{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:28Z","timestamp":1783509268830,"version":"3.55.0"},"reference-count":21,"publisher":"MDPI AG","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5]]},"abstract":"\n Background<\/jats:title>\n No detailed comparative studies have been performed regarding plantar pressure changes between proximal dome and distal chevron osteotomies. This study aimed to compare radiographic and plantar pressure changes after distal chevron and proximal dome osteotomies and to investigate the effect of radiographic and plantar pressure changes on clinical outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This study included 26 and 22 patients who underwent distal chevron and proximal dome osteotomies, respectively. Visual analog scale (VAS) and American Orthopaedic Foot & Ankle Society (AOFAS) forefoot scores were used to evaluate pain and functional outcomes. Hallux valgus angle, intermetatarsal angle, talar\u2013first metatarsal angle, and calcaneal inclination angle were measured in the evaluation of radiographic outcomes. Preoperative and postoperative plantar pressure changes were evaluated.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n There were no statistically significant differences between the two groups in age, body mass index, or AOFAS forefoot and VAS scores. In the proximal dome group, the pressure measurement showed significant lateralization of the maximal anterior pressure point in the forefoot (\n P<\/jats:italic>\n < .001). In addition, the postoperative calcaneal inclination angle was significantly lower (\n P<\/jats:italic>\n = .004) and the talar\u2013first metatarsal angle was significantly higher (\n P<\/jats:italic>\n < .001) in the proximal dome group. Postoperative transfer metatarsalgia was observed in one patient (3.8%) in the distal chevron group and five (22.7%) in the proximal dome group (\n P<\/jats:italic>\n < .05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Proximal dome osteotomy led to more lateralization of the maximum anterior pressure point, decreased calcaneal inclination angle and first metatarsal elevation, and related higher transfer metatarsalgia.<\/jats:p>\n <\/jats:sec>","DOI":"10.7547\/20-016","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T17:01:28Z","timestamp":1624035688000},"source":"Crossref","is-referenced-by-count":1,"title":["Effect of Proximal Dome and Distal Chevron Osteotomies on Plantar Pressures and Radiographic and Functional Outcomes in Hallux Valgus Surgery: A Retrospective Analysis"],"prefix":"10.3390","volume":"111","author":[{"given":"Kadir Ilker","family":"Yildiz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulhamit","family":"Misir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turan Bilge","family":"Kizkapan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Cukurlu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Canan Gonen","family":"Aydin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-111-3-Article_6-b01","series-title":"Gait Posture","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1016\/j.gaitpost.2010.03.017","article-title":"The impact of hallux valgus on foot kinematics: a cross-sectional, comparative study","volume":"32","author":"Deschamps","year":"2010","unstructured":"Deschamps\n K\n \n \n Birch\n I\n \n \n Desloovere\n K\n \n :\n \n The impact of hallux valgus on foot kinematics: a cross-sectional, comparative study.\n\t\t\t\t\tGait Posture32: 102,\n\t\t\t\t\t2010.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000279581000020&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f32045139210.1016\/j.gaitpost.2010.03.017"},{"key":"i8750-7315-111-3-Article_6-b02","series-title":"Gait Posture","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1016\/j.gaitpost.2010.06.015","article-title":"Plantar pressure determinants in mild hallux valgus","volume":"32","author":"Martinez-Nova","year":"2010","unstructured":"Martinez-Nova\n A\n \n \n Sanchez-Rodriguez\n R\n \n \n Perez-Soriano\n P\n \n :\n \n Plantar pressure determinants in mild hallux valgus.\n\t\t\t\t\tGait Posture32: 425,\n\t\t\t\t\t2010.\n\t\t\t\t10.1016\/j.gaitpost.2010.06.01520643550"},{"key":"i8750-7315-111-3-Article_6-b03","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1016\/S1067-2516(02)80048-5","article-title":"Metatarsalgia in hallux valgus deformity: a pedographic analysis","volume":"41","author":"Waldecker","year":"2002","unstructured":"Waldecker\n U:\n \n \n Metatarsalgia in hallux valgus deformity: a pedographic analysis.\n\t\t\t\t\tJ Foot Ankle Surg41: 300,\n\t\t\t\t\t2002.\n\t\t\t\t10.1016\/S1067-2516(02)80048-512400713"},{"key":"i8750-7315-111-3-Article_6-b04","series-title":"J Orthop Sci","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1007\/s00776-004-0800-9","article-title":"Axial radiographic evaluation in hallux valgus: evaluation of the transverse arch in the forefoot","volume":"9","author":"Suzuki","year":"2004","unstructured":"Suzuki\n J\n \n \n Tanaka\n Y\n \n \n Takaoka\n T\n \n :\n \n Axial radiographic evaluation in hallux valgus: evaluation of the transverse arch in the forefoot.\n\t\t\t\t\tJ Orthop Sci9: 446,\n\t\t\t\t\t2004.\n\t\t\t\t10.1007\/s00776-004-0800-915449119"},{"key":"i8750-7315-111-3-Article_6-b05","series-title":"Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1016\/j.fas.2013.05.002","article-title":"Comparative study of Lapidus bunionectomy using different osteosynthesis methods","volume":"19","author":"Gutteck","year":"2013","unstructured":"Gutteck\n N\n \n \n Wohlrab\n D\n \n \n Zeh\n A\n \n :\n \n Comparative study of Lapidus bunionectomy using different osteosynthesis methods.\n\t\t\t\t\tFoot Ankle Surg19: 218,\n\t\t\t\t\t2013.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000209392000003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.1016\/j.fas.2013.05.00224095227"},{"key":"i8750-7315-111-3-Article_6-b06","series-title":"Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/j.fas.2013.06.003","article-title":"Modified Lapidus arthrodesis with plantar plate and compression screw for treatment of hallux valgus with hypermobility of the first ray: a preliminary report","volume":"19","author":"Klos","year":"2013","unstructured":"Klos\n K\n \n \n Wilde\n CH\n \n \n Lange\n A\n \n :\n \n Modified Lapidus arthrodesis with plantar plate and compression screw for treatment of hallux valgus with hypermobility of the first ray: a preliminary report.\n\t\t\t\t\tFoot Ankle Surg19: 239,\n\t\t\t\t\t2013.\n\t\t\t\t2409523110.1016\/j.fas.2013.06.003http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000209392000007&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-111-3-Article_6-b07","series-title":"JAPMA","first-page":"357","article-title":"Plantar pressure and radiographic changes to the forefoot after the Austin bunionectomy","volume":"95","author":"Bryant","year":"2005","unstructured":"Bryant\n AR\n \n \n Tinley\n P\n \n \n Cole\n JH:\n \n \n Plantar pressure and radiographic changes to the forefoot after the Austin bunionectomy.\n\t\t\t\t\tJAPMA95: 357,\n\t\t\t\t\t2005."},{"key":"i8750-7315-111-3-Article_6-b08","series-title":"Foot Ankle Spec","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1177\/1938640012457680","article-title":"Test-retest reliability of the Win-Track platform in analyzing the gait parameters and plantar pressures during barefoot walking in healthy adults","volume":"5","author":"Ramachandra","year":"2012","unstructured":"Ramachandra\n P\n \n \n Maiya\n AG\n \n \n Kumar\n P:\n \n \n Test-retest reliability of the Win-Track platform in analyzing the gait parameters and plantar pressures during barefoot walking in healthy adults.\n\t\t\t\t\tFoot Ankle Spec5: 306,\n\t\t\t\t\t2012.\n\t\t\t\t10.1177\/193864001245768022956663"},{"key":"i8750-7315-111-3-Article_6-b09","series-title":"Foot","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/0958-2592(95)90026-8","article-title":"The pattern of forefoot pressure distribution in hallux valgus","volume":"5","author":"Plank","year":"1995","unstructured":"Plank\n M:\n \n \n The pattern of forefoot pressure distribution in hallux valgus.\n\t\t\t\t\tFoot5: 8,\n\t\t\t\t\t1995.\n\t\t\t\t10.1016\/0958-2592(95)90026-8"},{"key":"i8750-7315-111-3-Article_6-b10","series-title":"J Orthop 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in patients with hallux valgus","volume":"20","author":"Hofmann","year":"2019","unstructured":"Hofmann\n UK\n \n \n G\u00f6tze\n M\n \n \n Wiesenreiter\n K\n \n :\n \n Transfer of plantar pressure from the medial to the central forefoot in patients with hallux valgus.\n\t\t\t\t\tBMC Musculoskelet Disord20: 149,\n\t\t\t\t\t2019.\n\t\t\t\t10.1186\/s12891-019-2531-230961591http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000464856000001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-111-3-Article_6-b12","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1177\/107110070202300606","article-title":"Chevron distal metatarsal osteotomy for hallux valgus: comparison of pre-and post surgical characteristics","volume":"23","author":"Kernozek","year":"2002","unstructured":"Kernozek\n TW\n \n \n Sterriker\n SA:\n \n \n Chevron distal metatarsal osteotomy for hallux valgus: comparison of pre-and post surgical characteristics.\n\t\t\t\t\tFoot Ankle Int23: 503,\n\t\t\t\t\t2002.\n\t\t\t\t10.1177\/10711007020230060612095118"},{"key":"i8750-7315-111-3-Article_6-b13","series-title":"Gait Posture","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1016\/j.gaitpost.2012.03.030","article-title":"Adaptive changes of foot pressure in hallux valgus patients","volume":"36","author":"Wen","year":"2012","unstructured":"Wen\n J\n \n \n Ding\n Q\n \n \n Yu\n Z\n \n :\n \n Adaptive changes of foot pressure in hallux valgus patients.\n\t\t\t\t\tGait Posture36: 344,\n\t\t\t\t\t2012.\n\t\t\t\t10.1016\/j.gaitpost.2012.03.03022555063http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000319908600003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-111-3-Article_6-b14","series-title":"Foot","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1054\/foot.1999.0538","article-title":"Plantar pressure distribution in normal: hallux valgus and hallux limitus feet","volume":"9","author":"Bryant","year":"1999","unstructured":"Bryant\n A\n \n \n Tinley\n P\n \n \n Singer\n K:\n \n \n Plantar pressure distribution in normal: hallux valgus and hallux limitus feet.\n\t\t\t\t\tFoot9: 115,\n\t\t\t\t\t1999.\n\t\t\t\t10.1054\/foot.1999.0538"},{"key":"i8750-7315-111-3-Article_6-b15","series-title":"Clin Orthop Relat Res","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1097\/00003086-199602000-00034","article-title":"Forefoot pressures during walking in feet afflicted with hallux valgus","volume":"323","author":"Yamamoto","year":"1996","unstructured":"Yamamoto\n H\n \n \n Muneta\n T\n \n \n Asahina\n S\n \n :\n \n Forefoot pressures during walking in feet afflicted with hallux valgus.\n\t\t\t\t\tClin Orthop Relat Res323: 247,\n\t\t\t\t\t1996.\n\t\t\t\t10.1097\/00003086-199602000-00034"},{"key":"i8750-7315-111-3-Article_6-b16","series-title":"J Orthop Surg Res","first-page":"120","article-title":"Loading pattern of postoperative hallux valgus feet with and without transfer metatarsalgia: a case control study","volume":"12","author":"Geng","year":"2012","unstructured":"Geng\n X\n \n \n Huang\n D\n \n \n Wang\n X\n \n :\n \n Loading pattern of postoperative hallux valgus feet with and without transfer metatarsalgia: a case control study.\n\t\t\t\t\tJ Orthop Surg Res12: 120,\n\t\t\t\t\t2012.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000406597200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-111-3-Article_6-b17","series-title":"J Orthop Res","article-title":"Plantar pressure characteristics in hallux valgus feet","volume":"32:","author":"Koller","year":"2014","unstructured":"Koller\n U\n \n \n Willegger\n M\n \n \n Windhager\n R\n \n :\n \n Plantar pressure characteristics in hallux valgus feet.\n\t\t\t\t\tJ Orthop Res32:1688e93,2014.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000343877500019&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-111-3-Article_6-b18","series-title":"Clin 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Res","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1097\/01.blo.0000191269.50033.ec","article-title":"Surgery for hallux valgus with proximal crescentic osteotomy causes variable postoperative pressure patterns","volume":"443","author":"Brodsky","year":"2006","unstructured":"Brodsky\n JW\n \n \n Beicher\n AD\n \n \n Robinson\n AH\n \n :\n \n Surgery for hallux valgus with proximal crescentic osteotomy causes variable postoperative pressure patterns.\n\t\t\t\t\tClin Orthop Relat Res443: 280,\n\t\t\t\t\t2006.\n\t\t\t\t1646245210.1097\/01.blo.0000191269.50033.ec"},{"key":"i8750-7315-111-3-Article_6-b20","series-title":"Foot Ankle","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1177\/107110079301400206","article-title":"Influence of metatarsal head displacement on metatarsal pressure distribution after hallux valgus surgery","volume":"14","author":"Wanivenhaus","year":"1993","unstructured":"Wanivenhaus\n A\n \n \n Brettschneider\n W:\n \n \n Influence of metatarsal head displacement on metatarsal pressure distribution after hallux valgus surgery.\n\t\t\t\t\tFoot Ankle14: 85,\n\t\t\t\t\t1993.\n\t\t\t\t845423910.1177\/107110079301400206"},{"key":"i8750-7315-111-3-Article_6-b21","series-title":"Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1016\/j.fas.2017.04.009","article-title":"Preliminary results of a plantar plate for Lapidus arthrodesis","volume":"24","author":"Gutteck","year":"2018","unstructured":"Gutteck\n N\n \n \n Savov\n P\n \n \n Panian\n M\n \n :\n \n Preliminary results of a plantar plate for Lapidus arthrodesis.\n\t\t\t\t\tFoot Ankle Surg24: 383,\n\t\t\t\t\t2018.\n\t\t\t\t10.1016\/j.fas.2017.04.00929409209http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000447676100003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"}],"container-title":["Journal of the American Podiatric Medical 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