SURGICAL TREATMENT OF HALLUX VALGUS WITH NEW METHOD: OPERATIVE TECHNIQUE AND REVIEW OF 100 CASES
Autori:
Ivica Lucijanić, Goran Bićanić, Tatjana Cicvara Pećina, Marko Pećina
Sažetak
Sažetak. Prikazujemo operacijsku tehniku i rezultate liječenja za novu, trodimenzionalnu metodu korekcije haluksa valgusa razvijenu u OB Karlovac koju je uveo dr. Ivica Lucijanić. Bolesnici obuhvaćeni istraživanjem liječeni su od 2001. do 2008. godine. Klinički i radiološki evaluirani su prije i prosječno 4,5 godina poslije liječenja. Po bodovnoj ljestvici American Orthopaedic Foot and Ankle Society stanje je poboljšano s 48,56 na 92,34 boda. Vrijeme oporavka do povratka na posao bilo je prosječno 7,7 tjedana. Rezultat je bio odličan i dobar u 93%, zadovoljavajući u 5% i loš u 2% stopala. Kut haluksa valgusa smanjen je nakon operacije s prosječno 29,7° na 9,3°. Prvi intermetatarzalni kut smanjen je prosječno s 12,5° na 5,2°. Kut nagiba prve metatarzalne kosti u sagitalnoj ravnini povećan je prosječno za 5,3°. Kongruencija prvog metatarzofalangealnog zgloba i položaj medijalne sezamoidne kosti su ispravljeni. Nova metoda omogućuje korekciju haluksa valgusa u sve tri ravnine u prostoru te rješava problem metatarzalgije.
Summary
Summary. We present the operative technique and treatment results for a new three-dimensional method for hallux valgus correction. Lucijanić procedure was developed at the Department of Orthopaedic Surgery, General Hospital Karlovac, where patients enrolled in this study were treated from 2001 to 2008. Clinical and radiological evaluation was performed in 100 cases with a mean follow-up of 4.5 years. Mean American Orthopaedic Foot and Ankle Society score improved from 48.56 preoperatively to 92.34 points postoperatively. Average recovery time and return to work was 7.7 weeks. Result was excellent or good in 93%, fair in 5% and poor in 2% of feet. On the average hallux valgus angle decreased from 29.7° to 9.3° and on the average intermetatarsal angle decreased from 12.5° to 5.2°. First metatarsal inclination angle on average increased 5.3°. First metatarsophalangeal joint congruence and tibial sesamoid position were corrected. The new method allows for correction of hallux valgus deformity in all three planes and for metatarsalgia attenuation.
