Opening first metatarsal osteotomy and resection arthroplasty of the first MPJ in the treatment of first ray insufficiency associated with degenerative hallux valgus

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
L García-BordesA Yunta-Gallo

Abstract

Opening wedge proximal metatarsal osteotomy combined with first metatarsophalangeal arthroplasty can be used to correct first metatarsus primus varus with a high intermetatarsal angle and a short first metatarsal. 147 feet in 138 patients with degenerative first metatarsophalangeal arthrosis, >or=15 degrees of metatarsus primus varus and, a short first metatarsal were included. Preoperative and postoperative clinical, radiographic, and subjective outcome measurements were taken (Scale AOFAS). The mean first intermetatarsal angle decrease was 7.79+/-1.43 degrees and the mean increase in first metatarsal length was 2.88+/-0.45 mm. The pre-intervention mean values were 52.6 points in the AOFAS scale, and an overall result of 92.95 obtained after surgery (P<0.001). The opening proximal first metatarsal osteotomy without internal fixation and with first metatarsophalangeal resection arthroplasty can correct severe hallux valgus with an intermetatarsal angle >or=15 degrees and a short first metatarsal, achieving low rate of complications.

References

Jul 1, 1994·Foot & Ankle International·H B KitaokaM Sanders
Jan 1, 1993·Foot & Ankle·G J SammarcoV J Sammarco
Feb 14, 2007·Foot & Ankle International·Patrick VienneNormal Espinosa
Mar 21, 2007·Foot & Ankle International·James W GallentineMatthew J Deorio
Jun 14, 2008·Foot & Ankle International·Avril D McCarthyChris Blundell

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Citations

Aug 19, 2014·Foot and Ankle Clinics·Pierre Barouk
May 29, 2016·Revista española de cirugía ortopédica y traumatología·M Núñez-SamperF Souki
Aug 16, 2016·Foot and Ankle Clinics·Joel Vernois, David J Redfern

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