2016
DOI: 10.3928/01477447-20160714-07
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A Simple Method for Fixation of Proximal Opening-Wedge Osteotomy of the First Metatarsal for Correction of Hallux Valgus

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 t… Show more

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Cited by 3 publications
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“…It should be noted that asymptomatic lesions do not require surgical treatment and some of them may undergo spontaneous involution [13].…”
Section: Discussionmentioning
confidence: 99%
“…It should be noted that asymptomatic lesions do not require surgical treatment and some of them may undergo spontaneous involution [13].…”
Section: Discussionmentioning
confidence: 99%
“…However, it has been historically accepted that for mild to moderate hallux abducto valgus deformity, distal osteotomies of the first metatarsal and the modified McBride procedure should be performed. For more severe deformities, more proximal first metatarsal osteotomies have been recommended (3). Determining the severity of HV deformity involves measurement of the intermetatarsal angle (IMA), also known as the M1-M2 anatomic axis angle, which is formed by bisecting the first and second metatarsal shafts.…”
mentioning
confidence: 99%