Hallux Valgus
Conditions
Brief summary
Is there a difference in clinical outcome measures as assessed by the AOFAS, SF-36 and Visual Analogue Scale of adult patients with moderate to severe hallux valgus with increased intermetatarsal angles treated with a proximal open wedge osteotomy with LPS system versus the proximal chevron osteotomy?
Detailed description
Is there a difference in radiologic outcomes of adult patients with moderate to severe hallux valgus with increased intermetatarsal angles treated with a proximal open wedge osteotomy with LPS system versus proximal wedge osteotomy? Is there a difference in surgical times or surgeon procedure preference in the treatment of adult patients with moderate to severe hallux valgus with increased intermetatarsal angles treated with a proximal open wedge osteotomy with LPS system versus proximal wedge osteotomy? Is there a difference in complication rates of adult patients with moderate to severe hallux valgus with increased intermetatarsal angles treated with a proximal open wedge osteotomy with LPS system versus proximal wedge osteotomy?
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* age (\> 16 years of age) moderate to severe hallux valgus angle \[HVA\] of \>30º with increased intermetatarsal angles \[IMA\] of \>13º * persistent incapacitating symptoms despite non-operative treatment (shoe wear modification, orthoses, non-steroidal anti-inflammatory drugs and restricted activity)
Exclusion criteria
* degenerative arthritis of 1st metatarsophalangeal (MTP) joint * neuropathic patients * diabetes mellitus * peripheral vascular disease * previous 1st metatarsal, hallux or MTP joint surgery * active or recent foot/toe infection * currently participation in a another clinical trial * Worker's Compensation Board patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Short Form 36 | 1 year |
Countries
Canada