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J Clin Orthop Trauma. 2013 Sep;4(3):123-8. doi: 10.1016/j.jcot.2013.07.003. Epub 2013 Sep 06.

Bösch technique for hallux valgus surgery in a tropical setting.

Journal of clinical orthopaedics and trauma

Essoh J B Sié, Aka D Kacou, A Traoré, C Mobiot, Y Lambin

Affiliations

  1. Department of Orthopedics Surgery, Yopougon University Teaching Hospital, 21 BP 632, Abidjan 21, Côte d'Ivoire.

PMID: 26403551 PMCID: PMC3880427 DOI: 10.1016/j.jcot.2013.07.003

Abstract

OBJECTIVES: To evaluate the early clinical and radiological results using the Bösch technique to treat hallux valgus.

MATERIAL AND METHODS: We reviewed retrospectively four patients with 6 feet undergoing the Bösch technique for mild and moderate hallux valgus from 2009 to 2012 with an average follow-up of 10.8 months. All patients complained of pain around the first metatarsophalangeal joint. They had cosmetic concerns, and difficulty in wearing shoes. At final follow-up patients were asked about the improvement of pain, cosmetic appearance of the foot, problems with wearing shoes, the ability to walk, and their satisfaction with the operation. Complications encountered were also recorded. The radiographic evaluation considered osteotomy site union, the hallux valgus angle, and the intermetatarsal angle.

RESULTS: All patients complained of mild or no pain. They had a satisfactory cosmetic result, wore normal shoes without problems with no limitation of walking ability. They were satisfied with the procedure. One case of superficial infection was noticed. All osteotomies healed primarily within three months. The average hallux valgus angle improved from 32.7° preoperatively to 14.8° at final follow-up and the average intermetatarsal angle from 17.5° to 9.2°.

CONCLUSION: The Bösch technique is a cost effective procedure that yields good clinical and radiological results while correcting mild and moderate symptomatic hallux valgus with reduced risk of surgery related complications.

Keywords: Bösch technique; Distal metatarsal osteotomy; Hallux valgus; Mini-invasive surgery

References

  1. Orthop Clin North Am. 2009 Oct;40(4):515-24, ix-x - PubMed
  2. Clin Orthop Relat Res. 2013 Jul;471(7):2305-11 - PubMed
  3. Orthop Clin North Am. 2009 Oct;40(4):525-30, x - PubMed
  4. Foot Ankle Clin. 2000 Sep;5(3):499-511, vi - PubMed
  5. Int Orthop. 2001;25(6):382-5 - PubMed
  6. Niger Postgrad Med J. 2011 Mar;18(1):51-5 - PubMed
  7. Foot Ankle Clin. 2000 Sep;5(3):485-98, v-vi - PubMed
  8. Arch Orthop Trauma Surg. 2012 Nov;132(11):1539-46 - PubMed
  9. Kaohsiung J Med Sci. 2009 Aug;25(8):431-7 - PubMed
  10. J Bone Joint Surg Am. 2009 Jun;91(6):1369-76 - PubMed
  11. J Bone Joint Surg Am. 2005 Jun;87(6):1191-9 - PubMed
  12. BMC Musculoskelet Disord. 2008 May 15;9:70 - PubMed
  13. Foot (Edinb). 2010 Dec;20(4):118-20 - PubMed
  14. J Bone Joint Surg Am. 2006 Mar;88 Suppl 1 Pt 1:135-48 - PubMed
  15. Acta Orthop Belg. 2010 Aug;76(4):526-35 - PubMed
  16. Arch Orthop Trauma Surg. 2013 Mar;133(3):321-31 - PubMed

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