Abstract
Purpose: There are many different operations for hallux valgus and it is often difficult to know which one to perform. Many of the patients who present with hallux valgus have first ray hypermobility. We use the metatarsocuneiform arthrodesis for the treatment of symptomatic Hallux Valgus with hypermobility of the first ray. We present a retrospective evaluation of the results for a consecutive series from one surgeon.
Methods: The patients were evaluated using the American Orthopedic Foot and Ankle Society Score (AOFAS) post operatively. The post operative complications were recorded and the surgical correction measured on the pre and post operative radiographs.
Results: 41 metatarsocuneiform arthrodeses were performed in 40 patients. The average hallux valgus angle was 36.8 pre operatively and 7.3 post operatively. The average intermetatarsal angle was 17.3 pre operatively and 6.9 post operatively. The average post operative AOFAS score was 86.4. There were no problems with wound healing. All the arthrodeses had fused at 3 months. Two patients required screw removal.
Conclusions: Metatarsocuneiform arthrodesis gives good clinical and radiological results in patients with hallux valgus and a hypermobile first ray.
Correspondence should be addressed to Cynthia Vezina, Communications Manager, COA, 4150-360 Ste. Catherine St. West, Westmount, QC H3Z 2Y5, Canada
