A Simple Method for Fixation of Proximal Opening-Wedge Osteotomy of the First Metatarsal for Correction of Hallux Valgus
Fuente
Este artículo es originalmente publicado en:
De:
Bagatur AE, Albayrak M, Akman YE, Yalcinkaya M, Ozer UE, Yalcin MB.
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Copyright 2016, SLACK Incorporated.
Resumen
Se describe una técnica simple y barata para la fijación de la osteotomía proximal de apertura-cuña del primer metatarsiano para la corrección del hallux valgo (HV) moderado o grave. Después de realizar la osteotomía de apertura de cuña y el injerto óseo del primer metatarsiano, se introducen 2 clavillos de Kirschner para fijación interna y se eliminan 8 semanas después de la operación. Se evaluaron retrospectivamente veintitrés pacientes con HV sintomática que tenían una osteotomía proximal medial de abertura de cuña del primer metatarsiano en combinación con un procedimiento distal de tejido blando y bunionectomía.
Abstract
A simple, inexpensive technique for fixation of proximal opening-wedge osteotomy of the first metatarsal for correction of moderate or severe hallux valgus (HV) is described. After the opening-wedge osteotomy and bone grafting of the first metatarsal have been performed, 2 Kirschner wires are introduced for internal fixation and removed 8 weeks postoperatively. Twenty-three patients with symptomatic HV who had a proximal medial opening-wedge osteotomy of the first metatarsal in combination with a distal soft tissue procedure and bunionectomy were evaluated retrospectively. All osteotomies healed without complications and satisfaction was achieved in 22 patients. Hallux varus developed in 1 patient. Preoperatively, mean HV angle (HVA) was 41° (range, 35°-61°) and mean 1-2 intermetatarsal angle (IMA) was 19° (range, 16°-24°). Postoperatively, mean HVA was 14° (range, 10°-17°) and mean 1-2 IMA was 7° (range, 5°-9°). The mean decrease in the HVA was 27° (P<.001) and the mean decrease in the 1-2 IMA was 12° (P<.001). [Orthopedics. 2016; 39(6):e1213-e1217.].
Copyright 2016, SLACK Incorporated.
- [PubMed – indexed for MEDLINE]
