Distal oblique osteotomy of the first metatarsal for the correction of hallux limitus and rigidus deformity

Arthrodesis in the treatment of hallux rigidus

“…Since then various surgical procedures have been published, including osteotomies [2,20], cheilectomy [7,13], resection arthroplasty [18], implant arthroplasty [5,19] and arthrodesis [4,8,10,22,30,31]. Also, various methods of fixation have been described, such as small tubular compression plating [14,22,23,31], external fixation [17], compression screws [6,8,10,22,27], wire sutures [8,9], absorbable sutures [1], Herbert screws [30], Steinmann pins [15], Rush pins [28], Kirschner wires [8,10] and bone staples [21].…”

Comparison of Hallux Rigidus Surgical Treatment Outcomes Between Active Duty and Non–Active Duty Populations

“…Decompressive osteotomies of the first metatarsal have had reported success rates in the literature ranging from 54% to 95%. 1,[15][16][17] Our satisfaction rate of 85.2% falls within this range but is higher than the 73.3% reported by Roukis in a large systematic review. 15 Our satisfaction rate overall for the cheilectomy group was 80.0%, which is lower than rates reported in other published studies.…”

Evaluation of first metatarsal head declination through a modified distal osteotomy in hallux rigidus surgery. A cadaveric model

“…Ronconi et al [9] demonstrated 84% of good and excellent results when a distal metatarsal osteotomy was performed to remodel the metatarsal head by modifying the rotation axis and decompressing the joint. Using this approach, they reported a net increase of 238 of range of motion.…”

“…Considering these problems, we believe this modification of a previously described osteotomy results in plantar flexion of the first ray while limiting shortening of the metatarsal length. Therefore, the simple oblique trace from the Weil-Barouk osteotomy [8] is combined with the Ronconi [9] concept of using the inclination in the horizontal plane to increase head declination. In addition, a second transverse limb has been added to control rotation and limit metatarsal shortening.…”

“…A myriad of first metatarsal osteotomies have been described to treat hallux rigidus [1,2,[4][5][6][7][8][9][10]. All of these osteotomies attempt to relocate the head of the first metatarsal in the center of the proximal phalanx of the hallux.…”