Using the Center of Rotation of Angulation Concept in Hallux Valgus Correction: Why Do We Choose the Proximal Oblique Sliding Closing Wedge Osteotomy?

Autor:	Wagner E; Foot and Ankle Unit, Orthopedic and Traumatology Department, Clinica Alemana - Universidad del Desarrollo, Avda Vitacura 5951, Santiago, Chile. Electronic address: ewagner@alemana.cl., Ortiz C; Foot and Ankle Unit, Orthopedic and Traumatology Department, Clinica Alemana - Universidad del Desarrollo, Avda Vitacura 5951, Santiago, Chile., Wagner P; Foot and Ankle Unit, Orthopedic and Traumatology Department, Clinica Alemana - Universidad del Desarrollo, Avda Vitacura 5951, Santiago, Chile; Hospital Militar - Universidad de Los Andes, Avda Alcalde Fernando Castillo Velasco 9100, Santiago, Chile.
Jazyk:	angličtina
Zdroj:	Foot and ankle clinics [Foot Ankle Clin] 2018 Jun; Vol. 23 (2), pp. 247-256. Date of Electronic Publication: 2018 Mar 08.
DOI:	10.1016/j.fcl.2018.01.005
Abstrakt:	Many different surgeries have been proposed for hallux valgus treatment, osteotomies being the currently recommended ones. Because of high recurrence rates, distal, diaphyseal and proximal osteotomies have been used to improve alignment and sesamoid reduction. The center of rotation of angulation (CORA) concept applies to any deformity and helps to completely realign 2 bone segments. When used with proximal osteotomies, bone displacement and angulation is performed obtaining complete deformity correction. The proximal oblique sliding closing wedge (POSCOW) osteotomy follows the CORA concept and permits preoperative planning. Future directions must include the correction of the pronation deformity of the metatarsal. (Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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