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Plate fixation for proximal chevron osteotomy has greater risk for hallux valgus recurrence than Kirschner wire fixation

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Abstract

Purpose

The purpose of this study was to compare the results of hallux valgus surgery between feet fixed with Kirschner wires and those fixed with a plate and screws.

Methods

Between December 2008 and November 2009, 53 patients (62 feet) were treated with proximal chevron osteotomy and distal soft tissue procedure for symptomatic moderate to severe hallux valgus deformity. Thirty-four patients (41 feet) were stabilised with Kirschner wires (K-wire group) and 19 patients (21 feet) were stabilised with a locking plate (plate group). Clinical results were assessed using American Orthopaedic Foot and Ankle Society (AOFAS) score. Radiographic parameters were compared between these groups. Recurrence rate at the last follow-up was compared between the K-wire and plate groups.

Results

Mean AOFAS score was lower in the plate group, however, the difference between the groups was not statistically significant in AOFAS score at the last follow-up. Hallux valgus angle and intermetatarsal angle were significantly larger in the plate group at the last follow-up. Mean 1–2 metatarsal (MT) distance on immediately postoperative radiographs was significant larger in the plate group. Four (9.8 %) of the 41 feet in the K-wire group and 7 (33.3 %) of the 21 feet in the plate group showed hallux valgus recurrence at the last follow-up. The plate group had a significantly higher risk of recurrence than the K-wire group.

Conclusions

Fixation of proximal chevron osteotomy using a plate and screws has a greater risk of hallux valgus recurrence than fixation using Kirschner wires.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Yeungnam University Hospital, Daegu, South Korea

    Chul-Hyun Park

  2. Department of Orthopaedic Surgery, Asan Medical Center, Ulsan University, Seoul, South Korea

    Ji-Yong Ahn

  3. Department of Orthopaedic Surgery, Sanbon Hospital, Wonkwang University, Gunpo, South Korea

    Yu-Mi Kim

  4. Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University, Seoul, South Korea

    Woo-Chun Lee

Authors
  1. Chul-Hyun Park
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  2. Ji-Yong Ahn
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  3. Yu-Mi Kim
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  4. Woo-Chun Lee
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Correspondence to Woo-Chun Lee.

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Park, CH., Ahn, JY., Kim, YM. et al. Plate fixation for proximal chevron osteotomy has greater risk for hallux valgus recurrence than Kirschner wire fixation. International Orthopaedics (SICOT) 37, 1085–1092 (2013). https://doi.org/10.1007/s00264-013-1822-8

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  • DOI: https://doi.org/10.1007/s00264-013-1822-8

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