HALLUKS VALGUS DEFORMİTESİNİN DÜZELTİLMESİ İÇİN UYGULANAN DİSTAL OBLİK METATARSAL OSTEOTOMİSİNİN KLİNİK SONUÇLARI

Amaç: Bu çalışmada halluks valgus deformitesinin düzeltilmesi için uygulanan distal oblik metatarsal osteotomisi (Wilson osteotomisi) ile elde edilen klinik sonuçların sunulması amaçlanmıştır.Gereç ve Yöntem: Kliniğimizde 2001-2010 yılları arasında hafif halluks valgus deformitesinin düzeltilmesi için Wilson osteotomisi uygulanan 48 hastaya (36 kadın, 12 erkek; ortalama yaş, 41±13.6 yıl) ait 48 ayak retrospektif olarak değerlendirilmiştir. Osteotominin klinik sonucunu değerlendirmek için halluks valgus açısı (HVA), intermetatarsal açısı (IMA), Amerikan Ortopedik Ayak ve Bilek Derneği (AOFAS) skoru, sesamoid pozisyonu, ilk metatarsofalanjeal eklem hareket aralığı ve ağrı için görsel analog skor (VAS) kullanıldı. Bulgular: Hastalar cerrahi sonrası 28.5±10.6 ay izlenmiştir. Preoperatif 26.6°±6.8° olan HVA, cerrahiden üç hafta sonra 7.3°±0.1°'ye düşmüştür (p

Clinical Outcome of Distal Oblique Metatarsal Osteotomy for Correction of Hallux Valgus Deformity

Objective: The aim of the study was to present the clinical results distal oblique metatarsal osteotomy (Wilson's osteotomy) for correction of hallux valgus deformity.Material and Methods: The clinical data of 48 feet of 48 patients (36 females, 12 males; mean age, 41±13.6 years) who underwent Wilson's osteotomy for correction of mild hallux valgus deformity between 20012010 in our clinic were retrospectively reviewed. The clinical outcome of the osteotomy was evaluated by hallux valgus angle (HVA), intermetatarsal angle (IMA), the American Orthopaedic Foot and Ankle Society (AOFAS) score, sesamoid position, range of first metatarsophalangeal joint motion, and visual analogue scale (VAS) score. Results: Patients were followed for 28.5±10.6 months after the surgery. HVA decreased significantly from preoperative 26.6°±6.8° to 7.3°±0.1° at three weeks after the operation (p

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