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Orthopedics, 2016;39(6):e1213–e1217
Published Online:https://doi.org/10.3928/01477447-20160714-07Cited by:2

Abstract

A simple, inexpensive technique for fixation of proximal opening-wedge osteotomy of the first metatarsal for correction of moderate or severe hallux valgus (HV) is described. After the opening-wedge osteotomy and bone grafting of the first metatarsal have been performed, 2 Kirschner wires are introduced for internal fixation and removed 8 weeks postoperatively. Twenty-three patients with symptomatic HV who had a proximal medial opening-wedge osteotomy of the first metatarsal in combination with a distal soft tissue procedure and bunionectomy were evaluated retrospectively. All osteotomies healed without complications and satisfaction was achieved in 22 patients. Hallux varus developed in 1 patient. Preoperatively, mean HV angle (HVA) was 41° (range, 35°–61°) and mean 1–2 intermetatarsal angle (IMA) was 19° (range, 16°–24°). Postoperatively, mean HVA was 14° (range, 10°–17°) and mean 1–2 IMA was 7° (range, 5°–9°). The mean decrease in the HVA was 27° (P<.001) and the mean decrease in the 1–2 IMA was 12° (P<.001). [Orthopedics. 2016; 39(6):e1213–e1217.]

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