Comparison of the proximal chevron and Ludloff osteotomies for the correction of hallux valgus

Woo Jin Choi, Han Kook Yoon, Hang Seob Yoon, Bom Soo Kim, jinwoo lee

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background: Although several studies have described good results of proximal chevron and Ludloff osteotomies, there have been no studies comparing the results of these two techniques at a single institution. Materials and Methods: We consecutively evaluated 46 patients who underwent proximal chevron osteotomies and 52 patients who underwent Ludloff osteotomies. Patients were evaluated by preoperative and postoperative weight bearing radiographs and the American Orthopaedic Foot and Ankle Society (AOFAS) halluxMP score. Results: Both groups had similarly high AOFAS scores and good correction by radiographic parameters. No statistically significant differences were found with respect to correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) between the two groups. Significant shortening of the first metatarsal was found after Ludloff osteotomy (p < 0.05). At 6 weeks after surgery, the pain subscore was significantly lower in the proximal chevron group than in the Ludloff group (p < 0.05). Conclusions: The proximal chevron and Ludloff osteotomies yielded equivalent clinical and radiological results. The Ludloff osteotomy with lag screw fixation is more stable and does not require postoperative hardware removal, although it is technically demanding and has a tendency toward greater shortening of the first metatarsal.

Original languageEnglish
Pages (from-to)1154-1160
Number of pages7
JournalFoot and Ankle International
Volume30
Issue number12
DOIs
Publication statusPublished - 2009 Dec 1

Fingerprint

Hallux Valgus
Osteotomy
Metatarsal Bones
Ankle
Orthopedics
Foot
Weight-Bearing
Pain

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Choi, Woo Jin ; Yoon, Han Kook ; Yoon, Hang Seob ; Kim, Bom Soo ; lee, jinwoo. / Comparison of the proximal chevron and Ludloff osteotomies for the correction of hallux valgus. In: Foot and Ankle International. 2009 ; Vol. 30, No. 12. pp. 1154-1160.
@article{e6c554b3a2a047d396e6b0bca8baa6bd,
title = "Comparison of the proximal chevron and Ludloff osteotomies for the correction of hallux valgus",
abstract = "Background: Although several studies have described good results of proximal chevron and Ludloff osteotomies, there have been no studies comparing the results of these two techniques at a single institution. Materials and Methods: We consecutively evaluated 46 patients who underwent proximal chevron osteotomies and 52 patients who underwent Ludloff osteotomies. Patients were evaluated by preoperative and postoperative weight bearing radiographs and the American Orthopaedic Foot and Ankle Society (AOFAS) halluxMP score. Results: Both groups had similarly high AOFAS scores and good correction by radiographic parameters. No statistically significant differences were found with respect to correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) between the two groups. Significant shortening of the first metatarsal was found after Ludloff osteotomy (p < 0.05). At 6 weeks after surgery, the pain subscore was significantly lower in the proximal chevron group than in the Ludloff group (p < 0.05). Conclusions: The proximal chevron and Ludloff osteotomies yielded equivalent clinical and radiological results. The Ludloff osteotomy with lag screw fixation is more stable and does not require postoperative hardware removal, although it is technically demanding and has a tendency toward greater shortening of the first metatarsal.",
author = "Choi, {Woo Jin} and Yoon, {Han Kook} and Yoon, {Hang Seob} and Kim, {Bom Soo} and jinwoo lee",
year = "2009",
month = "12",
day = "1",
doi = "10.3113/FAI.2009.1154",
language = "English",
volume = "30",
pages = "1154--1160",
journal = "Foot and Ankle International",
issn = "1071-1007",
publisher = "AOFAS - American Orthopaedic Foot and Ankle Society",
number = "12",

}

Comparison of the proximal chevron and Ludloff osteotomies for the correction of hallux valgus. / Choi, Woo Jin; Yoon, Han Kook; Yoon, Hang Seob; Kim, Bom Soo; lee, jinwoo.

In: Foot and Ankle International, Vol. 30, No. 12, 01.12.2009, p. 1154-1160.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Comparison of the proximal chevron and Ludloff osteotomies for the correction of hallux valgus

AU - Choi, Woo Jin

AU - Yoon, Han Kook

AU - Yoon, Hang Seob

AU - Kim, Bom Soo

AU - lee, jinwoo

PY - 2009/12/1

Y1 - 2009/12/1

N2 - Background: Although several studies have described good results of proximal chevron and Ludloff osteotomies, there have been no studies comparing the results of these two techniques at a single institution. Materials and Methods: We consecutively evaluated 46 patients who underwent proximal chevron osteotomies and 52 patients who underwent Ludloff osteotomies. Patients were evaluated by preoperative and postoperative weight bearing radiographs and the American Orthopaedic Foot and Ankle Society (AOFAS) halluxMP score. Results: Both groups had similarly high AOFAS scores and good correction by radiographic parameters. No statistically significant differences were found with respect to correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) between the two groups. Significant shortening of the first metatarsal was found after Ludloff osteotomy (p < 0.05). At 6 weeks after surgery, the pain subscore was significantly lower in the proximal chevron group than in the Ludloff group (p < 0.05). Conclusions: The proximal chevron and Ludloff osteotomies yielded equivalent clinical and radiological results. The Ludloff osteotomy with lag screw fixation is more stable and does not require postoperative hardware removal, although it is technically demanding and has a tendency toward greater shortening of the first metatarsal.

AB - Background: Although several studies have described good results of proximal chevron and Ludloff osteotomies, there have been no studies comparing the results of these two techniques at a single institution. Materials and Methods: We consecutively evaluated 46 patients who underwent proximal chevron osteotomies and 52 patients who underwent Ludloff osteotomies. Patients were evaluated by preoperative and postoperative weight bearing radiographs and the American Orthopaedic Foot and Ankle Society (AOFAS) halluxMP score. Results: Both groups had similarly high AOFAS scores and good correction by radiographic parameters. No statistically significant differences were found with respect to correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) between the two groups. Significant shortening of the first metatarsal was found after Ludloff osteotomy (p < 0.05). At 6 weeks after surgery, the pain subscore was significantly lower in the proximal chevron group than in the Ludloff group (p < 0.05). Conclusions: The proximal chevron and Ludloff osteotomies yielded equivalent clinical and radiological results. The Ludloff osteotomy with lag screw fixation is more stable and does not require postoperative hardware removal, although it is technically demanding and has a tendency toward greater shortening of the first metatarsal.

UR - http://www.scopus.com/inward/record.url?scp=73449110157&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=73449110157&partnerID=8YFLogxK

U2 - 10.3113/FAI.2009.1154

DO - 10.3113/FAI.2009.1154

M3 - Article

VL - 30

SP - 1154

EP - 1160

JO - Foot and Ankle International

JF - Foot and Ankle International

SN - 1071-1007

IS - 12

ER -