1994 William J. Stickel Silver Award. Closing base wedge versus Austin bunionectomies for metatarsus primus adductus
| Autor: | M Seiberg, Green, RM Green, AH Barth, JP Colson, S Felson |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty business.product_category medicine Humans Displacement (orthopedic surgery) Hallux Valgus Metatarsal Bones Aged Aged 80 and over Orthodontics First ray biology Foot Deformities Acquired business.industry Wedge osteotomy General Medicine Middle Aged biology.organism_classification Bunionectomies Bunionectomy Wedge (mechanical device) Sagittal plane Osteotomy Surgery Radiography Valgus medicine.anatomical_structure Female business |
| Zdroj: | Journal of the American Podiatric Medical Association. 84:548-563 |
| ISSN: | 1930-8264 8750-7315 |
| DOI: | 10.7547/87507315-84-11-548 |
| Popis: | Hallux abducto valgus with concomitant metatarsus primus adductus was treated by either an isolated Austin bunionectomy or by a combination of a modified McBride bunionectomy, along with a closing base wedge osteotomy, on a total of 73 patients (88 feet) from 1983 to 1993. Both subjective and objective similarities and differences were compared between these two groups of patients. Long-term elevation or depression of the first ray was analyzed by using a technique termed sagittal plane displacement. The prevalent preoperative symptoms were significantly reduced postoperatively in both groups of patients. Initial postoperative elevation of the first ray occurred in approximately one third of the cases in both groups. Long-term elevation of the first ray was greater with the base wedge osteotomy and did not change appreciably with the Austin procedure. The sagittal plane displacement method is a helpful tool in analyzing changes in the position of the first ray perioperatively. |
| Databáze: | OpenAIRE |
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