AI Summary & Key Takeaways
AI InsightConclusion:There was no statistically significant difference between the clinical and radiological results of Turan and Chevron osteotomies.The clinical and radiological superiority of these two osteotomies to Scarf osteotomy was statistically determined
📌 3 Key Takeaways
Abstract
Aim :Clinical and radiologic comparison of diaphyseal osteotomy (Scarf) with two different distal osteotomies (Chevron and Turan) in moderate and advanced hallux valgus patients. Material and method:In this retrospective study, 77 patients were evaluated between 2013-2016. The remaining 38 patients who met the inclusion criteria of 77 patients were included in the study. Turan osteotomies were performed on 17 patients. Chevron osteotomies were performed on 12 patients and Scarf osteotomies were per-formed on 9 patients.Patients were evaluated with preoperative and postoperative clini-cal parameters (AOFAS, VAS, PSS) and radiological parameters (HVA, IMA, DMAA, SP, 1.ML, 1.W.S.). Results: In the analysis performed using the postoperative HVA (halluxvalgus angle), IMA (intermetatarsal angle), DMAA (distalmetatarsalarticular angle), Metatarsal length, AOFAS, VAS and HMS (patient satisfaction score), the OneWay ANOVA method was found in all three groups. When these values are compared by examining the Turek test; It was observed that HVA, IMA, and DMAA remained significantly higher in patients who underwent Scarfosteotomy compared to patients who underwent distal Chevron and Turan osteotomy. AOFAS, VAS, and HMS were significantly lower in patients who underwent ScarfOsteotomy than those who underwent distal Chevron and Turan osteotomy. Conclusion:There was no statistically significant difference between the clinical and radiological results of Turan and Chevron osteotomies.The clinical and radiological superiority of these two osteotomies to Scarf osteotomy was statistically determined
Özet
Amaç: Orta ve ileri seviye halluks valgus hastalarında 2 farklı distal (Turan, Chevron)ve diafiz osteotomisi (Scarf)‘nin klinik ve radyolojik sonuçlarını karşılaştırmaktır.Materyal ve metod:2013-2016 yılları arasında opere dilen 77 hastadan 38 hastaçalışmaya dahil edildi.17 hastaya Turan osteotomisi , 12 hastaya Distal Chevron osteotomisi 9 hastaya Scarf osteotomisi yapıldı. Hastalar preoperatif ve postoperatifklinik parametreler ve radyolojik parametreler ile değerlendirildi.Bulgular: Her üç grubun postoperatif HVA (halluksvalgus açısı), İMA (intermetatarsal açı), DMAA (distalmetatarsalartikular açı), Metatars uzunluğu, AOFAS, VAS veHMS (hasta memnuniyet skoru) , OneWay ANOVA yöntemi kullanılarak yapılan analizde anlamlı fark bulunmuştur. Bu değerler Turek testi incelenerek birbirleri arasında kıyaslandığında; HVA, İMA, DMAA Scarfosteotomisi yapılan hastalarda distalChevron ve Turan osteotomisi yapılan hastalara göre anlamlı derecede daha yüksekkaldığı görülmüştür.AOFAS, VAS ve HMS ise ScarfOsteotomisi yapılan hastalardadistal Chevron ve Turan osteotomisi yapılan hastalara göre anlamlı derecede dahadüşük olduğu görülmüştür.Sonuç: Turan ve Chevron osteotomilerinin klinik ve radyolojik sonuçları arasında anlamlı fark bulunamamıştır. Çalışmamıza göre bu iki osteotominin Scarf osteotomisinegöre klinik ve radyolojik olarak üstün olduğu gösterilmiştir.