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Chevron osteotomy for hallux valgus.

K A Johnson, R H Cofield, B F Morrey

    Clinical Orthopaedics and Related Research
    |July 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    The chevron osteotomy effectively corrects moderate hallux valgus by realigning the first metatarsal, reducing pain, and improving foot appearance. This surgical technique offers stable, technically straightforward correction with high patient satisfaction.

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    Area of Science:

    • Orthopedic surgery
    • Podiatric surgery
    • Foot and ankle reconstruction

    Background:

    • Metatarsus primus varus deformity is a common cause of hallux valgus.
    • Surgical correction is often necessary to alleviate pain and improve function.
    • The chevron osteotomy is a widely used procedure for first metatarsal realignment.

    Purpose of the Study:

    • To evaluate the long-term outcomes of the chevron osteotomy for metatarsus primus varus.
    • To assess pain relief, cosmetic correction, and patient satisfaction.
    • To analyze radiographic changes following the procedure.

    Main Methods:

    • Retrospective review of 26 feet (18 patients) treated with chevron osteotomy since 1976.
    • Clinical follow-up for pain, cosmesis, and patient satisfaction.

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  • Radiographic analysis of first metatarsophalangeal angle and intermetatarsal angle.

    • Main Results:

    • Excellent pain relief and good cosmetic correction reported by patients.
    • Significant reduction in the first metatarsophalangeal angle and intermetatarsal angle.
    • High overall patient satisfaction with the surgical outcome.

    Conclusions:

    • The chevron osteotomy is a stable and technically facile procedure for correcting moderate hallux valgus.
    • It provides reliable pain relief, aesthetic improvement, and patient satisfaction.
    • The absence of secondary complications like transfer metatarsalgia supports its use.