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2015 ; 10
(ä): 102
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Endolog technique for correction of hallux valgus: a prospective study of 30
patients with 4-year follow-up
#MMPMID26135394
Biz C
; Corradin M
; Petretta I
; Aldegheri R
J Orthop Surg Res
2015[Jul]; 10
(ä): 102
PMID26135394
show ga
BACKGROUND: Hallux valgus (HV) is a complex deformity of the forefoot altering
the kinematics of walking. Many different treatment alternatives exist for the
correction of hallux valgus, but to date, none has been shown to be more
effective than any other. The rate of complications following hallux valgus
surgery is variable and has been reported as ranging from 1 to 55 % in the
scientific literature. The purpose of this preliminary prospective study was to
evaluate the result of the Endolog device, an innovative titanium endomedullary
nail, for the treatment of HV. METHODS: Thirty patients with mild-to-severe HV
were treated with the Endolog device. Clinical evaluation was assessed
preoperatively, as well as at 3, 6, 12, 24, and 48 months after surgery with a
final follow-up at 4 years, using the American Orthopaedic Foot and Ankle Society
(AOFAS) hallux grading system. Computer-assisted measurement of weight-bearing
antero-posterior radiographs was taken preoperatively and postoperatively, as
well as at 3, 6, 12, 24, and 48 months after surgery. Non-weight-bearing
radiographs were taken before the patients were discharged. The radiological
parameters measured included the intermetatarsal angle (IMA), the hallux valgus
angle (HVA), the distal metatarsal articular angle (DMAA), and the tibial
sesamoid position. Statistical analysis was carried out using the paired t test
(p < 0.05). RESULTS: The mean AOFAS score was 93.98 points at the 48-month
follow-up. The postoperative radiographic assessments showed a statistically
significant improvement compared with preoperative values. The mean corrections
for each angular value at the last follow-up were as follows: IMA 5.95°; HVA
16.81°; DMAA 10.70°; and tibial sesamoid 1.36°. CONCLUSION: The Endolog is a safe
and effective technique for the correction of HV deformity, to relieve pain and
to preserve joint movement.
free
free
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