Hallux valgus: intervention de McBride ou ostéotomie sous-capitale? [Hallux valgus: the McBride procedure or subcapital osteotomy?]

Details

Serval ID
serval:BIB_E7E3BFDA2A5F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Hallux valgus: intervention de McBride ou ostéotomie sous-capitale? [Hallux valgus: the McBride procedure or subcapital osteotomy?]
Journal
Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Moteur
Author(s)
Udin  B., Dutoit  M.
ISSN
0035-1040 (Print)
Publication state
Published
Issued date
1992
Volume
78
Number
3
Pages
169-75
Notes
Comparative Study English Abstract Journal Article
Abstract
The authors compared the long term follow-up (mean duration 19 years) of 96 patients operated on for hallux valgus, 52 by the McBride procedure, 46 by a Hohmann procedure. Clinical results considered 4 criteria: deformity, pain, mobility and satisfaction. Dorsoplantar weight bearing X-ray compared anatomical results. This study showed that patients were subjectively more satisfied after McBride operation (p = 0.0001) even if the deformity was radiologically better reduced by osteotomy (p = 0.006). This discrepancy between subjective and radiologic results was related to the fact that X-rays represent only the static morphologic reflect of a more complex pathologic entity: radiology can only partly explain the functional discomfort of the patients. The modified McBride procedure was better suited to patients presenting a painful HV. Osteotomy was more suited to bunions causing little pain. Indications for each of these procedures should be based more on patient's history and clinical examination than on X-rays.
Keywords
Adult Follow-Up Studies Hallux Valgus/*surgery Humans Middle Aged Osteotomy/*methods Retrospective Studies
Pubmed
Web of science
Create date
28/01/2008 12:14
Last modification date
20/08/2019 16:10
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