Osteotomy of the first metatarsal base for metatarsus primus varus.
An opening wedge osteotomy of the first metatarsal base using either iliac crest bone or the removed exostosis as a graft was used to treat metatarsus primus varus in 22 feet of 15 patients. The preoperative intermetatarsal angle averaged 15 degrees, with the final angle averaging 8 degrees. All osteotomies healed in 3 months with excellent cosmetic and functional results and no difference between iliac crest and exostosis grafts. We conclude that an opening wedge osteotomy of the first metatarsal base is a satisfactory method for the correction of metatarsus primus varus.
Limbird
T J
TJ
Department of Orthopaedics and Rehabilitation, Vanderbilt University, Nashville, Tn 37232.
DaSilva
R M
RM
Green
N E
NE
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008682:Metatarsal Bones / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods