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Radiographic Outcomes of Hallux Valgus Deformity Correction With Chevron and Scarf Osteotomies

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cris.virtual.author-orcid0000-0002-4644-0111
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cris.virtualsource.author-orcidd3aa317f-f6c6-43ef-a508-ee305375c7c4
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cris.virtualsource.author-orcid#PLACEHOLDER_PARENT_METADATA_VALUE#
dc.abstract.enThere is no gold standard in the treatment of hallux valgus deformity. The purpose of our study was to compare various aspects of radiographic assessment following scarf and chevron osteotomies and try to determine which technique helps achieve a more pronounced intermetatarsal angle (IMA) and hallux valgus angle (HVA) correction and produces lower rates of complications, including adjacent-joint arthritis. This study included patients who underwent hallux valgus correction with the scarf (n = 32) or chevron (n = 181) method with a follow-up period of over 3 years. We evaluated the following parameters: HVA, IMA, duration of hospital stay, complications, development of adjacent-joint arthritis. The scarf technique helped achieve a mean HVA and IMA correction of 18.3° and 3.6°, respectively, and the chevron technique helped achieve a mean correction of 13.1° and 3.7°, respectively. The achieved deformity correction in terms of both the HVA and IMA was statistically significant in both patient groups. The loss of correction assessed with the HVA was statistically significant only in the chevron group. Neither group showed a statistically significant loss of IMA correction. The duration of hospital stay, reoperation rates, and fixation instability rates were comparable in the 2 groups. Neither of the evaluated methods caused a significant increase in total arthritis scores in the evaluated joints. Our study showed good outcomes of hallux valgus deformity correction in both evaluated groups; however, scarf osteotomy yielded somewhat better radiographic outcomes in HVA correction and no loss of HVA correction at 3.5 years of follow-up.
dc.affiliationWydział Nauk o Żywności i Żywieniu
dc.affiliation.instituteKatedra Zarządzania Jakością i Bezpieczeństwem Żywności
dc.contributor.authorKuliński, Patryk
dc.contributor.authorTomczyk, Łukasz
dc.contributor.authorPawik, Łukasz
dc.contributor.authorOlech, Jarosław
dc.contributor.authorMorasiewicz, Piotr
dc.date.accessioned2024-09-11T12:20:18Z
dc.date.available2024-09-11T12:20:18Z
dc.date.issued2023
dc.description.bibliographyil., bibliogr.
dc.description.financepublication_nocost
dc.description.financecost0,00
dc.description.if1,3
dc.description.number4
dc.description.points70
dc.description.reviewreview
dc.description.volume62
dc.identifier.doi10.1053/j.jfas.2023.02.007
dc.identifier.eissn1542-2224
dc.identifier.issn1067-2516
dc.identifier.urihttps://sciencerep.up.poznan.pl/handle/item/1738
dc.languageen
dc.relation.ispartofJournal of Foot and Ankle Surgery
dc.relation.pages676-682
dc.rightsClosedAccess
dc.sciencecloudsend
dc.subject.enadjacent-joint arthritis
dc.subject.enhallux valgus angle
dc.subject.enintermetatarsal angle
dc.titleRadiographic Outcomes of Hallux Valgus Deformity Correction With Chevron and Scarf Osteotomies
dc.typeJournalArticle
dspace.entity.typePublication
oaire.citation.issue4
oaire.citation.volume62