Percutaneous distal metatarsal osteotomy for correction of hallux valgus. Surgical technique

The Journal of Bone and Joint Surgery. American Volume
Bruno MagnanPietro Bartolozzi

Abstract

Distal osteotomy of the first metatarsal is indicated for the surgical treatment of mild-to-moderate hallux valgus deformity. The aim of this study was to evaluate the results of a subcapital distal osteotomy of the first metatarsal with use of a percutaneous technique. From 1996 to 2001, 118 consecutive percutaneous distal osteotomies of the first metatarsal were performed for the treatment of painful mild-to-moderate hallux valgus in eighty-two patients. The patients were assessed with a clinical and radiographic protocol at a mean of 35.9 months postoperatively. The American Orthopaedic Foot and Ankle Society (AOFAS) hallux-metatarsophalangeal-interphalangeal scale was used for the clinical assessment. The patients were satisfied following 107 (91%) of the 118 procedures. The mean score on the AOFAS scale was 88.2 +/- 12.9 points. The postoperative radiographic assessments showed a significant change (p < 0.05), compared with the preoperative values, in the mean hallux valgus angle, first intermetatarsal angle, distal metatarsal articular angle, and sesamoid position. The valgus deformity recurred after three procedures (2.5%), the first metatarsophalangeal joint was stiff but not painful after eight (6.8%), and a deep infec...Continue Reading

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Citations

Feb 19, 2009·International Orthopaedics·Romain DebargeJean Luc Besse
Feb 17, 2010·International Orthopaedics·Renée A FuhrmannHans-Peter Kundert
Jul 24, 2012·Archives of Orthopaedic and Trauma Surgery·Yasser A Radwan, Ali M Reda Mansour
Aug 17, 2010·British Medical Bulletin·Nicola MaffulliVincenzo Denaro
Jul 29, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Tun Hing LuiWai Kit Ngai
Feb 16, 2015·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Daniel PoggioJordi Asunción
Aug 1, 2016·Archives of Orthopaedic and Trauma Surgery·Christoph KnothFlorian Hess
May 23, 2012·JBJS Essential Surgical Techniques·Bruno MagnanPietro Bartolozzi

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