Item type:Thesis, Open Access

Vergleich zweier Operationsmethoden beim Hallux valgus- proximale keilförmige Metatarsale 1 Osteotomie vs. Großzehengrundgelenkarthrodese

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Date

2009-06-30

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Philipps-Universität Marburg
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Abstract

Between 1999 and 2001, 73 patients (79 feet) were treated with a proximal metatarsal wedge osteotomy or an arthrodesis of the first metatarsophalangeal joint. At an average follow-up of 23 months + 4 month, 2 men and 34 women (40 feet) treated by proximal osteotomy, and 6 men and 13 women (20 feet) treated by arthrodesis were retrospectively reviewed. The mean age was 58 years, patients satisfaction was exzellent or good in 82,5% after proximal wedge osteotomy and 80% after arthrodesis. In the osteotomy- group 72,5% felt no pain in their feet, in the arthrodesis- group 65%. The Hallux Metatarosphalangeal- Interphalangeal Scale Kitaoka- Score (total 100 points) average was 87 points after proximal wedge osteotomy and 78 points after arthrodesis. The average hallux valgus (HV) angle was reduced from 35,1° preoperatively to 15,9° postoperatively (proximal wedge osteotomy) and 36,5° preoperatively to 15,4° postoperatively (arthrodesis). The value for the intermetatarsal angle (IM) were 16,6° to 12° (osteotomy) and 13,7° to 7,6° (arthrodesis). Complications included 1 case of hypaesthesia (osteotomy) and in 3 cases a decrease of correction (osteotomy). The conclusion is that proximal wedge osteotomy and arthrodesis are effective in correction hallux valgus deformity. No correlation between the preoperative hallux valgus angle and Kitaoka- Score value was found.

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Dates
Created: 2009Issued: 2009-06-30Updated: 2011-08-10
DOI
https://doi.org/10.17192/z2009.0409
Faculty
Medizin
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
Keywords
Hallux valgusVergleichGroßzehengrundgelenksarthrodeseComparisonOperationsmethodenArthrodesisProximal metatarsal wedge osteotomyProximale keilförmige Metatarsale 1 OsteotomieHallux valgus
DFG-subjects
Osteotomie
DDC-Numbers
610
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https://rightsstatements.org/vocab/InC-NC/1.0/
URI
https://open.uni-marburg.de/handle/10.17192/z2009.0409
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Helmer, Anke: Vergleich zweier Operationsmethoden beim Hallux valgus- proximale keilförmige Metatarsale 1 Osteotomie vs. Großzehengrundgelenkarthrodese. : Philipps-Universität Marburg 2009-06-30. DOI: https://doi.org/10.17192/z2009.0409.

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This item has been published with the following license: In Copyright