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Hallux valgus: soft tissue procedure versus bony procedure

C Y Hsu1, Y M Cheng, C L Law

  • 1Department of Orthopaedics, Kaohsiung Medical College, Taiwan, Republic of China.

Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|November 1, 1994
PubMed
Summary

The Mitchell metatarsal osteotomy offers more stable, long-term results for hallux valgus correction than the McBride soft tissue procedure, with a lower recurrence rate and better patient satisfaction.

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Area of Science:

  • Orthopedic Surgery
  • Podiatry
  • Skeletal Biomechanics

Background:

  • Hallux valgus is a prevalent forefoot deformity.
  • Surgical intervention is common for symptomatic cases.

Purpose of the Study:

  • To compare the long-term efficacy and outcomes of the McBride soft tissue procedure versus the Mitchell metatarsal osteotomy for hallux valgus correction.

Main Methods:

  • Retrospective analysis of 49 feet (33 patients) undergoing surgery between 1987-1992.
  • Comparison of McBride's procedure (20 feet) and Mitchell osteotomy (29 feet) based on clinical outcomes and radiographic measurements.

Main Results:

  • Both procedures effectively corrected immediate post-operative metatarsophalangeal (MP) and intermetatarsal (IM) angles.

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  • The Mitchell group reported higher patient satisfaction (95%) versus the McBride group (87.5%).
  • The McBride group exhibited a significantly higher hallux valgus recurrence rate (P < 0.05).

    • Conclusions:

    • The Mitchell bony procedure provides more stable and satisfactory long-term results for moderate hallux valgus compared to the McBride soft tissue procedure.
    • Modified Mitchell osteotomy is associated with less invasiveness, easier performance, and better long-term outcomes.