Opening first metatarsal osteotomy and resection arthroplasty of the first MPJ in the treatment of first ray insufficiency associated with degenerative hallux valgus
| Autor: | M. Jiménez-Potrero, J. Vega-García, L. García-Bordes, A. Yunta-Gallo |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Metatarsophalangeal Joint medicine.medical_specialty Time Factors medicine.medical_treatment Osteotomy Severity of Illness Index Prosthesis Arthroplasty medicine Humans Internal fixation Orthopedics and Sports Medicine Hallux Valgus Range of Motion Articular Aged Retrospective Studies Aged 80 and over biology business.industry Middle Aged biology.organism_classification Short first metatarsal Metatarsus Primus Varus Surgery Radiography Valgus Treatment Outcome Patient Satisfaction Female Metatarsal bones business Follow-Up Studies |
| Zdroj: | Foot and Ankle Surgery. 16:132-136 |
| ISSN: | 1268-7731 |
| DOI: | 10.1016/j.fas.2009.08.004 |
| Popis: | Background Opening wedge proximal metatarsal osteotomy combined with first metatarsophalangeal arthroplasty can be used to correct first metatarsus primus varus with a high intermetatarsal angle and a short first metatarsal. Methods 147 feet in 138 patients with degenerative first metatarsophalangeal arthrosis, ≥15° of metatarsus primus varus and, a short first metatarsal were included. Preoperative and postoperative clinical, radiographic, and subjective outcome measurements were taken (Scale AOFAS). Results The mean first intermetatarsal angle decrease was 7.79±1.43° and the mean increase in first metatarsal length was 2.88±0.45mm. The pre-intervention mean values were 52.6 points in the AOFAS scale, and an overall result of 92.95 obtained after surgery ( P Conclusions The opening proximal first metatarsal osteotomy without internal fixation and with first metatarsophalangeal resection arthroplasty can correct severe hallux valgus with an intermetatarsal angle ≥15° and a short first metatarsal, achieving low rate of complications. |
| Databáze: | OpenAIRE |
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