Shortening of the first metatarsal as a complication of metatarsal osteotomies.

Holden, Dean; Siff, Sherwin J.; Butler, James E.; Cain, Thomas E.

doi:10.2106/00004623-198466040-00014

Cited by 23 publications

(3 citation statements)

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“…One approach has been osteotomy through all of the metatarsals from 1 through 5 through their bases; and several authors have reported this procedure with reasonably good results. Holden et al, 4 however, reported shortening of the first ray in 30% of these patients that they attribute to damage to the proximal physis of the first metatarsal during the osteotomy. It should be noted that the physis of the first metatarsal is proximal and near the osteotomy site, whereas the other metatarsals have their growth plates distally.…”

Section: Discussionmentioning

confidence: 94%

Combined Medial Cuneiform Osteotomy and Multiple Metatarsal Osteotomies For Correction of Persistent Metatarsus Adductus in Children

Feng

Sussman²

2016

Journal of Pediatric Orthopaedics

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Section: Discussionmentioning

confidence: 94%

Combined Medial Cuneiform Osteotomy and Multiple Metatarsal Osteotomies For Correction of Persistent Metatarsus Adductus in Children

Feng

Sussman²

2016

Journal of Pediatric Orthopaedics

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“…In a cuboidal osteotomy alone, ligament loosening in children appears to have resulted in further correction of the deformity appearance during surgery. Holden et al (20) described in 1992 the COWO with the base of metatarsals 2-5 to correct the deformity. As a result, the dorsal and middle joints of the foot did not fuse and the risk of rst metatarsal phase damage was low.The growth of the rst metatarsus is not compromised and the fore foot deformity is easily corrected.…”

Section: Discussionmentioning

confidence: 99%

Comparison of medial cuboid/cuneiform osteotomy technique with medial cuneiform/metatarsal osteotomy in correction of residual metatarsus adductus deformity

Gholipour,

Bonakdar,

Gorji

et al. 2024

Preprint

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Background: Treatment of metatarsus adductus (MA) is surgical in cases of nonresponse to non-operative treatment. Several surgical procedures have been described to correct MA, including soft tissue release or bone osteotomy. So far in the previous literature, the preference of any other osteotomy has not been done Therefore, our aim in this study was to evaluate the extent of foot fore deformity by osteotomy based on radiographic criteria. Patients and Methods: This was a retrospective study from July 2019 to July 2020, which included 22 patients (30 feet), ranging in age from 5 to 14 years, who were admitted with a diagnosis of MT and underwent corrective osteotomy. Radiographs of deformity corrections in the AP view (tarso-first metatarsal angle –calcane-second metatarsal angle -cuboid length and the laterah view ,medial cunieform length an, length of cuboid and medial length of cunieform were examined. Results: Thirty patients (40 feet) were diagnosed with MA deformity. A total of 22 patients (30 feet) underwent corrective osteotomy. The mean age of patients in the first group was 8.87±3.56 years (means: 3-14 years) and the second group was 8±2.46 years (means: 13-13 years). In terms of sex distribution, eight patients were female and 14 patients were male. surgery has improved the angles and length of the medial and lateral columns in control radiographs after surgery and three months later,in both group and the adductus deformity has been significantly corrected (p<0.05). However, both types of osteotomies had acceptable deformity improvement results within 3 months in terms of radiographic criteria, but there is no statistically significant difference (P >0.05) between preoperative and postoperative and three months of follow-up in radiographic parameters of the two groups and only this amount was significant in medial cunieform length correction in lateral radiograph and statistically Was significant. (P<0.05). There is no statistical difference in terms of changes in values in terms of angle and length in the two osteotomy methods (P>0.05). Conclusion: Due to complete deformity corrections and high patient satisfaction in both groups, none of the conventional osteotomy methods (cuboid-medial cunieform and medial cunieform-metatarsal 2-5) was superior to the other and both methods were safe. It is effective for cases of idiopathic idiopathic MA and clubfoot cases. Level of evidence: IV

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“…In fact, published results have shown an average of 2 to 6 mm of shortening with distal chevron osteotomies, and nearly 3 mm of shortening with proximal osteotomies. 3,6,4,7,8,9 Mann et al 9 suggested that first metatarsal shortening of only 2 to 3 mm has potential adverse effects on the forefoot, and they recommended plantar displacement of the distal metatarsal head when metatarsal shortening is significant. 9…”

Section: Introductionmentioning

confidence: 99%

Distraction Osteogenesis for the Shortened Metatarsal After Hallux Valgus Surgery

Hurst¹,

Nunley²

2007

Foot Ankle Int.

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Shortening of the first metatarsal as a complication of metatarsal osteotomies.

Cited by 23 publications

References 0 publications

Combined Medial Cuneiform Osteotomy and Multiple Metatarsal Osteotomies For Correction of Persistent Metatarsus Adductus in Children

Combined Medial Cuneiform Osteotomy and Multiple Metatarsal Osteotomies For Correction of Persistent Metatarsus Adductus in Children

Comparison of medial cuboid/cuneiform osteotomy technique with medial cuneiform/metatarsal osteotomy in correction of residual metatarsus adductus deformity

Distraction Osteogenesis for the Shortened Metatarsal After Hallux Valgus Surgery

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