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• W2051866668 abstract "This is a retrospective study of 10 patients (13 feet) with moderate to severe hallux valgus who underwent a chevron or modified chevron osteotomy with multiple adjunctive soft-tissue releases for surgical treatment. Radiographic and subjective results were evaluated with an average follow-up of 24 months (range, 10–41). Preoperative criteria included an intermetatarsal (IM) angle of greater than 16° (average of 18.4°) and painful hallux valgus deformity. Average preop hallux abductus was 35.4° (range, 25°-48°). The average reduction in the actual IM angle was (–) 5.2° with a relative IM correction of (–) 11.6°. Average postoperative hallux abductus angle was 7.0° (range, 0°–22°). Subjectively, all patients were satisfied with their results and stated they would have the procedure again. No complications were noted in this patient population, including, infection, avascular necrosis, hallux varus, and recurrence of deformity. The chevron osteotomy was found to be successful in this population with high intermetatarsal angles when appropriate consideration was given to correction of soft-tissue-deforming forces and contractures. This is a retrospective study of 10 patients (13 feet) with moderate to severe hallux valgus who underwent a chevron or modified chevron osteotomy with multiple adjunctive soft-tissue releases for surgical treatment. Radiographic and subjective results were evaluated with an average follow-up of 24 months (range, 10–41). Preoperative criteria included an intermetatarsal (IM) angle of greater than 16° (average of 18.4°) and painful hallux valgus deformity. Average preop hallux abductus was 35.4° (range, 25°-48°). The average reduction in the actual IM angle was (–) 5.2° with a relative IM correction of (–) 11.6°. Average postoperative hallux abductus angle was 7.0° (range, 0°–22°). Subjectively, all patients were satisfied with their results and stated they would have the procedure again. No complications were noted in this patient population, including, infection, avascular necrosis, hallux varus, and recurrence of deformity. The chevron osteotomy was found to be successful in this population with high intermetatarsal angles when appropriate consideration was given to correction of soft-tissue-deforming forces and contractures." @default.
• W2051866668 created "2016-06-24" @default.
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• W2051866668 date "1998-11-01" @default.
• W2051866668 modified "2023-09-27" @default.
• W2051866668 title "Application of distal metaphyseal osteotomy for treatment of high intermetatarsal angle bunion deformities" @default.
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• W2051866668 doi "https://doi.org/10.1016/s1067-2516(98)80025-2" @default.
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