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Hallux valgus deformity treated with the extensor hallucis longus tendon transfer by dynamic correction

ZHANG Feng-qi WANG Hui-juan ZHANG Qi LIU Ya-ling ZHANG Ying-ze

中华医学杂志（英文版）2010，Vol.123Issue(21)：3034-3039,6.
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中华医学杂志（英文版）2010，Vol.123Issue(21)：3034-3039,6.DOI:10.3760/cma.j.issn.0366-6999.2010.21.016

Hallux valgus deformity treated with the extensor hallucis longus tendon transfer by dynamic correction

Hallux valgus deformity treated with the extensor hallucis longus tendon transfer by dynamic correction

ZHANG Feng-qi 1WANG Hui-juan 2ZHANG Qi 3LIU Ya-ling 4ZHANG Ying-ze5

作者信息

  • 1. Department of Foot and Ankle Surgery ,the Third Hospital, Hebei Medical University, Shijiazhuang, Hebei 050051, China
  • 2. Department of Histology and Embryology, Hebei Medical University, Shijiazhuang, Hebei 050017, China
  • 3. Department of Dermatology,the Third Hospital, Hebei Medical University, Shijiazhuang, Hebei 050051, China
  • 4. Orthopaedic Center for Traumatic Emergency Treatment, the Third Hospital, Hebei Medical University, Shijiazhuang, Hebei 050051, China
  • 折叠

摘要

Abstract

Background Recurrence of hallux valgus is considered to be the most common problem experienced postoperatively.We designed and caried out operations to correct hallux valgus by transferring the extensor hallucis longus (EHL) tendon to reduce the likelihood of recurrence.Methods Twenty-five patients (38 feet) with the average age of (46.3±12.3) (range, 22 to 60) years underwent the operation. The American Orthopaedic Foot and Ankle Society score and weight-bearing radiographs of the foot were applied to assess the feet pre- and postoperatively with a mean duration of follow-up of (38.2±3.2) months. The surgical procedure includes the release of the distal soft tissues, excision of the medial eminence, plication of the medial part of the capsule, and transfer of the EHL tendon, and reconstructing its insertion.Results At follow-up, 35 feet (23 patients, 85%) were free from pain at the first metatarsophalangeal (MTP) joint. In three feet (two patients), the pain was alleviated but persisted. The mean hallux valgus angle decreased significantly from a preoperative 38.3°±8.0° to 7.3°±2.0° at the time of the most recent follow-up (P ＜0.0001), and the mean intermetatarsal (IM) angle decreased significantly from preoperative 12.5°±3.4° to postoperative 6.5°±2.4° (P ＜0.0001). The mean score according to the American Orthopaedic Foot and Ankle Society had increased from 46.5 to 84.8 points (P ＜0.0001).Conclusions Hallux valgus can be corrected by transferring the EHL tendon medially and reconstructing its insertion.The technique can achieve stress balance of metatarsophalangeal joints and therefore prevent the recurrence of hallux valgus.

关键词

hallux valgus/tendon transfer/orthopedic procedures

Key words

hallux valgus/tendon transfer/orthopedic procedures

分类

医药卫生

引用本文复制引用

ZHANG Feng-qi,WANG Hui-juan,ZHANG Qi,LIU Ya-ling,ZHANG Ying-ze..Hallux valgus deformity treated with the extensor hallucis longus tendon transfer by dynamic correction[J].中华医学杂志（英文版）,2010,123(21):3034-3039,6.

基金项目

This research was supported by a grant from Hebei Province Health Department (No. 06039). （No. 06039）

中华医学杂志（英文版）

OACSCDCSTPCDMEDLINESCI

0366-6999

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