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    Efficacy of Intramedullar Locking Plate in Mild to Moderate Hallux Valgus Deformity: Early Outcomes
    (2019) Değirmenci, Erdem; German, Ali Berat; Yücel, İstemi
    Aim: Hallux valgus is a complex deformity of the first metatarsophalangeal joint characterizedby varus deformity of the first metatarsal bone, valgus deformity of the big toe, and lateraldeviation of the extensor tendons and sesamoid bones. Several surgical methods have beendescribed for correction of the deformity. Distal metatarsal osteotomy is a commonly usedprocedure in mild-to moderate hallux valgus. Different materials have been used for thefixation of osteotomy. The aim of this study was to evaluate radiological and clinical efficacyof intramedullar locking plate in hallux valgus surgery.Material and Methods: Postoperative 6th month data of patients with mild-to moderate halluxvalgus deformity who underwent distal metatarsal osteotomy using an intramedullary lockingplate between 2012 and 2014 were evaluated retrospectively. The surgical procedure wasapplied by Mitchell technique. Clinical and radiological features of the patients were analyzed.Results: Thirty-six (29 female, 7 male) patients whit a mean age of 51.00±12.96 years wereenrolled the study. Eight patients underwent bilateral surgery. There were statisticallysignificant improvement in hallux valgus angle, distal metatarsal articular angles, andAmerican Orthopaedic Foot and Ankle Society hallux valgus scores in the postoperative 6thmonth (all p values <0.001). No statistically significant difference were found between thepreoperative and postoperative 6th month inter-metatarsal angle values (p=0.058).Conclusion: The intramedullar locking plate usage in surgery of mild-to moderate halluxvalgus deformity is an effective method providing strong fixation and quick recovery that ledpatients to gain an early improvement in the daily life activities.