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Proximal Oblique Crescentic Osteotomy in Hallux Valgus

^* Department of Orthopaedics and Traumatology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey.

Corresponding author: Ozcan Pehlivan, MD, Ilyas Bey Caddesi, No. 49/51, D.5, 34310 Yedikule, Istanbul, Turkey.

Abstract

Twenty-six patients with moderate-to-severe hallux valgus deformities were evaluated before and after treatment. All of the patients had incongruent great toe joints. The patients underwent modified proximal crescentic osteotomy, which was termed proximal oblique crescentic osteotomy. The results were evaluated at an average follow-up time of 55 weeks. Objective criteria were hallux valgus angle, intermetatarsal angle, shortening of the first metatarsal, and angulation at the osteotomy site. Clinical evaluation was made according to the rating system of the American Orthopaedic Foot and Ankle Society. The mean correction of the hallux valgus and intermetatarsal angles was 22.1° and 9.9°, respectively. Short-term results indicate that proximal oblique crescentic osteotomy is effective in the treatment of hallux valgus; its advantages over other procedures include its technical ease and low rate of complications. (J Am Podiatr Med Assoc 94(1): 43-46, 2004)