Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (9): 1365-1370.doi: 10.3969/j.issn.2095-4344.2471

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New application of Endobutton suspension plate in hallux valgus deformity 

Li Guijun, Huang Kai, An Jinyu, Zhang Lei, Gao Libo, Gao Lei, Wu Yixiong, Lu Jiajun   

  1. Department of Orthopedics, Changzhou Tumor Hospital Affiliated to Soochow University, Changzhou 213000, Jiangsu Province, China
  • Received:2019-07-23 Revised:2019-07-27 Accepted:2019-09-03 Online:2020-03-28 Published:2020-02-12
  • Contact: Lu Jiajun, Chief physician, Department of Orthopedics, Changzhou Tumor Hospital Affiliated to Soochow University, Changzhou 213000, Jiangsu Province, China
  • About author:Li Guijun, Master candidate, Attending physician, Department of Orthopedics, Changzhou Tumor Hospital Affiliated to Soochow University, Changzhou 213000, Jiangsu Province, China
  • Supported by:
    the Major Science and Technology Project of Changzhou Health and Family Planning Commission, No. ZD201607

Abstract:

BACKGROUND: Hallux valgus is a complex deformity. There is no gold standard for the treatment of hallux valgus. Osteotomy is highly recommended at present, but there are many complications. Whether we can correct hallux valgus without osteotomy is a new attempt in our group.

OBJECTIVE: To explore the efficacy of an Endobutton suspension plate treatment for hallux valgus deformity.

METHODS: From April 2013 to August 2018 at Department of Orthopedics, Changzhou Tumor Hospital Affiliated to Soochow University, 26 cases of hallux valgus were treated with Endobutton suspension plate, without osteotomy. All patients signed the informed consents and the study was approved by the hospital ethics committee. The hallux valgus angle and angle between metatarsal 1 and 2 were detected preoperatively and postoperatively. The American Orthopaedic Foot & Ankle Society score was detected at 12 months postoperatively.

RESULTS AND CONCLUSION: (1) All patients were followed up from 8 to 38 months. (2) The hallux valgus angle (28.95±4.12)° and angle between metatarsal 1 and 2 (15.82±1.81)° preoperatively were significantly decreased to (14.15±3.60)° and (7.88±0.90)° postoperatively (both P < 0.01). (3) The American Orthopaedic Foot & Ankle Society score at 12 months after surgery (89.15±7.81) was significantly higher than that at baseline (62.08±7.10) (P < 0.01). (4) In summary, Endobutton suspension fixation between metatarsal 1 and 2 for treating hallux valgus is a viable treatment option.

Key words:

hallux valgus, Endobutton suspension plate, osteotomy, hallux valgus angle, angle between metatarsal 1 and 2, follow up

CLC Number: