Mid to long term radiographic and clinical results of the Lindgren-Turan versus modified-Chevron osteotomies in the treatment of hallux valgus

林德格伦-图兰截骨术与改良V形截骨术治疗拇外翻的中长期放射学和临床结果

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Abstract

BACKGROUND: The purpose of this study is to evaluate and compare the clinical and radiological parametres of the distal Chevron and Lindgren-Turan osteotomy. It is hypothesized that functional and clinical scores would be similar in mid to long term results of these techniques. MATERIALS AND METHODS: This study was planned retrospectively and patients who underwent distal Chevron and Lingren-Turan osteotomy due to hallux valgus(HV) between February 2013 and December 2022 were reviewed from the hospital archives. During the study period, a total of 550 patients were operated due to HV. 146 patients met the inclusion criterias and were taken in the final analysis (89 who underwent the chevron osteotomy and 57 underwent the Lingren-Turan osteotomy). Radiological and clinical outcomes were evaulated at the last follow up. RESULTS: A total of 146 patients operated due to hallux valgus were (89 who underwent the chevron osteotomy and 57 underwent the Lingren-Turan osteotomy) were included in the present study. No statistically significant difference was observed between the groups (p > 0,05) in terms of demographic characteristics. In both groups, the HVA, IMA scores decreased and the AOFAS scores increased significantly postoperatively. The mean AOFAS scores improved significantly from preoperatively to postoperatively: from 67,96 to 85,9 in group 1, from 69,5 to 89,8 in group 2. The shortening of the first metatarsals and the amount of lateral displacement were found to be significant in both groups (p < 0,001), both lateral displacement and metatarsal shortening were found to be higher in the Turan group. CONCLUSION: In conclusion, evidence from this study has revealed that Chevron and Lindgren-Turan osteotomies are both effective and satisfactory procedures with similar mid to long term clinical and radiological results.

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