Halluks Valgus Cerrahisinde Distal Metatars Chevron Osteotomisinin Kilitli Plak ve İntramedüller Cihaz ile Tespitinin Karşılaştırılması: Retrospektif Bir Çalışma

Amaç: Yakın zamanda, distal metatars chevron osteotomisinin tespitinde kullanılmak üzere yeni bir intramedüller cihaz geliştirilmiştir. Çalışmamızın amacı halluks valgus cerrahisinde yapılan distal metatars chevron osteotomisinde, kilitli plak tespiti sonuçlarını intramedüller cihaz tespiti sonuçları ile karşılaştırmaktır. Gereç ve Yöntemler: Geriye dönük olarak, halluks valgus tedavisi için distal metatarsal chevron osteotomisi yapılmış ve kilitli plak veya intramedüller cihaz ile tespit edilmiş 29 hastanın 29 ayağı incelenmiştir. Kilitli plak ile tespit 14 hastada (14 ayakta) ve intramedüller cihaz tespit 15 hastada (15 ayakta) kullanılmıştır. Bulgular: Ortalama takip süresi 31 aydır (6–56). Kilitli plak ve intramedüller cihaz grupları arasında hastanın yaşı, ameliyat edilen taraf, ameliyat süresi, hastanede kalış süresi, takip süresi veya postop Amerikan Ortopedik Ayak ve Ayak Bileği Skoru (AOFAS) açısından anlamlı bir fark saptanmamıştır (p>0.05). Ameliyat sonrası dönemde halluks valgus açısı ve intermetatarsal açı ameliyat öncesi döneme göre her iki grupta da anlamlı bir şekilde azalmıştır (p0.05). Sonuç: Distal metatars chevron osteotomisinde hem kilitli plak hem de intramedüller cihaz tespitinin orta dereceli halluks valgusun cerrahi tedavisinde etkili olduğu bulunmuştur. Ancak hem kilitli plak hem de intramedüller cihaz tespitinin nispeten yüksek implant çıkarma oranları ile karakterize olduğu saptanmıştır.

LOCKING PLATE VERSUS INTRAMEDULLARY DEVICE FIXATION FOR THE DISTAL METATARSAL CHEVRON OSTEOTOMY IN HALLUX VALGUS: A RETROSPECTIVE STUDY

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

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