Document Detail

The offset "V" bunionectomy using cortical screw and buried Kirschner wire fixation.
MedLine Citation:
PMID:  1469217     Owner:  NLM     Status:  MEDLINE    
The offset "V" bunionectomy with cortical screw and buried Kirschner wire fixation offers advantages over previously described distal metatarsal procedures for correction of hallux abducto valgus. The ability to correct an increased intermetatarsal angle (IMA) as well as a proximal articular set angle (PASA) deviation allows for the eradication of postoperative deforming forces, which often lead to recurrence of the deformity. Complete soft tissue release and repair allows for the repositioning of the sesamoidal apparatus, and also reduces the tendency for recurrence. The authors have performed approximately 500 of these procedures in the past 7 years and found it to provide extremely satisfying results. Gaining experience in the aforementioned techniques has lessened the need for base osteotomies and more unstable types of distal osteotomies. The criterion for the use of this osteotomy continues to broaden as the authors gain experience with its use. The offset "V" osteotomy is now utilized as either a primary or ancillary procedure in approximately 90% of the hallux valgus patients upon whom the authors operate.
C G Kissel; B J Unroe; R M Parker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of foot surgery     Volume:  31     ISSN:  0449-2544     ISO Abbreviation:  J Foot Surg     Publication Date:    1992 Nov-Dec
Date Detail:
Created Date:  1993-01-28     Completed Date:  1993-01-28     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0132575     Medline TA:  J Foot Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  560-77     Citation Subset:  IM    
Section of Podiatric Surgery, Hutzel Hospital, Detroit, Michigan.
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MeSH Terms
Bone Screws*
Bone Wires*
Hallux Valgus / surgery*
Metatarsus / surgery
Middle Aged
Osteotomy / methods*
Postoperative Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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