The crescentic first metatarsal basilar osteotomy for correction of metatarsus primus varus

Correction of Metatarsus Primus Varus Associated With Hallux Valgus Deformity Using the Arthrex Mini TightRope

“…3 If the deformity is moderate to severe, a proximal osteotomy or fusion of the first tarsometatarsal joint (Lapidus procedure) is frequently required. 4-12 Both the proximal osteotomy and the Lapidus procedure can be technically difficult and require a prolonged period of postoperative immobilization and altered weight-bearing status. In addition, these procedures can also be complicated by nonunion, malunion, or excessive shortening that can lead to transfer metatarsalgia.…”

Plate Fixation for Crescentic Metatarsal Osteotomy in the Treatment of Hallux Valgus: An Eight-Year Followup Study

“…The authors observed a 27% incidence of radiographic degenerative changes in the first metatarsocuneiform joint. Fox et al 5 used two 3.0-mm small cannulated screws to fix the crescentic osteotomy in 27 patients (29 feet). This was reported to be technically easier than the traditional fixation technique using a single 3.5-mm screw.…”

“…The distal soft tissue procedure, combined with a crescentic proximal metatarsal osteotomy, has become one of the most popular procedures for moderate and severe deformities since it was first advocated in 1992 by Mann et al 10 Later studies also reported good results for this operation. [3][4][5]11,13,15,17,18 However, there have been few long-term studies. The technique described by Mann et al 10 using a single screw in fixation of the metatarsal osteotomy can be technically difficult.…”

“…The technique described by Mann et al 10 using a single screw in fixation of the metatarsal osteotomy can be technically difficult. 2,5,6 Potential complications described in earlier reports include hallux varus, dorsiflexion of the first metatarsal, non-union, transfer metatarsalgia, recurrence, and implant problems. [3][4][5]11,15,17,18 We attempted to stabilize the metatarsal osteotomy with a plate, which is technically easier.…”

“…2,5,6 Potential complications described in earlier reports include hallux varus, dorsiflexion of the first metatarsal, non-union, transfer metatarsalgia, recurrence, and implant problems. [3][4][5]11,15,17,18 We attempted to stabilize the metatarsal osteotomy with a plate, which is technically easier. The purpose of our study was to examine the long-term results of a distal soft tissue procedure and crescentic proximal metatarsal osteotomy performed with a modified technique for fixation of the osteotomy.…”