Osteochondral lesions in surgically treated hallux valgus

James R. Jastifer, Michael J. Coughlin, Jesse Doty, Faustin R. Stevens, Christopher Hirose, Travis J. Kemp

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Patient dissatisfaction following surgical correction of hallux valgus remains a clinical problem. The aim of this study was to investigate articular erosion patterns of the first metatarsal head in patients with hallux valgus, to evaluate if the cartilage damage was associated with the degree of hallux valgus deformity, and to prospectively evaluate the effect on patient outcomes. Methods: Fifty-six consecutive feet undergoing surgical correction for hallux valgus were prospectively enrolled and followed for 24 months postoperatively. In addition to clinical and radiographic examinations, intraoperative measurements were obtained to quantify osteochondral lesion location, size, and grade of the first metatarsal head cartilage. Results: Fifty-one of 56 feet (91%) had osteochondral lesions. The mean number of zones affected was 2.9, and the mean maximum International Cartilage Repair Society (ICRS) scale lesion grade was 2.9 out of 4. A total of 44/56 (79%) completed a minimum of 24 months of follow-up. The grade of the lesion and the extent of the lesion did not have a strong correlation with the radiographic measures or clinical outcome scores. Conclusions: This study showed a high prevalence of osteochondral lesions in patients undergoing operative correction of hallux valgus. Since the grade and the extent of the lesions did not have a strong correlation with the severity of the deformity or the clinical outcome, the significance of these lesions remains unknown. Level of Evidence: Level III, comparative series.

Original languageEnglish (US)
Pages (from-to)643-649
Number of pages7
JournalFoot and Ankle International
Volume35
Issue number7
DOIs
StatePublished - Jan 1 2014

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Hallux Valgus
Cartilage
Metatarsal Bones
Foot
Joints

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Jastifer, J. R., Coughlin, M. J., Doty, J., Stevens, F. R., Hirose, C., & Kemp, T. J. (2014). Osteochondral lesions in surgically treated hallux valgus. Foot and Ankle International, 35(7), 643-649. https://doi.org/10.1177/1071100714531234

Osteochondral lesions in surgically treated hallux valgus. / Jastifer, James R.; Coughlin, Michael J.; Doty, Jesse; Stevens, Faustin R.; Hirose, Christopher; Kemp, Travis J.

In: Foot and Ankle International, Vol. 35, No. 7, 01.01.2014, p. 643-649.

Research output: Contribution to journalArticle

Jastifer, JR, Coughlin, MJ, Doty, J, Stevens, FR, Hirose, C & Kemp, TJ 2014, 'Osteochondral lesions in surgically treated hallux valgus', Foot and Ankle International, vol. 35, no. 7, pp. 643-649. https://doi.org/10.1177/1071100714531234
Jastifer, James R. ; Coughlin, Michael J. ; Doty, Jesse ; Stevens, Faustin R. ; Hirose, Christopher ; Kemp, Travis J. / Osteochondral lesions in surgically treated hallux valgus. In: Foot and Ankle International. 2014 ; Vol. 35, No. 7. pp. 643-649.
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