Comparison of Two Different Approaches to Treat a Hallux Valgus Deformity: Intramedullary Self-Locked Plates and Herbert Screws

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dc.authoridKaraduman, Zekeriya Okan / 0000-0002-6719-3666
dc.authoridturhan, yalcin / 0000-0002-1440-9566
dc.authoridTURHAL, OZAN / 0000-0002-1514-5574
dc.authoridARICAN, MEHMET / 0000-0002-0649-2339
dc.authorwosidARICAN, MEHMET / AAD-2463-2020
dc.authorwosidKaraduman, Zekeriya Okan / AAD-6650-2020
dc.contributor.authorKaraduman, Zekeriya Okan
dc.contributor.authorTurhal, Ozan
dc.contributor.authorTurhan, Yalcin
dc.contributor.authorArican, Mehmet
dc.contributor.authorGuler, Cemal
dc.contributor.authorCangur, Sengul
dc.date.accessioned2021-11-01T15:02:55Z
dc.date.available2021-11-01T15:02:55Z
dc.date.issued2019
dc.department[Belirlenecek]
dc.description.abstractBackground and objectives: Hallux valgus is a complex deformity of the first metatarsophalangeal joint characterized by varus deformity of the first metatarsal bone, valgus deformity of the big toe, and lateral deviation of the extensor tendons and sesamoid bones. Several surgical methods have been described for correction of the deformity. Different materials have been used for the fixation of osteotomy. We compared the functional, radiological, and pain results of intramedullary self-locked plates and Herbert screws for the treatment of a hallux valgus deformity. Materials and Methods: Distal metatarsals were treated with self-locking intramedullary plate-screw systems in 18 feet from 12 patients (Group 1) and with Herbert screws in 18 feet from 12 patients (Group 2). The hallux valgus angle (HVA) and intermetatarsal angle (IMA) in patients of Group 1 and 2 were examined radiologically during the pre- and postoperative periods. We also determined the American Orthopedic Foot and Ankle Society (AOFAS), EQ-5D General Life Quality Scale, and Visual Analogue Scale (VAS) scores during the pre- and postoperative periods and compared the scores between groups. Results: Post hoc test results of HVA and IMA angles measured after the operation were significantly higher in Group 2 than in Group 1. In each group, the AOFAS scores during the preoperation period were significantly lower than those during the postoperation period (p < 0.001). According to the post hoc test results, the VAS scores after the operation were significantly higher in Group 2 than in Group 1 (p < 0.001). Conclusions: For the surgical treatment of hallux valgus, operations using self-locked plates compared to a single screw are superior in terms of providing rigid stability and for functional, radiological, and pain scores.
dc.identifier.doi10.3390/medicina55090595
dc.identifier.issn1010-660X
dc.identifier.issn1648-9144
dc.identifier.issue9en_US
dc.identifier.pmid31527463
dc.identifier.scopus2-s2.0-85072288887
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.3390/medicina55090595
dc.identifier.urihttps://hdl.handle.net/11491/6852
dc.identifier.volume55en_US
dc.identifier.wosWOS:000490752800088
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthor[Belirlenecek]
dc.language.isoen
dc.publisherMdpi
dc.relation.ispartofMedicina-Lithuania
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjecthallux valgusen_US
dc.subjectdistal metatarsals osteotomyen_US
dc.subjectintramedullary self-locking plateen_US
dc.subjectHerbert screwen_US
dc.titleComparison of Two Different Approaches to Treat a Hallux Valgus Deformity: Intramedullary Self-Locked Plates and Herbert Screws
dc.typeArticle

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