The change of first metatarsal head articular surface position after Lapidus arthrodesis

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F18%3A10381206" target="_blank" >RIV/00216208:11110/18:10381206 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00064203:_____/18:10381206

Výsledek na webu

<a href="https://doi.org/10.1186/s12891-018-2262-9" target="_blank" >https://doi.org/10.1186/s12891-018-2262-9</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s12891-018-2262-9" target="_blank" >10.1186/s12891-018-2262-9</a>

Jazyk výsledku

angličtina

Název v původním jazyce

The change of first metatarsal head articular surface position after Lapidus arthrodesis

Popis výsledku v původním jazyce

Background: The Lapidus procedure has been used for hallux valgus deformity correction since 1931. In some cases, the arthrodesis results in an unfavourable lateral inclination of first metatarsal head articular surface. The objective of our study was to evaluate the change of orientation of this articular surface in relation to the second metatarsal axis by comparing pre- and postoperative radiographs. The secondary target was to evaluate possible benefits of combination of Lapidus and Akin procedures in the reduction of hallux valgus deformity. Methods: We evaluated 449 pre- and postoperative radiographs of 134 operations from 2010 to 2015. Routinely used angle measurements were performed on all X-rays. A sum of tangential angle to the second axis and distal articular set angle values was chosen as the best indicator for the deformity correction success. Results: The mean value of these angles total was 5.2 degrees +/- 9.3 degrees before and 14.2 degrees +/- 7.8 degrees after the operation. In the group of patients, where the additional Akin osteotomy was used, the mean value was 5.3 degrees +/- 8.4 degrees before and 6.9 degrees +/- 10.2 degrees after the surgery. The mean difference in values between the two groups (with and without Akin procedure) was 7.3 degrees of extra correction in favour of the group with the Akin osteotomy. Conclusions: The mean worsening of the tangential angle after Lapidus operation was 6.1 degrees +/- 6.9 degrees, which counts for significant deterioration after a surgery. The Akin osteotomy was found to be a valuable addition to the Lapidus arthrodesis, which improves the position of articular surfaces in first metatarsophalangeal joint.

Název v anglickém jazyce

The change of first metatarsal head articular surface position after Lapidus arthrodesis

Popis výsledku anglicky

Background: The Lapidus procedure has been used for hallux valgus deformity correction since 1931. In some cases, the arthrodesis results in an unfavourable lateral inclination of first metatarsal head articular surface. The objective of our study was to evaluate the change of orientation of this articular surface in relation to the second metatarsal axis by comparing pre- and postoperative radiographs. The secondary target was to evaluate possible benefits of combination of Lapidus and Akin procedures in the reduction of hallux valgus deformity. Methods: We evaluated 449 pre- and postoperative radiographs of 134 operations from 2010 to 2015. Routinely used angle measurements were performed on all X-rays. A sum of tangential angle to the second axis and distal articular set angle values was chosen as the best indicator for the deformity correction success. Results: The mean value of these angles total was 5.2 degrees +/- 9.3 degrees before and 14.2 degrees +/- 7.8 degrees after the operation. In the group of patients, where the additional Akin osteotomy was used, the mean value was 5.3 degrees +/- 8.4 degrees before and 6.9 degrees +/- 10.2 degrees after the surgery. The mean difference in values between the two groups (with and without Akin procedure) was 7.3 degrees of extra correction in favour of the group with the Akin osteotomy. Conclusions: The mean worsening of the tangential angle after Lapidus operation was 6.1 degrees +/- 6.9 degrees, which counts for significant deterioration after a surgery. The Akin osteotomy was found to be a valuable addition to the Lapidus arthrodesis, which improves the position of articular surfaces in first metatarsophalangeal joint.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30211 - Orthopaedics

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2018

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

BMC Musculoskeletal Disorders

ISSN

1471-2474

e-ISSN

—

Svazek periodika

19

Číslo periodika v rámci svazku

September

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

7

Strana od-do

—

Kód UT WoS článku

000445965900001

EID výsledku v databázi Scopus

2-s2.0-85054101306