Abstract
INTRODUCTION
The aim of the present study was to evaluate the early functional and radiological results of Mau osteotomy in the treatment of moderate -severe hallux valgus deformity.
METHODS
A retrospective evaluation was made of 16 patients undergoing Mau osteotomy for treatment of hallux valgus deformity between July 2016 and January 2019. Clinical findings of patients were evaluated in preoperative and the last follow-up visits using the American Orthopaedic Association Foot and Ankle Score (AOFAS) and Visual Analog Scale (VAS). Radiological findings were measured with hallux valgus angle (HVA) and the intermetatarsal angle (IMA) on anteroposterior and lateral standing radiographs of both feet.
RESULTS
9 (56%) patients were female and 7 (44%) male with a mean age of 43.7 years. The mean follow-up period was 18 months (range, 6-27 months). A statistically significant improvement was determined in AOFAS and VAS postoperatively compared to the preoperative values (p<0.05). Radiologically, the HVA improved from 43.75 ± 7.58 preoperatively to 22.13 ± 6.63 at the final follow-up examination, and the IMA from 16.00 ± 2.82 to 7.44 ± 3.38 (p<0.05). Excellent and good results were obtained in 81% of the patients.
DISCUSSION AND CONCLUSION
In conclusion, Mau osteotomy can be considered an effective and reliable method in the treatment of hallux valgus deformity, based on the excellent and good clinical and radiological results obtained in 81% of the current study patients.