TY - JOUR
T1 - Opening Wedge Osteotomy of the First Metatarsal Base
T2 - A Technique for Correction of Metatarsus Primus Varus Using a New Titanium Opening Wedge Plate
AU - Wukich, Dane K.
AU - Roussel, Andy J.
AU - Dial, Dekarlos
PY - 2006/1
Y1 - 2006/1
N2 - Although not without controversy in technique and fixation methods, the opening-base wedge can be a successful procedure for moderate-to-severe hallux valgus deformities with significant metatarsus primus varus while preserving relative metatarsal length. Literature regarding the opening-base wedge has been limited and somewhat unfavorable. It is our purpose to present a promising new technique combining the modified McBride bunionectomy with a proximal first metatarsal opening-base wedge osteotomy. Using a standardized technique, we were able to achieve an efficient, reproducible, and stable construct, thereby minimizing intraoperative complications and postoperative morbidity. Fixation is achieved in each case using a new titanium plate designed for opening proximal osteotomies. Because of the stable fixation construct, patients are able to progress to protected weightbearing status much sooner than with previously described base wedge procedures, thus making this procedure more tolerable as well. The opening-base wedge procedure can be a reliable addition to the armamentarium of surgical options for proximal hallux valgus correction. To our knowledge, no previous studies have been published regarding this method.
AB - Although not without controversy in technique and fixation methods, the opening-base wedge can be a successful procedure for moderate-to-severe hallux valgus deformities with significant metatarsus primus varus while preserving relative metatarsal length. Literature regarding the opening-base wedge has been limited and somewhat unfavorable. It is our purpose to present a promising new technique combining the modified McBride bunionectomy with a proximal first metatarsal opening-base wedge osteotomy. Using a standardized technique, we were able to achieve an efficient, reproducible, and stable construct, thereby minimizing intraoperative complications and postoperative morbidity. Fixation is achieved in each case using a new titanium plate designed for opening proximal osteotomies. Because of the stable fixation construct, patients are able to progress to protected weightbearing status much sooner than with previously described base wedge procedures, thus making this procedure more tolerable as well. The opening-base wedge procedure can be a reliable addition to the armamentarium of surgical options for proximal hallux valgus correction. To our knowledge, no previous studies have been published regarding this method.
KW - base wedge osteotomy
KW - bunionectomy
KW - first metatarsal
KW - hallux valgus
KW - metatarsus primus varus
KW - opening base wedge
KW - proximal metatarsal osteotomy
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U2 - 10.1053/j.oto.2006.01.002
DO - 10.1053/j.oto.2006.01.002
M3 - Article
AN - SCOPUS:33646473543
SN - 1048-6666
VL - 16
SP - 76
EP - 81
JO - Operative Techniques in Orthopaedics
JF - Operative Techniques in Orthopaedics
IS - 1
ER -