• Arch Orthop Trauma Surg · Jun 2013

    Is it feasible to rely on intraoperative X ray in correcting hallux valgus?

    • N Gutteck, D Wohlrab, F Radetzki, A Zeh, M Röllinghoff, K S Delank, and S Lebek.
    • Department of Orthopaedic Surgery, Martin Luther University Halle Wittenberg, Magdeburger Straße 22, 06112, Halle (Saale), Germany. natalia@gutteck.com
    • Arch Orthop Trauma Surg. 2013 Jun 1;133(6):753-5.

    BackgroundThe aim of the study was to prove whether the intraoperatively taken fluoroscopy pictures compared to the X rays taken 8 weeks and 3 months postoperatively picture the achieved correction reliably.MethodIn a prospective study, the pre- and postoperative standing foot X rays as well as the intraoperatively taken fluoroscopy pictures of 31 patients were analysed. The intermetatarsal angle (IMA) and the hallux valgus angle (HVA) were measured. In all cases, a tarso-metatarsal joint I arthrodesis combined with a distal soft tissue release was performed. The mean age was 54 (17-73) years.ResultsThere was no significant difference between the measured angles in intraoperative fluoroscopy and standing X rays postoperatively taken.ConclusionsDespite the consideration that fluoroscopic pictures lack the loading criteria, we found reliable results in IMA and HVA.

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