Application of distal metaphyseal osteotomy for treatment of high intermetatarsal angle bunion deformities

The Relationship Between the Sesamoid Complex and the First Metatarsal After Hallux Valgus Surgery Without Lateral Soft-Tissue Release: A Prospective Study

“…When using a distal osteotomy, correcting the angle will be difficult in severe cases. It could explain the recommendation of Oloff and Bocko (54). In contrast, Boberg and Judge (25), in a study similar to ours, did not recommend lateral soft tissue release for patients in whom the sesamoid complex had not luxated.…”

A Retrospective Study of 63 Hallux Valgus Corrections Using the Osteodesis Procedure

“…MPV correction is important to HV correction (1,2), and this is addressed by most HV surgeries. MPV correction by soft tissue techniques has not been popular among surgeons, perhaps because it has been considered less effective than osseous approaches such as osteotomy and arthrodesis (3)(4)(5)(6)(7), in particular, to correct moderate and severe deformities (8)(9)(10). Soft tissue procedures are not recommended for an HV angle >30 and an intermetatarsal angle (IMA) >11 (11).…”

Traitement chirurgical de l’hallux valgus par mini-abord

“…L'ostéotomie en biseau offre les avantages d'une ostéotomie épiphy-saire permettant une translation osseuse importante, allant jusqu'aux deux tiers de la largeur épiphysaire, avec la stabilité d'une ostéotomie en partie diaphysaire. Dans l'ostéotomie en chevron, classiquement la translation osseuse doit rester inférieure ou égale au tiers de la largeur épiphysaire, mais elle peut néanmoins être plus importante en augmentant sa stabilité [3]. L'ostéotomie en biseau comme les ostéotomies scarf ou en chevron, permet des effets associés d'abaissement, de raccourcissement, de rotation latérale et de supination.…”