{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:03:33Z","timestamp":1783479813385,"version":"3.55.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The purpose of this study was to present the clinical and radiological results of modified Simmonds-Menelaus technique, performed as a proximal, medially-based, open-wedge osteotomy of the first metatarsal, in cases of moderate or severe adult hallux valgus deformity.\nMethods: Fifty-one feet of 47 patients underwent surgery due to hallux valgus. Mean age was 41.2\u00b114.0 years, and mean follow-up period was 99.5\u00b136.0 months. Patients were evaluated with standing anteroposterior (AP) and lateral radiographies obtained in the preoperative and early postoperative periods, and during final follow-up. The parameters of hallux valgus angle (HVA), intermetatarsal angle (IA), metatarsal distal phalangeal angle (MDPA), and first metatarsal length (ML) were measured. For clinical evaluation, American Orthopaedic Foot and Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal (MTP-IP) scale was used.\nResults: Mean preoperative HVA was 36.9\u00b0\u00b17.3\u00b0, mean early postoperative HVA was 16.6\u00b0\u00b16.2\u00b0, and mean final postoperative HVA was 28.9\u00b0\u00b111.5\u00b0. Mean preoperative IA was 17.3\u00b0\u00b14.5\u00b0, mean early postoperative IA was 8.8\u00b0\u00b13.6\u00b0, and mean final postoperative IA was 14.3\u00b0\u00b14.9\u00b0. Mean AOFAS hallux MTP-IP score was 71.9\u00b120.1 at final follow-up.\nConclusion: From studies in the available literature, it is not clear whether the proximal open-wedge osteotomy technique itself is unsuccessful in adults or the lack of internal fixation led to failure. Application of an adequate fixation material should be used in order to avoid the collapse of the graft and to maintain the correction of the radiological parameters.\n \n\nDOI: 10.3944\/AOTT.2015.14.0289\n\n \n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fmam\u0131zda, eri\u015fkinlerde g\u00f6zlenen orta veya a\u011f\u0131r dereceli halluks valgus deformitesi olgular\u0131nda, birinci metatars\u0131n proksimal, medial tabanl\u0131, a\u00e7\u0131k kama osteotomisinde kullan\u0131lan modifiye Simmonds-Menelaus tekni\u011finin klinik ve radyolojik sonu\u00e7lar\u0131 sunulmaktad\u0131r.\u00c7al\u0131\u015fma plan\u0131: Halluks valgus nedeniyle 47 hastan\u0131n 51 aya\u011f\u0131 opere edilmi\u015fti. Ortalama ya\u015f\u0131 41.2\u00b114.0 olan hastalar\u0131n ortalama takip s\u00fcrelerinin 99.5\u00b136.0 ay oldu\u011fu kaydedildi. Hastalar\u0131n de\u011ferlendirmesi cerrahi \u00f6ncesi, cerrahiden sonra erken d\u00f6nem ve son takiplerinde \u00e7ekilen ayakta anteroposterior (AP) ve lateral grafilerle yap\u0131ld\u0131. Halluks valgus a\u00e7\u0131s\u0131 (HVA), intermetatarsal a\u00e7\u0131 (\u0130A), metatars distal falanks a\u00e7\u0131s\u0131 (MDFA), birinci metatars uzunlu\u011fu (MU) parametreleri \u00f6l\u00e7\u00fcld\u00fc. Klinik de\u011ferlendirmede AOFAS halluks metatarsofalangeal-interfalangeal skaladan yararlan\u0131ld\u0131.Bulgular: Ortalama HVA cerrahi \u00f6ncesi 36.9\u00b17.3 derece olarak \u00f6l\u00e7\u00fcl\u00fcrken, cerrahi sonras\u0131 erken d\u00f6nemde bu de\u011ferin 16.6\u00b16.2, son takipte ise 28.9\u00b111.5 derece oldu\u011fu g\u00f6r\u00fcld\u00fc. Ortalama \u0130A cerrahi \u00f6ncesinde 17.3\u00b14.5, cerrahi sonras\u0131 erken d\u00f6nemde 8.8\u00b13.6 ve son takipte 14.3\u00b14.9 derece olarak \u00f6l\u00e7\u00fcld\u00fc. Son takipteki ortalama AOFAS halluks metatarsofalangeal-interfalangeal skala puan\u0131 ise 71.9\u00b120.1 idi.\u00c7\u0131kar\u0131mlar: Literat\u00fcrdeki di\u011fer \u00e7al\u0131\u015fma sonu\u00e7lar\u0131yla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, eri\u015fkinlerde ba\u015far\u0131l\u0131 sonu\u00e7 al\u0131namamas\u0131n\u0131n proksimal a\u00e7\u0131k kama osteotomi tekni\u011finin kendisinden mi yoksa internal tespit yetersizli\u011finden mi kaynakland\u0131\u011f\u0131 net olarak anla\u015f\u0131lamamaktad\u0131r. Greftin \u00e7\u00f6kmesini \u00f6nlemek ve d\u00fczeltilmi\u015f radyolojik parametrelerin kal\u0131c\u0131l\u0131\u011f\u0131n\u0131 sa\u011flamak i\u00e7in uygun tespit materyalinin kullan\u0131lmas\u0131 \u015fartt\u0131r<\/jats:p>","DOI":"10.3944\/aott.2015.14.0289","type":"journal-article","created":{"date-parts":[[2015,6,18]],"date-time":"2015-06-18T07:46:38Z","timestamp":1434613598000},"page":"648-653","source":"Crossref","is-referenced-by-count":3,"title":["Modified SimmondsMenelaus procedure for moderate or severe adult hallux valgus"],"prefix":"10.5152","volume":"49","author":[{"given":"Yunus","family":"Emre Akman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merter","family":"Yalcinkaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esra","family":"Circi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunus","family":"Atici","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf","family":"Ozturkmen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Dogan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3063\/3015","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:07:53Z","timestamp":1763464073000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2015,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0289","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}