A comparative study on imaging parameters of Chevron combined with Akin osteotomy and Scarf combined with Akin osteotomy for the correction of hallux valgus in patients at different ages  

作　　者：Kun-Ming Xie Zhao-Jun Chen Xin-Yu Li Yin-Ze Qi Jun-De Wu Zhan-Hua Ma Xu-Yue Pan Fa-Sen Huang Huan Liang Pin Deng Jing-Lu Han Jing-Wei Tao Han-Jie Zhu 

机构地区：[1]Beijing University of Chinese Medicine,The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 10029,China

出　　处：《Journal of Hainan Medical University》2021年第13期34-40,共7页海南医学院学报（英文版）

基　　金：Planned project of Beijing municipal commission of science and technology(No.Z171100001017205)。

摘　　要：Objective:To study the imaging parameters of Chevron combined with Akin and Scarf combined with Akin for the correction of hallux valgus in patients of different ages.Methods:Eighty patients(152 feet)with hallux valgus who underwent Chevron combined with Akin and Scarf combined with Akin in our hospital were randomly selected.The patients were divided into young and middle-aged groups.Measure the hallux valgus angles(HVA),distal metatarsal articular angle(DMAA)and intermetatarsal angles(IMA)with professional X-ray measurement software and then reseach the effect of two the operation methods.Results:Young group:Chevron combined with Akin and Scarf combined with Akin significantly improved HVA and IMA,the difference had statistical significance(P<0.05),but the improvement effect of the two groups was similar,and the difference had no statistical significance(P>0.05).The improvement effect of the two groups on DMAA in young patients was not significant,and the difference had no statistical significance(P>0.05);Middle-aged group:Chevron combined with Akin and Scarf combined with Akin also significantly improved HVA and IMA(P<0.05),but the improvement effect of the two groups was similar,and the difference had no statistical significance(P>0.05).Chevron combined with Akin significantly improved DMAA in middle-aged and elderly patients,and the difference had statistical significance(P<0.05).Scarf combined with Akin did not significantly improve DMAA in middle-aged and elderly patients,and the difference had no statistical significance(P<0.05).Conclusion:Both Chevron combined with Akin and Scarf combined with Akin are effective and widely used.Chevron combined with Akin was able to improve DMAA in middle-aged and elderly patients.Therefore,Chevron combined with Akin is recommended for middle-aged and elderly patients with hallux valgus.

关 键 词：Hallux valgus Chevron combined with Akin OSTEOTOMY Scarf combined with Akin osteotomy Hallux valgus angle Distal metatarsal articular facet angle Intermetatarsal angle 

分 类 号：R60[医药卫生—外科学]