the study.

Results: The mean preoperative hallux valgus angle and intermetatarsal angle were 46.86°(range 45°–51°) and 17.6° (range 13°–21°), respectively. The postoperative corrections achieved by chevron osteotomy and first proximal phalangeal osteotomy for hallux valgus angle and intermetatarsal angle were 21.6° (range 19°–24°) and 12.6° (range 11°–14°), respectively (p < 0.05).The mean American Orthopaedic Foot and Ankle Society hallux score improved from 35.8 (range 31–38) to 89.8 (range 87–94) (p<0.05).

Conclusion: Although most studies recommend chevron osteotomy only for patients younger than 50 years of age, we did not impose an age limit in our study. Keywords : Hallux Valgus; Metatarsophalangeal Joint; Osteotomy