Reintervention rates following hallux valgus correction with the original and a modified Kramer osteotomy

Abstract

Numerous surgical techniques to correct hallux valgus deformities are performed worldwide, some of which were developed to address problems associated with existing techniques.

This retrospective study investigated patient’s outcomes and reintervention rates following the original Kramer osteotomy (KO) and a modified version of the KO (MKO). Results of radiological and clinical were gathered from medical records and long-term follow-up visits.

Angular measurements significantly improved and only three minor postoperative complications occurred after both procedures. No significant loss of correction was detected at long-term follow-up. The reintervention rate in the MKO group was 53% and the malalignment rate in the KO group was 18%.

Despite promising angular results, both techniques had important weaknesses. MKO had a high reintervention rate, which was even more clinically problematic than malalignment after KO. Given the vast array of surgical techniques to treat this condition, we conclude that better performing options should be considered.