Lengthening of the shortened first metatarsal after Wilson's osteotomy for hallux valgus

The Journal of Bone and Joint Surgery. British Volume
D Singh, I Dudkiewicz

Abstract

Metatarsalgia is a recognised complication following iatrogenic shortening of the first metatarsal in the management of hallux valgus. The traditional surgical treatment is by shortening osteotomies of the lesser metatarsals. We describe the results of lengthening of iatrogenic first brachymetatarsia in 16 females. A Scarf-type osteotomy was used in the first four cases and a step-cut of equal thicknesses along the axis of the first metatarsal was performed in the others. The mean follow-up was 21 months (19 to 26). Relief of metatarsalgia was obtained in the six patients in whom 10 mm of lengthening had been achieved, compared to only 50% relief in those where less than 8 mm of lengthening had been gained. One-stage step-cut lengthening osteotomy of the first metatarsal may be preferable to shortening osteotomies of the lesser metatarsals in the treatment of metatarsalgia following surgical shortening of the first metatarsal.

References

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Citations

Aug 19, 2014·Foot and Ankle Clinics·Pierre Barouk
Feb 1, 2014·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Barry RoseAndrew D Skyrme
Dec 15, 2012·Der Orthopäde·C WingenfeldM Abbara-Czardybon
May 23, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Marc D JonesSarah A Rincker
Jun 1, 2014·Foot and Ankle Clinics·Andrew Goldberg, Dishan Singh
Oct 4, 2018·JB & JS Open Access·Hui Taek KimIn Hee Kim
Jan 12, 2021·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Filippo MiglioriniNicola Maffulli
Jul 17, 2021·Musculoskeletal Surgery·F FusiniG Colò
Aug 4, 2012·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Muhammad Saleem ShahidRhys Thomas

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