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Excellent results in the surgical rehabilitation of Hallux Valgus, even in moderate to severe forms of the disease, with a combination of Chevron osteotomy and modified McBride procedure with two and a half years of follow-up
ESSKA Academy. Natsaridis P. Nov 8, 2019; 284348; epAFAS-09 Topic: Ankle
Prodromos Natsaridis
Prodromos Natsaridis
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Excellent results in the surgical rehabilitation of Hallux Valgus, even in moderate to severe forms of the disease, with a combination of Chevron osteotomy and modified McBride procedure with two and a half years of follow-up

ePoster - epAFAS-09

Topic: Ligaments

Natsaridis P., Goulas V., Alexandropoulos C., Tsourvakas S.
General Hospital of Trikala, Orthopaedic Department, Trikala, Greece

Introduction: The surgical treatment of the Hallux Valgus with the appropriate surgical technique for moderate to severe forms is controversial, because the recurrence of the deformity is in high levels quite soon. The excessive tissue damage, poor choise of surgical technique and non respective of the soft tissues induces complications that repel the patients from the surgical rehabilitation. Our study proves the treatment of this with the less invasive surgical technique and no recurrence in 2 years follow-up
Objective: 36 patients were enrolled in this study 5 males,31 women. The average age was 58 years old. All the patients were suffering from excessive pain, walking difficulties and underwent surgery mοstly only due to discomfort and intense regional and metatarsal pain.
Aims: The study aims to the treatment of the disease in patients even in moderate to severe forms of Hallux Valgus with the lowest invasiveness in soft tissues and especially with Chevron osteotomy of the 1st metatarsal. We emphasize the necessity of the modified McBride procedure (capsuloplasty) and the importance of the soft tissue manipulation intra-operatively as well as postoperative medical and personal care in rehabilitation.
Method: The average intermetatarsal angle was from 110 to 160 and the HV angle from 230 to 410. All patients were operated with Chevron osteotomyand modified McBride procedure. 8 patients had a mallettoe on 2nd metatarsal and 3 patients on 2nd and 3rd metatarsal, underwent with distal phalangeal arthrodesis.. The medical supervision and personal wound care for at least six months. The follow up ranges from 18 to 30 months. The AOFAS Hallux MTP-IP Score and SF-12 Quality Score were used for the evaluation of the method.
Results: All patients had very good results with correction to the permissible normal limits of both angles that we examined. No one of the patients experienced pain direct postoperatively and later on, 1st day mobilization with specific shoe and fast track protocol surgery with approximately ½ day hospitalization
Conclusion: A less invasive Chevron osteotomy in combination with modified McBride capsuloplasty with emphasis on proper respect in the anatomy of the region and also the very carefully and appropriate medical and personal care from the 1st day postoperatively to at least 6 months provides very satisfactory results even in heavy Hallux Valgus deformities
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