. - p. 53-58
Titre : | Youngswick–Austin versus distal oblique osteotomy for the treatment of Hallux Rigidus |
Type de document : | article de périodique |
Auteurs : | Luca Sodano, Auteur ; [et al.], Auteur |
Année de publication : | 2017 |
Article en page(s) : | p. 53-58 |
Langues : | Anglais (eng) |
Descripteurs (mots clés) : | [Thésaurus Mesh]Hallux rigidus [Thésaurus Mesh]Ostéotomie [Thésaurus Mesh]Thérapeutique
|
Mots-clés : | Hallux rigidus Distal oblique osteotomy Youngswick-austin osteotomy Prospective study |
Résumé : | Background: Hallux Rigidus is the most common degenerative joint pathology of the foot. Several procedures are
described for the management of this deformity. In this prospective study we compared Youngswick-Austin and
distal oblique osteotomy in the treatment of grade II Hallux Rigidus, in terms of clinical outcomes, efficacy and
complications.
Material and methods: Forty-six patients (50 feet) with moderate Hallux Rigidus (Regnauld grade II) were recruited
and operated between March 2009 and December 2012. Surgical technique was Youngswick-Austin
osteotomy (Group A) or distal oblique osteotomy (Group B).
Results: Mean follow-up was 42.7 ± 12.2 (range, 24-70) months. Both groups achieved significant improvement
of AOFAS score and first metatarsophalangeal joint range of motion (p value < .05). The mean AOFAS score
improved from a preoperative score of 44.1 ± 11.8 to 89.2 ± 9.4 (24 months) in Group A and from 40.9 ± 11.3
to 89.5 ± 7.2 (24 months) in Group B. At 24 months, the average improvement of first metatarsophalangeal joint
range of motion was 20.9° in Group A and 22.4° in Group B. The postoperative AOFAS score and joint range of
motion were comparable in both groups.
Discussion: For this specific patient population Youngswick-Austin and distal oblique osteotomies provides
subjective patient improvement and increases the first metatarsophalangeal joint range of motion. The results of
grade II Hallux Rigidus treatment were comparable when using a Youngswick-Austin or distal oblique osteotomy |
Permalink : | https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= |