| Radiographic evaluation of hallux valgus treated with opening wedge osteotomy. | |
| | |
MedLine Citation:
|
PMID: 19439143 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: There are many techniques described for treatment of hallux valgus. The role of proximal osteotomies of the 1st metatarsal is well documented. However the opening wedge osteotomy has become less popular in contemporary practice. The purpose of this paper was to report our experience with an opening wedge osteotomy for the treatment of hallux valgus using L-Plate fixation. MATERIALS AND METHODS: Twenty-nine patients underwent 31 basal opening wedge osteotomies of the first metatarsal. Fixation was achieved with the Arthrex low profile titanium plate. The IMA on the WB radiograph preoperatively, and at least 12 months postoperatively was measured. Four patients received a 3.5-mm plate, 15 received a 4.0-mm plate, and 12 received a 5.0-mm plate. RESULTS: The 3.5-mm group had a mean preoperative IMA of 13.8 degrees (range, 6 to 18), and postoperative IMA of 5.8 (range, 3 to 8), with a mean correction of 8.0. The 4.0-mm plate group had a mean preoperative IMA of 16.9 (range, 11 to 30) and postoperative IMA of 8.9 (range, 4 to 11) with a mean correction of 9.0. The 5.0-mm plate group had a mean preoperative IMA of 24.7 (range, 15 to 35) and postoperative IMA of 9.8, (range, 3 to 22) with a mean correction of 14.9. CONCLUSION: We report on a successful method for correcting hallux valgus with a basilar first metatarsal opening wedge osteotomy. It was highly effective for correcting moderate to severe intermetatarsal deformities. |
| | |
Authors:
|
Sunil Randhawa; Dean Pepper |
Related Documents
:
|
12678363 - Acute correction of lower limb deformity and simultaneous lengthening with a monolatera... 16326873 - Triple osteotomy of the pelvis for acetabular dysplasia: age at operation and the incid... 15724003 - Safety of immediate transverse rectus abdominis myocutaneous breast reconstruction for ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society Volume: 30 ISSN: 1071-1007 ISO Abbreviation: Foot Ankle Int Publication Date: 2009 May |
Date Detail:
|
Created Date: 2009-05-14 Completed Date: 2009-07-29 Revised Date: 2013-02-25 |
Medline Journal Info:
|
Nlm Unique ID: 9433869 Medline TA: Foot Ankle Int Country: United States |
Other Details:
|
Languages: eng Pagination: 427-31 Citation Subset: IM |
Affiliation:
|
Royal Newcastle Centre, NSW Australia, 23 Milton St, Hamilton NSW 2303, Australia. sunil.randhawa@ausdoctors.net |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Bone Plates Cohort Studies Female Fracture Fixation, Internal Hallux Valgus / radiography*, surgery* Humans Male Metatarsal Bones / radiography*, surgery* Middle Aged Osteotomy / methods* Range of Motion, Articular Retrospective Studies Treatment Outcome Weight-Bearing Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Direct visualization for syndesmotic stabilization of ankle fractures.
Next Document: Three-dimensional in vivo kinematics of the subtalar joint during dorsi-plantarflexion and inversion...