Comparison of clinical and radiological outcomes of Lindgren-Turan and Chevron osteotomies in the treatment of Hallux valgus

Abstract

Aim: To evaluate clinical and radiological outcomes of Lindgren-Turan and Chevron osteotomies in the treatment of hallux valgus. Methods: This study included 34 patients with hallux valgus who underwent Lindgren-Turan (Group 1, n=16 patients, 20 feet) or Chevron (Group 2, n=18 patients, 20 feet) osteotomy between June 2010 and June 2014. HVA, IMA and DMAA changes and first metatarsal shortening was evaluated in weight bearing AP radiographs. American Orthopedic Foot and Ankle Society (AOFAS) score was used in the clinical evaluation. Also, EQ-5D score was used in the evaluation of health-related quality of life of patients. Visual analog scale (VAS) was used to evaluate subjective pain scores of patients preoperatively and postoperatively. Results: There was no significant difference between Lindgren-Turan and Chevron osteotomy groups regarding preoperative and postoperative HVA, IMA and DMAA and shortening of the first metatarsus (p>0.05). Also, there was no significant differences between two groups regarding AOFAS and EQ-5D scores (p>0.05). Conclusion: Both Lindgren-Turan and Chevron osteotomies are useful techniques in the surgical treatment of hallux valgus. Adequate pain relief, osteotomy union, deformity correction and high patient satisfaction rates can be achieved by two techniques.