Percutaneous bunionette correction: Results of a 49-case retrospective study at a mean 34 months’ follow-up

Abstract

IV.

Fifth Metatarsal Osteotomies for Treatment of Bunionette Deformity: A Meta-Analysis of Angle Correction and Clinical Condition

“…Nonunion developed in 1 patient among all the studies and occurred in a study that had used distal osteotomy without internal fixation (27). Delayed union occurred in 20 feet, of which only 1 event developed in a distal osteotomy with no fixation used (28).…”

“…Patient age ranged from 12 to 80 years. Thirteen studies (46%) had included other additional forefoot procedures concurrent with bunionette surgery (11,16,20,22,23,(26)(27)(28)32,33,39,41,42). These procedures consisted of correction of hallux valgus, hallux rigidus, hammertoes, cross-over toes, Morton's neuroma, and hyperkeratotic plantar lesions.…”

The Leg Wound of King Philip II of Macedonia

“…Hippocrates advises that any limb left in a dislocated position will lead to muscle wasting, fixed deformities and nerve damage [ 20 ] and this is congruous with modern experience [ 29 ]. In unstable joints, Hippocrates recommended a technique to promote fusion across the joint.…”

“…During the chronic phase, the knee probably suffered from post-traumatic stiffness. This led to a fixed deformity with scar formation across the diastasis of the joint [ 29 ]. The stiffness was probably exacerbated by the complete nerve injuries that accompanied the wound.…”

“…The stiffness was probably exacerbated by the complete nerve injuries that accompanied the wound. Once fibrosis and contractures cause a fixed deformity, the motion segment cannot always be restored, even in modern medical practice [ 29 ]. This stiffness, combined with the granuloma likely contributed to the progression of cartilaginous change and eventual ankylosis in the joint.…”