prikaz prve stranice dokumenta Croatian rotatory oblique three-dimensional osteotomy (CROTO) - a modified Wilson's osteotomy for adult hallux valgus intended to prevent dorsal displacement of the distal fragment and to reduce shortening of the first metatarsal bone
  Download
PDF 761.18 KB
Scientific paper - Original scientific paper
Croatian rotatory oblique three-dimensional osteotomy (CROTO) - a modified Wilson's osteotomy for adult hallux valgus intended to prevent dorsal displacement of the distal fragment and to reduce shortening of the first metatarsal bone
Medicinski glasnik, 14 (2017), 2; 250-256. https://doi.org/10.17392/903-17
Kolundžić, Robert; Mađarević, Mladen; Trkulja, Vladimir; Crnković, Tomislav; Šmigovec, Igor; Matek, Daniel

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Kolundžić, R., Mađarević, M., Trkulja, V., Crnković, T., Šmigovec, I. & Matek, D. (2017). Croatian rotatory oblique three-dimensional osteotomy (CROTO) - a modified Wilson's osteotomy for adult hallux valgus intended to prevent dorsal displacement of the distal fragment and to reduce shortening of the first metatarsal bone. Medicinski glasnik, 14. (2), 250-256. doi: 10.17392/903-17

Kolundžić, Robert, et al. "Croatian rotatory oblique three-dimensional osteotomy (CROTO) - a modified Wilson's osteotomy for adult hallux valgus intended to prevent dorsal displacement of the distal fragment and to reduce shortening of the first metatarsal bone." Medicinski glasnik, vol. 14, no. 2, 2017, pp. 250-256. https://doi.org/10.17392/903-17

Kolundžić, Robert, Mladen Mađarević, Vladimir Trkulja, Tomislav Crnković, Igor Šmigovec and Daniel Matek. "Croatian rotatory oblique three-dimensional osteotomy (CROTO) - a modified Wilson's osteotomy for adult hallux valgus intended to prevent dorsal displacement of the distal fragment and to reduce shortening of the first metatarsal bone." Medicinski glasnik 14, no. 2 (2017): 250-256. https://doi.org/10.17392/903-17

Kolundžić, R., et al. (2017) 'Croatian rotatory oblique three-dimensional osteotomy (CROTO) - a modified Wilson's osteotomy for adult hallux valgus intended to prevent dorsal displacement of the distal fragment and to reduce shortening of the first metatarsal bone', Medicinski glasnik, 14(2), pp. 250-256. doi: 10.17392/903-17

Kolundžić R, Mađarević M, Trkulja V, Crnković T, Šmigovec I, Matek D. Croatian rotatory oblique three-dimensional osteotomy (CROTO) - a modified Wilson's osteotomy for adult hallux valgus intended to prevent dorsal displacement of the distal fragment and to reduce shortening of the first metatarsal bone. Medicinski glasnik [Internet]. 2017 August 01 [cited 2024 November 23];14(2):250-256. doi: 10.17392/903-17

R. Kolundžić, M. Mađarević, V. Trkulja, T. Crnković, I. Šmigovec and D. Matek, "Croatian rotatory oblique three-dimensional osteotomy (CROTO) - a modified Wilson's osteotomy for adult hallux valgus intended to prevent dorsal displacement of the distal fragment and to reduce shortening of the first metatarsal bone", Medicinski glasnik, vol. 14, no. 2, pp. 250-256, August 2017. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:460896. [Accessed: 23 November 2024]

Metadata
Title (english)Croatian rotatory oblique three-dimensional osteotomy (CROTO) - a modified Wilson's osteotomy for adult hallux valgus intended to prevent dorsal displacement of the distal fragment and to reduce shortening of the first metatarsal bone
AuthorRobert Kolundžić
AuthorMladen Mađarević
AuthorVladimir Trkulja
AuthorTomislav Crnković
AuthorIgor Šmigovec
AuthorDaniel Matek
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
Aim: To evaluate biomechanical and clinical outcomes of a newly developed modification of the Wilson's osteotomy for hallux valgus: a three-dimensional subcaptial correction of the metatarsal head position with a simultaneous lateral and plantar shift with derotation intended to reduce displacement of the distal fragment and shortening of the first metatarsal bone. ----- Methods: Thirty four feet (28 female patients) underwent the new procedure and were evaluated before and 12 to 84 months (median=25.5) after the surgery. ----- Results: Plantar shift of the distal fragment was achieved in all feet. Shortening of the first metatarsal was moderate: ≤6 mm in 32/34 feet, 7 and 10 mm in the remaining two. Median difference in metatarsal index post- vs. pretreatment was -4.0. The hallux valgus angle, intermetatarsal and distal metatarsal articular angles were reduced in all feet. The American Orthopaedic Foot and Ankle Society score improved in all feet (median increase= 51.5). ----- Conclusion: The method allows for a lateral and plantar shift with derotation of the distal fragment and a mild/moderate shortening of the first metatarsal bone.
Abstract (croatian)
Cilj: Procijeniti biomehaničke i kliničke rezultate nove modifikacije Wilsonove osteotomije za liječenja haluks valgusa: trodimenzionalne subkapitalne korekcije položaja glave prve metatarzalne kosti s istodobnim lateralnim i plantarnim pomakom s derotacijom u svrhu prevencije pomaka distalnog ulomka i skrećenja prve metatarzalne kosti. ----- Metode: Novom su metodom operirana 34 stopala u 28 žena, a evaluirana su prije operacije i 12 do 84 mjeseca nakon operacije (medijan=25.5 tjedana). ----- Rezultati: Plantarni pomak distalnog fragmenta ostvaren je u svim stopalima pri čemu je skraćenje prve metatarzalne kosti bilo umjereno: ≤6 mm u 32/34 stopala i 7 i 10 mm u preostala dva. Medijan-razlika metatarzalnog indeksa, nakon zahvata u odnosu na stanje prije zahvata, iznosio je -4.0. Kut haluks valgusa, intermetatarzalni kut i kut distalnog metatarzalnog zgloba smanjeni su u svim stopalima. Skor Američkog društva za stopalo i skočni zglob povećan je u svim stupalima (medijan povećanja=51.5). ----- Zaključak: Metoda omogućuje plantarni i lateralni pomak distalnog ulomka, uz derotaciju i blago do umjereno skraćenje prve metatarzalne kosti.
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicinski glasnik
Numberingvol. 14, no. 2, pp. 250-256
p-ISSN1840-0132
DOIhttps://doi.org/10.17392/903-17
URN:NBNurn:nbn:hr:105:460896
Publication2017-08-01
Document URLhttps://doi.org/10.17392/903-17
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 09:16:02