Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: General Orthopaedics
Abstract number: 25552
CORRECTION OF HALLUX VALGUS DEFORMITY USING THE COMBINED
CHEVRON/AKIM OSTEOTOMY ASSOCIATED WITH BIOLOGICAL
ARTROPLASTY OF THE LESSER FINGERS
Elvira DI CAVE, Pierluigi VERSARI, David LUZON, Angela BASILE, Marta
CIURLUINI, Russalka HOEDEMAEKER
'Ospedale israelitico' Roma, Rome (ITALY)
The Authors have evaluated subjective, clinical and radiographic results of 70
patients treated with Chevron and Akin osteotomy for hallux valgus associated to
biological arthoplasty of the IF joint of the lesser fingers. All patients were treated at
the Jewish Hospital of Rome from January 2008 to January 2009, with a follow-up of
24 month. Clinical results have been evaluated at 1 year using the AOFAS score.
The radiographic parameters were evaluated pre-op and at follow-up on two plane Xray.
To the original surgical procedure the Authors have made some modifications: In
all cases an Akin varus phalanx osteotomy has been associated in order to increase
the correcting effects of the Chevron osteotomy. In about 70% of cases one or more
of the lesser fingers were treated with a biological arthroplasty of the IF joint.
Biological arthoplasty differs from classical artrodesis in conserving the articular
surface of the distal falanx. Accurate evaluation of complications and results has
shown an excellent radiographic alignment of the hallux and lesser fingers, the
restoration of the physiological range of motion of the hallux, the conservation of the
range of motion of the IF joint of the lesser fingers, good functionality and decrease
of pain during gait. Our results show that biological arthoplasty of the IF joint of the
lesser fingers with griffe deformity associated to correction of the hallux valgus using
the combined Chevron/Akin technique is a better alternative to the classical
arthrodesis of the lesser fingers.
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