Proximal metatarsal osteotomy and distal soft tissue reconstruction as treatment for hallux valgus deformity
| Autor: | J. Speight Grimes, Michael J. Coughlin |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
musculoskeletal diseases medicine.medical_treatment Medial eminence Osteotomy Preoperative Care medicine Humans Anesthesia Hallux Valgus Child Exostosis Valgus deformity Postoperative Care Orthodontics Subluxation Wound Healing biology business.industry Soft tissue General Medicine musculoskeletal system medicine.disease biology.organism_classification Metatarsus Valgus medicine.anatomical_structure Ligaments Articular Ligament business Joint Capsule |
| Zdroj: | The Keio Journal of Medicine. 54:60-65 |
| ISSN: | 1880-1293 0022-9717 |
| DOI: | 10.2302/kjm.54.60 |
| Popis: | The correction of a hallux valgus deformity with a proximal 1(st) metatarsal osteotomy and distal soft tissue repair is achieved with a three-incision technique. A lateral soft tissue release and reconstruction at the first metatarsophalangeal joint releases contracted structures including the lateral capsule, the transverse inter-metatarsal ligament and the conjoint adductor tendon. Rarely is the lateral sesamoid excised. Through a medial incision, the medial eminence or exostosis is resected. The sesamoids are realigned and the medial capsule is reefed. With a third incision, a proximal first metatarsal osteotomy is performed that corrects a widened 1-2 intermetatarsal angle. With correction of the hallux valgus and the 1-2 intermetatarsal angle, pronation of the hallux is corrected. This correction is routinely used for hallux valgus deformities characterized by subluxation of the metatarsophalangeal joint. In the presence of a mild hallux valgus deformity an osteotomy may not be necessary. With degenerative arthritis or a congruent metatarsophalangeal joint, alternative surgical procedures are indicated. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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