ArticleScientific reports2025
Relationship between proximal to distal phalangeal articular angle and Hallux Pronation in Hallux Valgus deformity.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Current Concepts of Radiographic Evaluation and Surgical Treatment for Hallux Valgus Deformity.Journal of clinical medicine · 2025Review
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3 authors.
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Abstract
This study aimed to determine whether hallux pronation influences the proximal to distal phalangeal articular angle (PDPAA) and evaluate its relationship with postoperative recurrence. We included 94 hallux valgus (HV) patients who underwent distal chevron metatarsal osteotomy (DCMO) alone (DCMO-only group, n = 15) and DCMO with Akin osteotomy (DCMO + Akin group, n = 79). Preoperative additional toe radiographs were taken under supination stress to position the pronated toe as a true anteroposterior orientation. The mean follow-up period was 12.9 months. The PDPAA on weightbearing radiograph did not significantly differ from the PDPAA corrected by supination stress (5.0 ± 7.0 vs. 4.7 ± 6.4 degrees, p = 0.820). The DCMO-only group showed a higher recurrence rate than the DCMO + Akin group (33.3 vs. 7.6%, p = 0.014). In the DCMO-only group, those with recurrence had significantly higher preoperative PDPAA values than those without recurrence (7.6 ± 5.9 vs. -0.2 ± 3.0 degrees; respectively, p = 0.013). In conclusion, the PDPAA was not significantly influenced by the hallux pronation in patients with HV. For HV patients with a large preoperative PDPAA, additional Akin osteotomy should be considered to prevent recurrence.
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