Abstract:Objective To investigate the effect of hallux valgus deformity correction with tibial sesamoid suspension reduction on imaging and clinical outcome,and to evaluate its safety and complications.Methods From January 2016 to December 2017,30 patients who underwent hallux valgus correction surgery with sesamoid dislocation in our hospital were included in group A.All of them accepted osteotomy,lateral soft tissue release and tibial sesamoid suspension reduction.Another 30 cases who underwent osteotomy and lateral soft tissue release in our department from January 2016 to December 2017 were included in B group.All cases were treated with Scarf osteotomy (combined with Akin osteotomy if necessary).After follow-up,HVA,1~2 IMA,DMAA and the tibial sesamoid position (TSP) were measured on imaging,and the clinical outcome was evaluated with the AOFAS.Results Two groups of the patients were followed up for 6-26 months,the average follow-up time was (14.1±5.34)months.There was no significant difference in the correction effect of HVA,1~2 IMA and DMAA between the two groups preopertion and post-operation (P>0.05).The correction degree of TSP and AOFAS score in the A group was significantly better than that in the control group (P<0.05).Conclusion In hallux valgus surgery,tibial sesamoid suspension reduction can obviously correct the position of sesamoid and improve the clinical outcome,but there is no effect on HVA,1~2 IMA and DMAA.
[1]Nix S,Smith M,Vicenzino B.Prevalence of hallux valgus in the general population:a systematic review and meta-analysis[J].J Foot Ankle Res,2010,3(1):21-29.
[2]Allen DM,Nunley JA.Measurement of the first/second intermetatarsal angle following proximal oblique metatarsal osteotomy[J].Foot Ankle Int,2002,23(1):64-67.
[3]Aminian A,Kelikian A,Moen T.Scarf osteotomy for hallux valgus deformity:an intermediate follow-up of clinical and radiographic outcomes[J].Foot Ankle Int,2006,27(11):883-886.
[4]Easley ME,Kiebzak GM,Davis WH,et al.Prospective,randomized comparison of proximal crescentic and proximal chevron osteotomies for correction of hallux valgus deformity[J].Foot Ankle Int,1996;17(6):307-316.
[5]Easley ME,Trnka HJ.Current concepts review:hallux valgus part Ⅱ:operative treatment[J].Foot Ankle Int,2007,28(6):748-758.
[6]Huang EH,Charlton TP,Ajayi S,et al.Effect of various hallux valgus reconstruction on sesamoid location:a radiographic study[J].Foot Ankle Int,2013,34(1):99-103.
[7]Geng X,Zhang C,Ma X,et al.Lateral sesamoid position relative to the second metatarsal in feet with and without hallux valgus:a prospective study[J].J Foot Ankle Surg,2015,55(1):136-139.
[8]Smith RW,Reynolds JC,Stewart MJ.Hallux valgus assessment:report of research committee of american orthopaedic foot and ankle society[J].Foot Ankle Int,1984,5(2):92-103.
[9]Mcbryde AM,Anderson RB.Sesamoid foot problems in the athlete[J].Clinics Sports Medicine,1988,7(1):51-60.
[10]Saragas NP,Becker PJ.Comparative radiographic analysis of parameters in feet with and without hallux valgus[J].Foot Ankle Int.1995,16(3):139-143.
[11]Woo K,Yu IS,Kim JH,et al.Effect of lateral soft tissue release on sesamoid position in hallux valgus surgery[J].Foot Ankle Int,2015,36(12):1463-1468.
[12]Chen JY,Rikhraj K,Gatot C,et al.Tibial sesamoid position influence on functional outcome and satisfaction after hallux valgus surgery[J].Foot Ankle Int,2016,37(11):1178-1182.
[13]Yildirim Y,Cabukoglu C,Bülent E,et al.Effect of metatarsophalangeal joint position on the reliability of the tangential sesamoid view in determining sesamoid position[J].Foot Ankle Int,2005,26(3):247-250.
[14]Wooster M,Davies B,Catanzariti A.Effect of sesamoid position on long-term results of hallux abducto valgus surgery[J].J Foot Surg,1990,29(6):543-550.
[15]靳文阔,孙军锁,王铁涛.Scarf截骨联合远端软组织松解术治疗中重度足母外翻[J].实用骨科杂志,2017,23(5):413-415.
[16]Lamo-Espinosa JM,Flórez B,Villas C,et al.The relationship between the sesamoid complex and the first metatarsal after hallux valgus surgery without lateral soft-tissue release:a prospective study[J].J Foot Ankle Surg,2015,54(6):1111-1115.
[17]Lin I,Bonar SK,Anderson RB,et al.Distal soft tissue release using direct and indirect approaches:an anatomic study[J].Foot Ankle Int,1996,17(8):458-463.
[18]张亮,吴院学,周磊,等.Lapidus手术治疗足母外翻的疗效分析[J].实用骨科杂志,2020,26(4):372-375.