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Zacherl, M; Gruber, G; Radl, R; Rehak, PH; Windhager, R.
No midterm benefit from low intensity pulsed ultrasound after chevron osteotomy for hallux valgus.
Ultrasound Med Biol. 2009; 35(8): 1290-1297.
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Autor/innen der Med Uni Graz:
Gruber Gerald
Radl Roman
Rehak Peter
Windhager Reinhard
Zacherl Maximilian
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Abstract:
Chevron osteotomy is a widely accepted method for correction of symptomatic hallux valgus deformity. Full weight bearing in regular shoes is not recommended before 6 weeks after surgery. Low intensity pulsed ultrasound is known to stimulate bone formation leading to more stable callus and faster bony fusion. We performed a randomized, placebo-controlled, double-blinded study on 44 participants (52 feet) who underwent chevron osteotomy to evaluate the influence of daily transcutaneous low intensity pulsed ultrasound (LIPUS) treatment at the site of osteotomy. Follow-up at 6 weeks and 1 year included plain dorsoplantar radiographs, hallux-metatarsophalangeal-interphalangeal scale and a questionnaire on patient satisfaction. There was no statistical difference in any pre- or postoperative clinical features, patient satisfaction or radiographic measurements (hallux valgus angle, intermetatarsal angle, sesamoid index and metatarsal index) except for the first distal metatarsal articular angle (DMAA). The DMAA showed statistically significant (p = 0.046) relapse in the placebo group upon comparison of intraoperative radiographs after correction and fixation (5.2 degrees) and at the 6-week follow-up (10.6 degrees). Despite potential impact of LIPUS on bone formation, we found no evidence of an influence on outcome 6 weeks and 1 year after chevron osteotomy for correction of hallux valgus deformity.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Bone Wires -
Braces -
Chi-Square Distribution -
Combined Modality Therapy -
Double-Blind Method -
Female -
Follow-Up Studies -
Hallux Valgus - radiography Hallux Valgus - surgery Hallux Valgus - therapy
Humans -
Male -
Metatarsal Bones - radiography Metatarsal Bones - surgery
Middle Aged -
Osteotomy - methods
Postoperative Period -
Recovery of Function -
Statistics, Nonparametric -
Treatment Failure -
Ultrasonic Therapy - methods

Find related publications in this database (Keywords)
Low intensity pulsed ultrasound
Hallux valgus
Chevron osteotomy
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