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Vol. 76 No. 4 (2019)
Vol. 76 No. 4 (2019)

Mitchell and Golden metatarsal osteotomies for the treatment of moderate hallux valgus deformity: A comparative analysis

DOI: 10.2298/VSP161230105M
Nadan Mikić
Zvezdara University Medical Center, Clinical Department of Orthopaedics and Traumatology, Belgrade, Serbia
Dušanka Grujoska-Veta
University Clinic for Orthopaedic Surgery, Skoplje, Republic of North Macedonia
Goran Čobeljić
University of Belgrade, Faculty of Medicine, Institute for Orthopaedic Surgery “Banjica”, Belgrade, Serbia
Ismet Gavankapetanović
Clinical Center, Clinic of Orthopaedics and Traumatology, Sarajevo, Bosnia and Hercegovina
Zoran Vukašinović
University of Belgrade, Faculty of Medicine, Institute for Orthopaedic Surgery “Banjica”, Belgrade, Serbia
Ivan Soldatović
University of Belgrade, Faculty of Medicine, Institute for Orthopaedic Surgery “Banjica”, Belgrade, Serbia
Miroslava Popović
Zvezdara University Medical Center, Clinical Department of Orthopaedics and Traumatology, Belgrade, Serbia
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Published

2021-02-09

Section

Original Paper

Abstract

Background/Aim. Despite bunion surgery having been performed for more than 100 years, there has yet to be a technique considered as the “Gold Standard”. The aim of the study was to compare postoperative results of Mitchell vs. Golden methods of treating moderate hallux valgus de­formity. Methods.This observational case control study in­cluded 49 patients (81 feet) who had the Mitchell distal metatarsal osteotomy performed, and 49 patients (77 feet) that had the Golden proximal metatarsal osteotomy per­formed. The results of treatment were evaluated using Hel­lal’s modification of the Bonney and McNab classification and the Hallux Metatarsophalangeal Interphalangeal Score (HMIS). The statistical analysis of the results was done, thus the values p < 0.05 were considered statistically significant. Results. Both operative procedures showed successful and statistically significant postoperative results compared to the preoperative status (p < 0.001). Comparative analysis of the results from the Mitchell and Golden procedures, according to the Hellal’s modification of Bonney and McNab classifi­cation, proved that there was a high statistically significant difference in favor of the Mitchell method (p < 0.001), whereas the comparison based on the HMIS showed no statistically significant difference (p = 0.123) between the two methods. The estimated results analysis of both proce­dures, based on the values of hallux valgus angle, inter­metatarsal angle, sesamoid position, length of immobiliza­tion, treatment duration and complications demonstrated that there was a highly significant difference in favor of the Mitchell method (p < 0.001), whereas the value of the shortening of the first metatarsal bone indicated that the shortening was greater in the Mitchell method (p < 0.001), which goes in favor of the Golden method. Regarding the flexion of the thumb of the feet operated on, there was no statistically significant difference (p = 0.723). Conclusion. The examinations performed indicated that both methods showed good postoperative results, but applying the Mitchell method they were better.

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DOI: 10.2298/VSP161230105M

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