Is Lındgren–Turan Osteotomy as Safe and Effectıve as Chevron Osteotomy for Mild-to-Moderate Hallux Valgus? A Prospectıve Randomized-Controlled Study
Indian Journal of Orthopaedics, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s43465-026-01961-5
- Dergi Adı: Indian Journal of Orthopaedics
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, Academic Search Ultimate (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: Hallux valgus, Lindgren-Turan osteotomy, Chevron osteotomy, Distal metatarsal osteotomy, Randomized-controlled trial, & Idot;ntermetatarsal angle, Hallux valgus angle, Radiographic outcomes, Functional outcomes, Sesamoid position
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: This study aimed to compare the clinical, radiological, operative, and safety outcomes of Lindgren–Turan (LT) and chevron osteotomies in patients with mild-to-moderate hallux valgus. Methods: Our prospective randomized-controlled study included 38 patients who underwent LT osteotomy and 38 who underwent chevron osteotomy. Randomization was performed using a computer-generated random sequence, and allocation concealment was ensured using sequentially numbered, opaque, sealed envelopes. Patients were assessed using AOFAS, Martin, and Maryland scores preoperatively and at the 6-month postoperative follow-up. The hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA), first metatarsal length, and sesamoid positions were measured. The primary outcome was the between-group difference in IMA at 6 months postoperatively. Results: The operative time was significantly shorter in the LT group than in the chevron group (p < 0.001). IMA at 6 months postoperatively was significantly lower in the LT group than in the chevron group (p < 0.001). Although radiological parameters showed superior correction in the LT group, there were no statistically significant differences in functional scores (AOFAS, Maryland, Martin) between the two groups at 6 months. Conclusion: In this prospective randomized study, LT osteotomy was associated with shorter operative time and greater radiological IMA correction than chevron osteotomy, while clinical and functional outcomes were similar at 6 months. Observed complication rates were low in both groups; however, the study was not powered to draw definitive conclusions regarding comparative safety.