Modified lindgren-turan osteotomy for hallux valgus deformity - a review of 60 cases

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dc.authoridRamazan Erden Ertürer / 0000-0003-4489-5937
dc.authorscopusidRamazan Erden Ertürer / 57778248600
dc.authorwosidRamazan Erden Ertürer / AAO-2634-2020
dc.contributor.authorKılınç, B. E.
dc.contributor.authorOc, Y.
dc.contributor.authorErtürer, Ramazan Erden
dc.date.accessioned2020-08-30T20:07:19Z
dc.date.available2020-08-30T20:07:19Z
dc.date.issued2018
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractPURPOSE OF THE STUDY To evaluate the clinical and radiological results of a new modification of relatively less-known Lindgren-Turan osteotomy technique in HV deformity that is performed by combining bunionectomy and capsuloplasty. MATERIAL AND METHODS 60 feet of 52 patients with moderate and heavy deformity who were operated between 2009 and 2014 were included in the study. The patients had clinically severe pain, did not respond to at least 6-month conservative treatment and had moderate and severe deformity before Hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal joint angle (DMAA), proximal phalangeal joint angles (PPAA) and shortening amount in the first metatarsus were measured through preoperative and follow-up radiography. Clinical evaluations were conducted on all patients using American Orthopedic Foot and Ankle Society's (AOFAS) and visual analog scale (VAS). Data of the radiological and clinical evaluations in preoperative and follow-up periods were compared statistically. Statistical significance was accepted at p < 0.05. RESULTS 42 (76.1%) and 10 (23.9%) of 52 patients were female and male, respectively. Mean age of the patients was 50.9 +/- 15.52 years. Mean follow-up period of the patients was 43.3 +/- 2.1. Preoperative and last measurements: HVA: 36.34 degrees +/- 6.36 degrees - 15.6 degrees +/- 2.83 degrees, IMA: 12.62 degrees +/- 2.24 degrees - 5.83 degrees +/- 1.32 degrees, DMAA: 16.3 degrees +/- 3.45 degrees - 10.3 degrees +/- 2.24 degrees, PFAA: 7.24 degrees +/- 1.32 degrees - 6.12 degrees +/- 0.84 degrees (p < 0.001). Shortness of first metatarsus was measured to be 5.94 +/- 1.84 mm. Mean VAS values of the patients which was 8.6 +/- 0.4 before the operation was detected as 0.8 +/- 0.04 after follow-up (p < 0.001). AOFAS score of the patients which was 42.4 +/- 5.3 before the operation was found to be 88.9 +/- 7.6 (p < 0.001). All patients started to work again within 5.22 +/- 1.7 weeks. Union was completely seen along osteotomy line in all cases. Three patients had screw extraction. Two patients had superficial wound infection. DISCUSSION Capsule plication which we apply with osteotomy as part of our surgical procedure is a significant point in correcting deformity and raising stability. First metatarsophalangeal rigidity risk can be avoided with a controlled plication in operation and by giving the final decision after testing. Such flexibility shows that soft tissue contracture is not the main factor of deformity, so lateral release is not indicated. Thus, our opinion is that digital nerve damage and extra scar are avoided during lateral release. The osteotomy we applied which is extraarticular and subcapital, and protection of racket-shaped capsule cannot be attributed to finding no AVN case. CONCLUSIONS Modified Lindgren-Turan surgical procedure which is applied with capsuloplasty and bunionectomy is an effective and reliable method in treatment of moderate and severe HV deformities. It is recommended as a satisfactory option in HV treatment due to its ease in surgery, use of single incision and perfect clinical and radiological long-term results.en_US
dc.identifier.citationKilinc, B. E., Oc, Y., & Erturer, R. E. (2018). Modified Lindgren-Turan Osteotomy for Hallux Valgus Deformity–a Review of 60 Cases. Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca, 85(5), 325-330.en_US
dc.identifier.endpage330en_US
dc.identifier.issn0001-5415en_US
dc.identifier.issue5en_US
dc.identifier.pmid30383528en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage325en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12713/740
dc.identifier.volume85en_US
dc.identifier.wosWOS:000448760700003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorErtürer, Ramazan Erdenen_US
dc.language.isoenen_US
dc.publisherGalen Sroen_US
dc.relation.ispartofActa Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovacaen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHallux Valgusen_US
dc.subjectOsteotomyen_US
dc.subjectLindgren-Turanen_US
dc.subjectCapsuloplastyen_US
dc.subjectCapsulorrhaphyen_US
dc.subjectBunionectomyen_US
dc.subjectPlicationen_US
dc.titleModified lindgren-turan osteotomy for hallux valgus deformity - a review of 60 casesen_US
dc.title.alternativeModifikovaná lindgrenova-turanova osteotomie pro hallux valgus - Zhodnocení 60 případůen_US
dc.typeReview Articleen_US

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