The Results of Distal Chevron Osteotomy for Hallux Valgus in Young Adult

Ahn, Young Joon; Hahn, Sung Ho; Yang, Bo Kyu; Yi, Seung Rim; Yoo, Jae Ho; Chung, Byung June; Kil, Kyung Min

Abstract

PURPOSE: To analyze the risk factors and the treatment results of the distal chevron osteotomy for the hallux valgus in young adult.
MATERIALS AND METHODS
Eleven cases of hallux valgus in 9 patients who underwent the distal chevron osteotomy between February 2000 and January 2004 were included for the study. For the clinical evaluation, we used hallux-metatarsophalangeal interphalangeal scale of American Orthopaedic Foot and Ankle Society (AOFAS). For radiological evaluation, we measured hallux valgus angle (HVA) and intermetatarsal angle (IMA).
RESULTS
Five patients had family history of hallux valgus. Symptoms were aggravated by military drill and sports activity. The average AOFAS scale was 62.5 preoperatively, and 88.4 at final follow-up. The HVA and IMA were 34.9 degrees, and 15.8 degrees preoperatively, 16.3 degrees and 8.2 degrees at postoperative 6 weeks, and 19.9 degrees and 9.8 degrees at final follow-up.
CONCLUSION
The symptoms of hallux valgus in young adults were aggravated by military drill and sports activity. Distal chevron osteotomy was useful for the treatment of the moderate to severe hallux valgus in young patients.