The application of three-dimensional visualization technique in preoperative planning of Chevron Osteotomy for treatment of hallux valgus

LV Zhi-yu1,ZHAO Yi-rong1,YU Chun-sheng1,LI Ji-chuan1,SHAO Zhi-ming2

Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (1) : 94-97.

Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (1) : 94-97. DOI: 10.13418/j.issn.1001-165x.2017.01.019

The application of three-dimensional visualization technique in preoperative planning of Chevron Osteotomy for treatment of hallux valgus

  • LV Zhi-yu1,ZHAO Yi-rong1,YU Chun-sheng1,LI Ji-chuan1,SHAO Zhi-ming2
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Abstract

Objective To Discuss the benefit of the three-dimensional visualization technique in preoperative planning of Chevron Osteotomy for treatment of hallux valgus. Methods  From January 2014 to December 2015, the 3D visualization preoperative planning technique was applied to 20 admitted patients aged 48-72 years old with mild to moderate hallux valgus.  The image processing software M3d was performed to analyze the images obtained from 3D spiral CT with 0.625 mm thin slices, generate the hallux valgus model, simulate the osteotomy, measure hallux valgus angle (HVA) and 1st-2nd intermetatarsal angle (IMA), and compare measurements at different osteotomy angles. Results With the guidance of the preoperative planning made through digital reconstruction model of hallux valgus and osteotomy simulation, the imaging findings after osteotomy correction highly agreed with the one made from 3D virtual surgery.  AOFAS scores were significantly increased, as well as patient satisfaction. Conclusions The 3D foot weight-bearing reconstruction model for hallux valgus patient clearly shows the position change of the first metatarsal column in a 3D space.  It also provides a quantitative basis for Chevron osteotomy surface design and 3D post-treatment measurement of the first metatarsal head. Hallux valgus correction treatment should be designed to accommodate individual differences, so that the foot shape looks better and weight-bearing function works better to improve patient satisfaction after Chevron osteotomy.

Key words

The Chevron osteotomy for hallux valgus / Hallux  / valgu / Three-dimensional reconstruction

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LV Zhi-yu1,ZHAO Yi-rong1,YU Chun-sheng1,LI Ji-chuan1,SHAO Zhi-ming2. The application of three-dimensional visualization technique in preoperative planning of Chevron Osteotomy for treatment of hallux valgus[J]. Chinese Journal of Clinical Anatomy. 2017, 35(1): 94-97 https://doi.org/10.13418/j.issn.1001-165x.2017.01.019

References

[1]  Chen L,Lyman S,Do H,et al.Validation of foot and ankle outcome score for hallux valgus[J].Foot Ankle Int,2012, 3(12):1145-1155.
[2]  Roddy E, Zhang W, Doherty M. Prevalence and associations of hallux valgus in a primary care population[J].  Arthritis Rheum,2008, 9(6):857-862.
[3] Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment[J]. Foot Ankle Int,2007, 8(7):759-777.
[4]  史思峰,董杨. 母外翻主要病理改变及组织修复方法的选择[J].中国组织工程研究与临床康复,2009,3(50):9958-9961.
[5]  Dobson MH, Nguyen C. Modern concepts in the treatment of hallux valgus[J]. Bone Joint Surg Br, 2006,88(2):276-279.
[6] Deenik AR, Pilot P,Brandt SE, et al .Scarf versus chevron osteotomy in hallux valgus: A randomized controlled trial in 96 patients[J].Foot Ankle Int,2007,28(5):537-541.
[7] Deenik A, van Mameren H, de Visser E,et al. Equivalent correction in scarf and chevron osteotomy in moderate and severe hallux valgus: a randomized controlled trial[J]. Foot Ankle Int, 2008,29(12):1209-1215.
[8]  钟世镇,原林,黄文华. 数字化虚拟人体为临床解剖学开拓研究新领域[J]. 中国临床解剖学杂志, 2002, 20(1): 3-4.
[9]   张元智,李严兵,唐茂林,等. 数字化与虚拟现实技术在皮瓣移植中的作用[J]. 中华创伤骨科杂志, 2006, 8(6):501-504.

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