Liječnički vjesnik, Vol. 133 No. 1-2, 2011.
Original scientific paper
SURGICAL TREATMENT OF HALLUX VALGUS WITH NEW METHOD: OPERATIVE TECHNIQUE AND REVIEW OF 100 CASES
Ivica Lucijanić
Goran Bićanić
Tatjana Cicvara Pećina
Marko Pećina
Abstract
We present the operative technique and treatment results for a new three-dimensional method for hallux valgus correction. Lucijanić procedure was developed at the Department of Orthopaedic Surgery, General Hospital Karlovac, where patients enrolled in this study were treated from 2001 to 2008. Clinical and radiological evaluation was performed in 100 cases with a mean follow-up of 4.5 years. Mean American Orthopaedic Foot and Ankle Society score improved from 48.56 preoperatively to 92.34 points postoperatively. Average recovery time and return to work was 7.7 weeks. Result was excellent or good in 93%, fair in 5% and poor in 2% of feet. On the average hallux valgus angle decreased from 29.7° to 9.3° and on the average intermetatarsal angle decreased from 12.5° to 5.2°. First metatarsal inclination angle on average increased 5.3°. First metatarsophalangeal joint congruence and tibial sesamoid position were corrected. The new method allows for correction of hallux valgus deformity in all three planes and for metatarsalgia attenuation
Keywords
Hallux valgus – surgery; Metatarsal bones – surgery; Osteotomy – methods; Treatment outcome
Hrčak ID:
171537
URI
Publication date:
28.2.2011.
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