Proximal Metatarsal Medial Opening Wedge Osteotomy Fixed by Plate and Screws in Correction of Hallux Valgus
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 15
- 主要终点
- The American Orthopedic Foot and Ankle Society hallux-metatarsophalangeal-interphalangeal scale (AOFAS scale).
研究概览
简要总结
The outcomes of the correction of hallux valgus by proximal opening wedge osteotomy
详细描述
Hallux valgus is a common cause of foot pain and deformity in the adult and adolescent population, which often requires surgical treatment when nonsurgical treatments fail.
During the past decades, multiple modified procedures and fixation techniques have been described.
The most common types of osteotomies of the first metatarsal are crescentic, chevron, scarf and lateral or medial opening wedge techniques.
A concern with the Chevron and other distal osteotomies is the development of avascular necrosis of the first metatarsal head with a reported incidence of between 0% and 20%.
On the other side, the proximal dome osteotomy along with a distal soft tissue release is an excellent procedure. The proximal location of the osteotomy avoids devascularization of the metatarsal head, and the crescent shape maintains the length of the metatarsal. It allows a high degree of correction at the intermetatarsal angle in severe deformities.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Crossover
- 时间视角
- Prospective
入排标准
- 年龄范围
- 15 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •all admitted patients to Assiut University Hospitals.
- •age group of 15 years old and above.
- •Moderate and severe degrees of hallux valgus.
排除标准
- •age group below 15 years old.
- •patient who refuse to participate in the study.
结局指标
主要结局
The American Orthopedic Foot and Ankle Society hallux-metatarsophalangeal-interphalangeal scale (AOFAS scale).
时间窗: baseline
Pain-Function-Alignment
次要结局
- Post operative radiographic changes in standing AP view foot and standing lateral view foot.(Baseline)
研究者
Abdulrahman Mahdi Hussein Mohamed
Resident
Assiut University