+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Large displacement distal chevron osteotomy for the correction of hallux valgus deformity



Large displacement distal chevron osteotomy for the correction of hallux valgus deformity



Journal of Foot and Ankle Surgery 41(4): 213-220



In order to assess outcomes and complications, a retrospective study of 38 bunionectomy cases with large displacement distal chevron osteotomy (greater than or equal to 40% lateral translation) for hallux valgus was performed. Follow-up ranged from 12 to 130 months (average, 31 months). Subjective analysis consisting of the American Orthopedic Foot and Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal scale was performed. Preoperative and postoperative radiographic intermetatarsal (IM) angles and hallux abductus angles were measured and compared. The average postoperative AOFAS score was 93.5. The average preoperative IM angle was 15.03 degrees (range 8 degrees-24 degrees) and the average postoperative IM angle was 4.84 degrees (range, -1 degree-11 degrees). The average preoperative hallux abductus angle was 29.39 degrees (range, 16 degrees-53 degrees) compared to the average postoperative hallux abductus angle of 11.39 degrees (range, 2 degrees-28 degrees). It was found that an average lateral translation of 9.8 mm was able to achieve a relative change of the IM angle of 10 degrees. Evidence is presented that supports the fact that large displacement distal chevron osteotomies can be safely performed for the correction of metatarsus primus varus greater than 15 degrees associated with hallux valgus.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 046522147

Download citation: RISBibTeXText

PMID: 12194510

DOI: 10.1016/s1067-2516(02)80017-5


Related references

Increased displacement maximizes the utility of the distal chevron osteotomy for hallux valgus deformity correction. Foot and Ankle International 29(2): 155-163, 2008

Distal Chevron Osteotomy for Correction of Hallux Valgus Deformity. Techniques in Foot & Ankle Surgery 2(1): 2-10, 2003

Percutaneous distal metatarsal osteotomy versus distal chevron osteotomy for correction of mild-to-moderate hallux valgus deformity. Archives of Orthopaedic and Trauma Surgery 132(11): 1539-1546, 2012

A comparison of proximal and distal chevron osteotomy for the correction of moderate hallux valgus deformity. Bone and Joint Journal 95-B(5): 649-656, 2013

Distal chevron osteotomy with distal soft tissue procedure for moderate to severe hallux valgus deformity. Foot and Ankle International 31(8): 683-688, 2010

Distal chevron osteotomy with lateral release for treatment of hallux valgus deformity. Foot and Ankle International 15(9): 457-461, 1994

Loss of Correction After Chevron Osteotomy for Hallux Valgus as a Function of Preoperative Deformity. Foot and Ankle International 40(3): 287-296, 2019

Scarf osteotomy for correction of hallux valgus. Surgical technique and results as compared to distal chevron osteotomy. Foot and Ankle Clinics 5(3): 513-524, 2000

Rates of revision surgery using Chevron-Austin osteotomy, Lapidus arthrodesis, and closing base wedge osteotomy for correction of hallux valgus deformity. Journal of Foot and Ankle Surgery 47(4): 267-272, 2008

Correction of Moderate to Severe Hallux Valgus Deformity by a Modified Chevron Shaft Osteotomy. Yearbook of Orthopedics 2007: 186-187, 2007

Correction of moderate to severe hallux valgus deformity by a modified chevron shaft osteotomy. Foot and Ankle International 27(8): 581-585, 2006

An anatomical basis for the degree of displacement of the distal chevron osteotomy in the treatment of hallux valgus. Foot and Ankle International 18(4): 213-215, 1997

Hallux valgus correction using transarticular lateral release with distal chevron osteotomy. Foot and Ankle International 33(10): 838-843, 2012

Comparison of Chevron osteotomy and modified McBride bunionectomy for correction of mild to moderate hallux valgus deformity. Foot and Ankle 12(2): 61-68, 1991

Ninety-degree chevron osteotomy for correction of hallux valgus deformity: clinical data and finite element analysis. Open Orthopaedics Journal 4: 152-156, 2010