Correction of Metatarsus Primus Varus with an Opening Wedge Plate: A Review of 18 Procedures

Wukich, Dane K.; Roussel, Andy J.; Dial, Dekarlos M.

doi:10.1053/j.jfas.2009.02.008

Cited by 21 publications

(31 citation statements)

References 14 publications

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“…These results compare favourable with the results of previous studies with the use of a similar wedge plate [21,[27][28][29][30]. Overall a correction of 2.6°per mm spacer size was obtained.…”

Section: Discussionsupporting

confidence: 84%

“…Proximal metatarsal opening wedge osteotomy has been historically used to correct metatarsus primus varus, using either bone graft alone to maintain the correction of deformity [16] or different fixation devices such as K-wires, staples, screws and mini external fixators [22][23][24][25]. The use of a plate with a spacer is a more recent technique which offers a stable fixation that maintains intraoperative correction with an accelerated postoperative recovery [26,27].…”

Section: Discussionmentioning

confidence: 99%

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Proximal opening wedge metatarsal osteotomy for correction of moderate to severe hallux valgus deformity using a locking plate

Badekas

Georgiannos

Lampridis

et al. 2013

International Orthopaedics (SICOT)

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Purpose Hallux valgus is a complex deformity of the first metatarsophalangeal joint, with varus angulation of the first metatarsal, valgus deviation of the great toe and lateral displacement of the sesamoids and the extensor tendons. The aim of the surgery is to achieve correction of the varus deviation of the 1st metatarsal which is considered by some as the primary intrinsic predisposing factor to hallux valgus deformity. Methods We retrospectively reviewed 85 patients (107 feet) who underwent an opening wedge osteotomy of the 1st metatarsal for correction of moderate to severe hallux valgus and metatarsus primus varus. A medially applied anatomic precontoured locking plate was used for fixation of the osteotomy. Results The mean IMA was decreased from 15.8 (range 12-22) degrees to 7.8 (range 0-12) degrees. The mean preoperative HVA was 39 (range 21-52) degrees and the mean postoperative HVA was 11.8 (6-19) degrees. The preoperative AOFAS score was 52 (SD 3.1) and the postoperative score was 85 (SD 5.2). Conclusion The proximal opening wedge metatarsal osteotomy is a safe, effective and reproducible technique for correction of moderate to severe hallux valgus deformity. The use of a locking plate provides enough control at the fragments, enhancing healing of osteotomy and maintenance of the correction even with a violated proximal lateral cortex.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Proximal opening wedge metatarsal osteotomy for correction of moderate to severe hallux valgus deformity using a locking plate

Badekas

Georgiannos

Lampridis

et al. 2013

International Orthopaedics (SICOT)

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“…Bununla birlikta bu osteotomiler stabilizasyon sağlanması da dahil olmak üzere çeşitli komplikasyonlar içermekte-dir [63,64,65,66]. Yeni teknolojiler sayesinde düşük profilli plak ve vidalar proximal açık kama osteotomileri için güvenilir bir fiksasyon yöntemi olmuştur [67][68][69]. Literatürde cerrahi teknikleri ve cerrahi tekniğin kendi içinde fiksasyon metodlarını karşılaştıran sınırlı sayıda çalışma bulunmaktadır.…”

Section: Chevron Prosedürüunclassified

Hallux Valgus

köse¹

2015

Orthopaedics and Sports Medicine Guide for Researchers

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TanımHalluks valgus toplumda sık görülen, sıklığı giderek artan ayak başparmağının ilerleyici ve sıklıkla ağrıya sebep olan hastalığıdır. Tedavi edilmediği takdirde iş gücü kaybı, yaşam kalitesi bozukluğu ve estetik problemlere yol açar [1]. Hallux valgus için çe-şitli tanımlamalar yapılmış olup bir çok patolojinin bir arada olduğu bir kompleks ifadesi ile en ayrıntılı ve uygun tanımlama Helal tarafından aşağıdaki şekilde yapılmış-tır. [3,9,11,12]. 10) İkinci parmağın amputasyonu: Başparmağın lateral desteği kaybolduğu için halluks valgus gelişebilir [7,11]. 11) Ayakta pronasyon meydana getiren ve birinci MTP eklem dışındaki sebepler: Tibialis posterior tendon rüptürü, subtalar eklemin valgus deformitesi, aşil tendon kı-salığı, jeneralize eklem laksitesi ( Ehlers-Danlos sendromu), birinci MTP eklemin hipermobilitesi halluks valgus'a sebep olabilir [7,9,11,13,14]. 12) Kistik dejenerasyon: Birinci MTP eklemin medial kapsülünün kistik dejenerasyonu ganglion oluşturarak deformite oluşumuna sebep olabilir.

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“…Various authors have reported complication rates for specific surgical procedures done to correct hallux valgus deformity [13,14,24,[42][43][44].But only a sparse collection of data has been collected for clinical recurrence rate analysis [21,22,24].…”

Section: Clinical Recurrence Rate Studiesmentioning

confidence: 99%

“…Coughlin et al reported in a prospective study that recurrence of 6 feet occured in 108 patients (127 feet) who had a hallux valgus deformity treated with a proximal crescentic osteotomy and distal soft-tissue reconstruction (and optional Akin phalangeal osteotomy), recurrent rates were 4.72% [26]. Wukich et al [44] reported complications included 11.11% recurrences during correction of metatarsus primus varus with an opening wedge plate. Berg et al [34] reported that only two patients needed a second operation because of recurrence of hallux valgus; this group included 72 feet which were subjected to a Scarf osteotomy of the first metatarsal, which meant that the recurrence rate was 2.78%.…”

Section: Clinical Recurrence Rate Studiesmentioning

confidence: 99%

Salvage of recurrence after failed surgical treatment of hallux valgus

Duan

Kadakia

2011

Arch Orthop Trauma Surg

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Recurrence of the deformity is unfortunately a common occurrence following surgical treatment of hallux valgus. The underlying reason for recurrence is multifactorial and includes surgeon's factor, patient's factor, and deformity components that were not addressed at the index procedure. Salvage of recurrence can be challenging for both the patient and the surgeon. Successful treatment requires understanding the underlying reason for the failure of initial treatment and correcting bony alignment, restoring the joint congruity, and balancing soft tissues. We present an algorithmic approach to revision hallux valgus surgery.

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Correction of Metatarsus Primus Varus with an Opening Wedge Plate: A Review of 18 Procedures

Cited by 21 publications

References 14 publications

Proximal opening wedge metatarsal osteotomy for correction of moderate to severe hallux valgus deformity using a locking plate

Proximal opening wedge metatarsal osteotomy for correction of moderate to severe hallux valgus deformity using a locking plate

Hallux Valgus

Salvage of recurrence after failed surgical treatment of hallux valgus

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