Foot and Ankle Surgery
Volume 16, Issue 3 , Pages 126-131, September 2010

Correction of severe hallux valgus using a basal chevron osteotomy and distal soft tissue release

  • Turlough O’Donnell, MB FRCS (Orth and Trauma)

      Affiliations

    • The National Orthopaedic Hospital, 57 Stillorgan Heath, Stillorgan, Co. Dublin, Ireland
    • Corresponding Author InformationCorresponding author. Tel.: +353 14846106/872481395.
    • ,
  • Niall Hogan, MB MSc FRCS (Orth and Trauma)

      Affiliations

    • Mount St. Annes, Milltown, Dublin 6, Ireland
    • ,
  • Matthew Solan, MB MCh FRCS (Orth and Trauma)

      Affiliations

    • The Royal Surrey County Hospital, Guildford, Surrey GU2 7XX, United Kingdom
    • ,
  • Michael M. Stephens, MB MSc FRCS (Orth and Trauma)

      Affiliations

    • The National Orthopaedic Hospital, Cappagh, Finglas, Dublin 11, Ireland
    • University College Dublin, Dublin 4, Ireland

Received 19 February 2009; received in revised form 5 August 2009; accepted 15 August 2009.

Abstract 

Background

There are many procedures described for the correction of severe hallux valgus. This is the first to examine the role of a basal osteotomy with distal soft tissue release.

Methods

26 patients with severe hallux valgus underwent a basal chevron osteotomy with distal soft tissue release. All were reviewed at an average of 38 months.

Results

The mean AOFAS score improved from 24 to 82 points (p<0.001). The IMA improved from an average of 23.90 to 130 (p<0.01). The HVA improved from an average of 490 to 170 (p<0.005). The correlation coefficient between the AOFAS score and various radiological angles was low (0.47).

Conclusions

Good clinical outcomes in cases of severe hallux valgus can be achieved without full restoration of normal radiological values. Furthermore, a basal chevron osteotomy with a distal soft tissue release offers a high satisfaction rating with regards to both clinical and functional outcomes in the short to medium-term.

Level of evidence

Level IV – Case series.

Keywords: AOFAS, Basal chevron osteotomy, Hallux valgus, Intermetatarsal angle

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PII: S1268-7731(09)00104-0

doi:10.1016/j.fas.2009.08.002

Foot and Ankle Surgery
Volume 16, Issue 3 , Pages 126-131, September 2010

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