Modification of Mitchellʼs Lateral Displacement Angulation Osteotomy

Szaboky, George T.; Raghaven, V. C.

doi:10.2106/00004623-196951070-00024

Cited by 9 publications

(3 citation statements)

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“…11 The original method of immobilization for Mitchell's osteotomy was plaster splintage. 19,25 Osteotomy fixation is becoming more popular, as it allows better control of the osteotomy and easier postoperative management without the need for postoperative cast immobilization. 7,17 Teli et al 26 used K-wires for osteotomy fixation in Mitchell's bunionectomy and reported loss of correction in 5%.…”

Section: Discussionmentioning

confidence: 99%

“…2,9 The use of a Kirschner wire (K-wire) to stabilize the osteotomy fragments has been described by some auth ors. 4,8,13,25,26 Alcelik et al 1 reported that bioabsorbable pins provide satisfactory stabilization of the Mitchell's metatarsal osteotomy. The aim of this study was to evaluate the use of mini-plate and screw fixation performed to stabilize the first metatarsal osteotomy in patients undergoing Mitchell bunionectomy, with the outcomes of interest being radiological alignment and the time to bony union at the site of osteotomy.…”

mentioning

confidence: 99%

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Mitchell’s Osteotomy With Mini-Plate and Screw Fixation for Hallux Valgus

et al. 2013

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Mitchell’s Osteotomy With Mini-Plate and Screw Fixation for Hallux Valgus

et al. 2013

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“…3,4,6,10 This osteotomy is less inherently stable than the chevron osteotomy 8 and the transosseous suture fixation technique, as originally described, 7 is technically demanding. This has led to the use of a variety of alternative fixation techniques, including temporary K-wire fixation, 5,9 and permanent internal fixation with a variety of screws and staples. 1,2 Temporary K-wire fixation is associated with increased risk of infection, and internal fixation is more expensive and technically difficult.…”

mentioning

confidence: 99%

Stabilization of the Mitchell First Metatarsal Osteotomy Using an Intramedullary K-wire

Downing

Radford

1999

Foot Ankle Int.

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The Mitchell distal first metatarsal osteotomy is an effective procedure for mild-to-moderate hallux valguS. 3,4,6,10 This osteotomy is less inherently stable than the chevron osteotomy" and the transosseous suture fixation technique, as originally described," is technically demanding. This has led to the use of a variety of alternative fixation techniques, including temporary K-wire fixation,5,9 and permanent internal fixation with a variety of screws and staples.':" Temporary K-wire fixation is associated with increased risk of infection, and internal fixation is more expensive and technically difficult. A simple, safe and reliable alternative technique is described using a permanent intramedullary K-wire to stabilize the osteotomy. No particular steps are taken to prevent K-wire migration. There has been no evidence of migration in any of the 20 feet in which this has been used. Operative TechniqueA distal first metatarsal osteotomy is performed and displaced as described by Mitchell." An approximately 5-cm length of 1.6-mm K-wire is then cut and inserted into the metatarsal intramedullary canal and impacted proximally, leaving a t-ern spike of wire protruding. The metatarsal head is then gently levered onto this spike in the displaced position and impacted so that the wire engages in the capital bone. Thus, rotational stability is provided by the step and translational stability by the K-wire.The remaining protruding metaphyseal flare is then excised. A rolled swab is then placed into the first web space, and the medial capsule is repaired with absorbable sutures. The skin is closed in a routine fashion. A temporary plaster-of-Paris sideslab is applied.

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