The Mitchell bunionectomy: A prospective study of 60 consecutive cases utilizing single K-wire fixation

Prospective Randomized Study of Chevron Osteotomy Versus Mitchell’s Osteotomy in Hallux Valgus

“…15 Despite the fact that both MO and CO are well-established techniques, there is no consensus about the best method of fixation, which ranges from none to use of Kirschner wires, sutures, screws, or absorbable pins. 1,3,4,7,10,11,16,17,24,27,28 In our trial, the MO was fixated by the classic method. Considering the mechanical weakness of fixation using nonabsorbable osteosutures alone, use of supporting sling-back cast for 6 weeks was a part of our standardized overall procedure.…”

Treatment of Hallux Valgus with Three-dimensional Modification of Mitchell’s Osteotomy

“…The idea of distal metatarsal osteotomy is to reduce the IMA to normal values (8°or less); this could be achieved with various techniques. 3, 4, [20][21][22] The average correction of 8.6°in the 3-D method required approximately the same amount of distal fragment lateralization in millimeters. This lateralization would be very unstable without the stable osteosynthesis and could lead to increased rates of nonunion and aseptic necrosis of the first metatarsal head.…”

Fixation of Mitchell’s osteotomy with bioabsorbable pins for treatment of hallux valgus deformity

“…However, failure to control the distal fragment during healing of the osteotomy may lead to malunion of the metatarsal head in dorsiflexion, causing weight transference laterally and metatarsalgia [2]. Thus, enhancement of the fixation with Kirschner wires [23], Steinmann pins [2], staples [4] or screws [3] has been tested in numerous series with good results.…”

“…Use of K-wires or other means of internal fixation, like the Herbert bone screw, replacing or enhancing the classic suture fixation, has been reported in many series [3,23]. We hypothesised that the use of bioabsorbable pins in Mitchell's osteotomy would improve the outcome of patients treated for hallux valgus deformity.…”