Iatrogenic second transfer metatarsalgia and the first metatarsal shortening and elevation after Scarf osteotomy |
| |
Affiliation: | 1. Department of Orthopaedics and Trauma Surgery, Torrejón University Hospital, C/Mateo Inurria. 28850, Torrejón de Ardoz, Madrid, Spain;2. Department of Orthopaedics and Trauma Surgery, ‘Gregorio Marañon’ University Hospital, C/Dr. Esquerdo 46, 28007, Madrid, Spain;1. Department of Orthopaedic Surgery, IM2S, 11 Avenue d''Ostende, 98000 Monaco;2. Department of Orthopaedic Surgery, AZ Turnhout, Steenweg op Merksplas 44, 2300 Turnhout, Belgium;3. Department of Orthopaedic Surgery, Orthovar, 87 Avenue Archimède, Pôle Epsilon 3, Bâtiment A. 83700 Saint Raphaël, France;1. Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea;2. Graduate School of Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea;3. Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea;4. Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea |
| |
Abstract: | BackgroundTransfer metatarsalgia is a potential complication of hallux valgus surgery. This study aimed to investigate the shortened first metatarsal length and elevation and to compare groups with and without second transfer metatarsalgia after Scarf osteotomy.MethodsThe first metatarsal length of 123 feet was measured via the Maestro’s method using the metatarsal axial length and the relative second metatarsal protrusion to the first metatarsal. Metatarsal elevation was measured using the first metatarsal angle.ResultsSecond transfer metatarsalgia occurred after Scarf osteotomy in 11 (8.9%) feet. When baseline characteristics were considered in propensity score matching, the 11 feet were compared with the 33 feet in the control group. The group with transfer metatarsalgia showed a more shortened first metatarsal axial length (?4.1 ± 1.8 mm vs. ?2.5 ± 2.2 mm, p = 0.032), a significantly longer relative second metatarsal protrusion (+5.8 ± 2.6 mm vs. +1.2 ± 2.6 mm, p < 0.001), and a significantly lower first metatarsal angle (18.1 ± 4.3° vs. 21.5 ± 4.0°, p = 0.012) than the control group postoperatively.ConclusionsTo avoid iatrogenic transfer metatarsalgia, first metatarsal length shortening should be minimized to at least less than 4.0 mm. Furthermore, the metatarsal parabola should be retained. |
| |
Keywords: | Hallux valgus Transfer metatarsalgia Metatarsal length Metatarsal elevation Scarf osteotomy |
本文献已被 ScienceDirect 等数据库收录! |
|