Radiographic and clinical outcomes following modified L-reverse joint-preserving osteotomy for grade II hallux rigidus: A minimum 5-year follow-up.

IF 2.4 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2026-07-24 DOI:10.1016/j.fas.2026.07.010

Daniel Poggio, Albert Fontanellas, Gerardo Ledermann, Ricardo Vega, Pere Torner, Josep Maria Segur, Albert Baduell

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引用次数: 0

Abstract

Purpose: To evaluate radiographic and clinical outcomes following joint-preserving surgery using a modified L-reverse osteotomy for grade II hallux rigidus, with a minimum 5-year follow-up.

Methods: A retrospective review of a prospectively collected cohort treated between 2015 and 2017 was performed. Radiographic assessment included first metatarsal length, declination angle, elevation distance and first metatarsophalangeal joint space width. Clinical outcomes were assessed using the Manchester-Oxford Foot Questionnaire (MOxFQ).

Results: Fifty-one patients were included. At 3 months, first metatarsal length decreased by 5.9 mm, declination angle increased by 3.3º, and elevation distance decreased by 2.4 mm (all p < 0.001). These changes remained stable at final follow-up. Median MOxFQ score improved from 42.4 to 16.9 (p < 0.001). Three patients required revision surgery.

Conclusion: Joint-preserving surgery using a modified L-reverse osteotomy provided radiographic correction and clinical improvement. Maintenance of postoperative decompression and alignment correction may contribute to outcomes in moderate hallux rigidus.

Level of evidence: III.

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改良l -反向保关节截骨术治疗II级拇趾僵硬的影像学和临床结果：至少5年随访。

目的：通过至少5年的随访，评估采用改良的l型反向截骨术治疗II级拇趾僵硬的保关节手术的影像学和临床结果。方法：对2015年至2017年接受治疗的前瞻性队列进行回顾性分析。影像学评估包括第一跖骨长度、偏角、仰角距离和第一跖趾关节间隙宽度。使用曼彻斯特-牛津足部问卷（MOxFQ）评估临床结果。结果：纳入51例患者。3个月时，第一跖骨长度减少5.9 mm，倾斜角度增加3.3º，抬高距离减少2.4 mm（均p ）结论：采用改良的l -反向截骨术进行保关节手术可进行影像学矫正和临床改善。维持术后减压和对齐矫正可能有助于中度拇趾僵硬的预后。证据水平：III。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.