The Mitchell distal metatarsal osteotomy for hallux valgus

Glynn, MK; Dunlop, J A Y; Fitzpatrick, Darren

doi:10.1302/0301-620x.62b2.7364833

Cited by 87 publications

(38 citation statements)

References 7 publications

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“…Other distal osteotomies have excellent or good results in 73-92% (Mitchell et al 1958, Gibson & Piggott 1962, Wilson 1963, Dovey 1969, Glynn et al 1980, Helal 1981. We can conclude that the Wilson osteotomy as a treatment for adult hallux valgus has the same indications as the Hohmann procedure.…”

Section: Discussionmentioning

confidence: 77%

Double Oblique Displacement Osteotomy for Hallux Valgus

Cetti¹,

Christensen²

1983

Acta Orthopaedica Scandinavica

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Section: Discussionmentioning

confidence: 77%

Double Oblique Displacement Osteotomy for Hallux Valgus

Cetti¹,

Christensen²

1983

Acta Orthopaedica Scandinavica

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“…We encountered few complications in our study. 2,16,19 Four of our patients had infection in postoperative period. Three subsided with i/v antibiotics one needed removal of sutures and wound debridement.…”

Section: Discussionmentioning

confidence: 71%

Classical Mitchell's osteotomy in the management of symptomatic hallux vulgus

Wani

Badoo

2016

Int J Res Orthop

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INTRODUCTIONHallux vulgus which literally means lateral deviation of great toe is in fact a complex deformity of the first ray that frequently is accompanied by deformity and symptoms in the lesser toes. It has multi factorial etiology like vulgus of greater toe, metatarsus primus varus, genetic factors, shoe wear and anatomic factors like pronated flat foot, abnormal insertion of tibialis posterior, long 1 st ray, increased obliquity of 1 st metatarso-medial cuneiform joint.1 The earliest records date back to eighteenth century. 2 Its incidence was found to be 31% greater in shoe wearing than nonshoe wearing Chinese population.3 Its main concerns are pain over 1 st metatarsophalyngeal joint (MTP), difficulty in shoe wear and cosmetics. Management is conservative to begin with like broad toe shoe wear, toe spacers, exercises and activity restriction; later on operative which attempt to correct the deformity. Hueter, 1870 suggested sub capital amputation of the metatarsal head as the treatment for hallux vulgus. 4 More than 130 surgical procedures have been described since then for it. These range from soft ABSTRACT Background: Hallux vulgus is common deformity of fore foot frequently resulting in pain at first metatarso phalyngeal joint and cosmetic problems. Hallux vulgus is particularly more common in shoe wearing populations. Ours being a sub Himalayan region with harsh and prolonged winters where shoe wearing is a must this condition is very common. Various surgical procedures have been described for its management. These range from soft tissue procedures to arthodesis of first metatarso phalyngeal joint. Distal first metatarsal osteotomy (Mitchell's osteotomy) is a time tested procedure in its management. Methods: Forty adult patients (56 feet) with symptomatic hallux vulgus, who did not respond to conservative treatment, were managed with Mitchell's osteotomy. Results: Results were assessed as per American Orthopaedic Foot and Ankle Society grading. More than ninety percent of our patients were fully satisfied with their pain relief and foot cosmetics while others were satisfied with some reservations. There was no major complication or non-union at osteotomy site. Conclusions: Management of hallux vulgus is conservative to begin with, measures like life style modifications, broad toed shoes, toe spacers and physical therapy are tried first. Surgical intervention is indicated if conservative measures fail to relieve symptoms. More than 130 surgical procedures have been described for hallux vulgus ranging from soft tissue procedures like MacBride's to arthodesis of first metatarso phalyngeal joint. Distal metatarsal osteotomy was first described by Hawkins in 1945 but was named after Mitchell who published his work in 1958. From our study we conclude that this is a time tested procedure for symptomatic cases of Hallux Vulgus not responding to conservative measures.

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“…Changing social footwear habits requires an awareness of the dangers of and damage done by ill fitting, tight shoes and that proper shoe fit is critical for good foot health [50] . Heredity is likely to be a major predisposing factor in some patients, with up to 68% of patients showing a familial tendency [9] . More than 130 procedures have been described in the treatment of hallux valgus [21] .…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of hallux valgus using chevron technique

Abdeldayem¹,

Fekry²,

Fouda³

2018

Int. J. Orthop. Sci.

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Background:The great toe is affected by many congenital and acquired conditions including hallux valgus. Hallux valgus was first reported in 1856. Most patients with hallux valgus are young females. High heel shoes are extrinsic factors which are important in the development of hallux valgus. More than 130 procedures have been described in the treatment of hallux valgus. The chevron osteotomy is one of the most widely used distal metatarsal osteotomies for the treatment of this deformity in adults. The idea of the Chevron osteotomy is that, it is a V shaped horizontally oriented with lateral displacement of the head of the first metatarsal accompanied with release and balancing of the soft tissue structure on both sides of the joint. Patients and Methods: Study include 36 patients, all were females. The mean age was 35 years. All patients have symptomatic bilateral hallux valgus deformity. Pain was the primary reason for surgery. Study designed for comparison of results of Chevron's osteotomy with fixation by 2 k-wires versus no fixation. Fifty percent of cases subjected for fixation and 50 percent with no fixation. No specific selection was performed. Results: Evaluation of the results includes radiological and clinical observations. Assessment using the American Orthopaedic Foot and Ankle Society's hallux-metatarsophalangeal-interphalangeal scale was also done. Inter-metatarsal angle averaged 18° pre-operatively and 10° post-operatively, the corresponding values for hallux angle was 25° and 16° respectively. No complications of thrombophlebitis, non-union or avascular necrosis were recorded. Overall results show 94% as excellent or good results. Conclusion: The Chevron osteotomy disclosed excellent relief of pain, good cosmetic correction and overall patient satisfaction. Stability and the technical ease make this procedure preferable for correction of moderate hallux valgus deformity.

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The Mitchell distal metatarsal osteotomy for hallux valgus

Cited by 87 publications

References 7 publications

Double Oblique Displacement Osteotomy for Hallux Valgus

Double Oblique Displacement Osteotomy for Hallux Valgus

Classical Mitchell's osteotomy in the management of symptomatic hallux vulgus

Surgical treatment of hallux valgus using chevron technique

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