LOCKING PLATE VERSUS INTRAMEDULLARY DEVICE FIXATION FOR THE DISTAL METATARSAL CHEVRON OSTEOTOMY IN HALLUX VALGUS: A RETROSPECTIVE STUDY
Küçük Resim Yok
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Recently, an innovative intramedullary device wasintroduced for the fixation of the capital fragment in the distalmetatarsal chevron osteotomy. The aim of the present study wasto compare the outcomes of locking plate and intramedullarydevice fixation in the distal metatarsal chevron osteotomy in thesurgical treatment of hallux valgus.Material and Methods: We reviewed 29 patients (29 feet)treated with distal metatarsal chevron osteotomies fixated bylocking plate or intramedullary device for hallux valgus.Locking plate fixation were used for 14 patients (14 feet) andintramedullary device fixation were used for 15 patients (15feet).Results: The mean follow-up period was 31 (6–56) months. Thelocking plate and intramedullary device groups did not differsignificantly with respect to age, affected side, surgical time,duration of hospital stay, follow – up period or postoperativeAmerican Orthopedic Foot and Ankle Society scores (p>0.05).The hallux valgus angle and the intermetatarsal angle decreasedsignificantly in both the locking plate and the intramedullarydevice groups (p<0.01). Two patients (14.3%) in the lockingplate group and 5 patients (33.3%) in the intramedullary devicegroup had implant removal surgery because of implant irritationbut the difference in implant removal rates were not statisticallysignificant.Conclusion: We found both locking plate and intramedullarydevice fixation methods were effective in the fixation of distalmetatarsal chevron osteotomy for correction of moderate halluxvalgus. However, both locking plate and intramedullary devicefixation methods were associated with a relatively high implantremoval rate.
Açıklama
Anahtar Kelimeler
Ortopedi
Kaynak
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
21
Sayı
3
