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International Orthopaedics

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01-09-2013 | Original Paper

Angular correction and complications of proximal first metatarsal osteotomies for hallux valgus deformity

Authors: Reinhard Schuh, Madeleine Willegger, Johannes Holinka, Robin Ristl, Reinhard Windhager, Axel H. Wanivenhaus

Published in: International Orthopaedics | Issue 9/2013

Abstract

Purpose

Proximal first metatarsal osteotomies are recommended for the surgical treatment of moderate to severe hallux valgus deformity. This study aimed to compare correction of intermetatarsal and hallux valgus angles and complications of proximal crescentic, Ludloff, proximal opening wedge, proximal closing wedge, proximal chevron and other proximal first metatarsal osteotomies.

Methods

A systematic search for the keywords “(bunion OR hallux) AND (proximal OR crescentic OR basilar OR opening OR closing OR shelf OR Ludloff) AND osteotomy” in the online databases MEDLINE, Embase, CINAHL, Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews was performed.

Results

There was a mean correction of hallux valgus angle of 20.1° [confidence interval (CI) 18.7–21.4] and of intermetatarsal angle of 8.1° (CI 7.7–8.9). The overall complication rate reached 18.7 %.

Conclusions

The results of this study reveal higher corrective power of proximal osteotomies compared to meta-analysis data on diaphyseal osteotomies.

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Title: Angular correction and complications of proximal first metatarsal osteotomies for hallux valgus deformity
Authors: Reinhard Schuh
Madeleine Willegger
Johannes Holinka
Robin Ristl
Reinhard Windhager
Axel H. Wanivenhaus
Publication date: 01-09-2013
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 9/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-013-2012-4

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Springer Medicine

Angular correction and complications of proximal first metatarsal osteotomies for hallux valgus deformity

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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