Hallux Valgus
Conditions
Interventions
Group A: Intramedullary Plate Group:None
Third-Generation Minimally Invasive Transverse Osteotomy Group:None
Group C: Open Surgery Group:None
Sponsors
Shanghai Sixth People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Aged 18 years of age or older, regardless of gender; 2.Clinical diagnostic criteria: Definite diagnosis of hallux valgus, manifested as hallux valgus deformity of the first metatarsophalangeal joint (Hallux Valgus Angle, HVA >= 15°) and first metatarsal adduction (Intermetatarsal Angle, IMA > 9°); accompanied by at least one of the following symptoms: persistent medial bunion pain (Visual Analog Scale, VAS>= 4 points); difficulty in wearing shoes or abnormal gait; 3.Imaging criteria: On weight-bearing X-rays, the angle between the first metatarsal and phalanx (HVA) >= 15°; the angle between the first and second metatarsals (IMA) > 9°; definite presence of other combined forefoot pathologies, such as metatarsalgia, claw toes, subluxation of the metatarsophalangeal joint, and degeneration of the metatarsophalangeal joint; 4.Failure of conservative treatment: Ineffectiveness after standardized conservative treatment for at least 6 months, including wearing custom orthotic insoles or hallux valgus braces; oral administration of non-steroidal anti-inflammatory drugs (NSAIDs); physical therapy (e.g., ultrasound, shockwave therapy); 5.Patients scheduled to undergo the surgical procedures under investigation; 6.Subjects voluntarily agree to participate in this study and sign the informed consent form in writing.
Exclusion criteria
Exclusion criteria: 1.Patients with poor compliance; 2.Patients with severe osteoporosis; 3.Patients with severe cardiovascular and cerebrovascular diseases; 4.Patients complicated with rheumatoid arthritis; 5.Patients complicated with severe metatarsophalangeal joint arthritis; 6.Patients who have undergone previous forefoot surgery and require revision surgery; 7.Patients with mental illness who are unable to cooperate; 8.Pregnant patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| American Orthopaedic Foot and Ankle Society (AOFAS) Forefoot Score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analog Scale (VAS) Pain Score;Hallux Valgus Angle;Intermetatarsal Angle;Patient Satisfaction;Plantar Pressure Analysis;Gait Symmetry;Postoperative Functional Recovery Time; | — |
Countries
China
Contacts
Public ContactZhongmin Shi
Shanghai Sixth People's Hospital
Outcome results
None listed