OUTCOMES OF MITCHELL’S PROCEDURE IN THE TREATMENT OF HALLUX VALGUS

Volume 12 , Issue 4 , December 2022 , Pages 363-369

Authors

Omer Ali Rafiq Barawi 1 ; Abdullah K. Ghafour 2 ; Abd Ali Muhsin 3

1 Department of Orthopedic Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

2 Shar Teaching Hospitals, Sulaimani, Kurdistan Region, Iraq.

3 Department of Orthopedic Surgery,College of Medicine, Al-Nahrain University, Baghdad, Iraq.

DOI logo 10.17656/jsmc.10380

Keywords

Abstract

Background
Hallux Valgus is the commonest foot deformity. It is characterized by lateral deviation of the big toe with the
medial shifting of the first metatarsal. Many intrinsic and extrinsic factors are claimed to be a cause and may
coexist as multifactorial. Mitchell’s distal metatarsal osteotomy is one of the preliminary operations proposed
in managing hallux valgus, with 70% to 90% of satisfactory results.
Objectives
To evaluate the outcome of Mitchell’s procedure in treating mild to moderate hallux valgus in terms of clinical
and radiological outcomes.
Patients and Methods
Sixteen adult patients (26 feet) with mild to moderate hallux valgus were enrolled in this study. They underwent
original Mitchell’s step-cut distal osteotomy to correct their hallux valgus
Results
At the last follow-up, overall satisfaction was (81.25%) with three patients unsatisfied due to transfer
metatarsagia and reflex sympathetic dystrophy. The mean change in hallux valgus angle and intermetatarsal
angle were (17.27°) and (4.47°) respectively.
Conclusion
Mitchell’s procedure is a distal metatarsal osteotomy which has good results in treating mild to moderate
hallux valgus in terms of clinical and radiological appearance and acceptable patient satisfaction. However,
transfer metatarsalgia and recurrence of deformity are two more known drawbacks of this procedure.

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  • Published at21 December 2022

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