PMID: 9638545Jun 25, 1998Paper

Reconstruction of hallux limitus deformity using a first metatarsal sagittal-Z osteotomy

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
G V Viegas

Abstract

A sagittal-Z osteotomy was used for reconstruction of symptomatic grade I and grade II hallux limitus deformity in 10 patients using the Regnauld classification system. This surgical method was also used in a patient to reconstruct a structurally elevated first metatarsal as an adverse sequela of previous hallux valgus surgery. All patients exhibited evidence of radiographic metatarsus primus elevatus (MPE) and/or an anatomically elongated first metatarsal (EM). Linear comparison of first and second metatarsal length was performed in the transverse plane on dorsoplantar weightbearing radiographs. A long first metatarsal (positive metatarsal protrusion distance) was considered an anatomically elongated metatarsal. Metatarsus primus elevatus was evaluated by comparing the dorsal cortical margin of the first and second metatarsals and/or comparing the first metatarsal-cuneiform joint axis with the talonavicular joint axis. Metatarsus primus elevatus was therefore defined as a position of the dorsal cortical margin of the first metatarsal 5 mm superior to that of the second. A dorsal position of the first metatarsal-cuneiform joint axis in relation to the talonavicular joint axis also established MPE. A total of 11 patients underwe...Continue Reading

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Citations

Apr 30, 2008·Foot & Ankle International·Paul BeesonWilliam Ribbans
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Tun Hing Lui
Nov 20, 2002·Journal of the American Podiatric Medical Association·Jason B DickersonDonald R Green
Jan 19, 2008·Journal of the American Podiatric Medical Association·J Christopher Benson, Alan S Banks
May 20, 2005·Journal of the American Podiatric Medical Association·Thomas S Roukis
Nov 1, 2003·Foot & Ankle International·Michael J Coughlin, Paul S Shurnas
Mar 22, 2014·World Journal of Orthopedics·Hans PolzerMarkus Regauer
Aug 9, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Laurent GaloisFrançois Sirveaux
Apr 16, 2005·Foot and Ankle Clinics·Luciano S KeisermanG James Sammarco
Jun 20, 2003·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·John V VanoreUNKNOWN Clinical Practice Guideline First Metatarasophalangeal Joint Disorders Panel of the American College of Foot and Ankle Surge
Sep 2, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Kenichiro Nakajima
May 5, 2009·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Alberto CalvoFernando Alvarez
Nov 3, 2010·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Thomas S Roukis

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