Results of combined chevron osteotomy and first proximal phalangeal close-up osteotomy without soft tissue procedure with severe hallux valgus in patients aged over 60 years of age Altmiş yaş üstü ileri halluks valgus deformiteli hastalarda yumuşak doku cerrahisi yapilmadan kombine chevron ve birinci parmak proksimal falanks kapali kama osteotomi sonuçlari

Malkoç M., Korkmaz Ö., KARA A., Oltulu İ., ŞEKER A.

Turk Geriatri Dergisi, vol.18, no.1, pp.54-59, 2015 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 18 Issue: 1
  • Publication Date: 2015
  • Journal Name: Turk Geriatri Dergisi
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.54-59
  • Keywords: Hallux valgus, Metatarsophalangeal joint, Osteotomy
  • Istanbul Medipol University Affiliated: Yes


Introduction: Hallux valgus is associated with a medial deviation of the first metatarsal and subluxation or dislocation of the first metatarsophalangeal joint. This deformity is one of the most common chronic foot complaints, with a prevalence of up to 35.7% in elderly patients. In the present study, we examined 23 feet of 15 patients with severe hallux valgus deformity between April 2008 and December 2013. Materials and Method: The inclusion criteria were age and severe hallux valgus angle and intermetatarsal angle. Patients who had any other foot deformities, were younger than 60 years, were subjected to inadequate follow-up, had moderate and mild hallux valgus angle and intermetatarsal angle, or underwent any type of prior surgery were excluded from the study. Results: The mean preoperative hallux valgus angle and intermetatarsal angle were 46.86°(range 45°–51°) and 17.6° (range 13°–21°), respectively. The postoperative corrections achieved by chevron osteotomy and first proximal phalangeal osteotomy for hallux valgus angle and intermetatarsal angle were 21.6° (range 19°–24°) and 12.6° (range 11°–14°), respectively (p < 0.05).The mean American Orthopaedic Foot and Ankle Society hallux score improved from 35.8 (range 31–38) to 89.8 (range 87–94) (p<0.05). Conclusion: Although most studies recommend chevron osteotomy only for patients younger than 50 years of age, we did not impose an age limit in our study.