title: Proximal closing wedge osteotomy and adductor tenotomy for treatment of hallux valgus.
abstract: After 2 to 4 years, 25 patients (27 feet) who had a proximal closing wedge osteotomy of the first metatarsal and an adductor tenotomy were reviewed. A total of 20 patients (22 of 27 feet) were completely satisfied; 5 patients not completely satisfied had metatarsalgia because of dorsal displacement of the first metatarsal head. Radiographic measurements showed a narrowing of the forefoot rather than a large change in the intermetatarsal angle. The recovery period was long, an average of 11 weeks. Pin inflammation occurred in 5 patients and incisional neuromas in 2 patients. The risk of these complications must be taken into consideration when using this operation.
authors.affiliation: Department of Orthopedics, University Hospital, Lund, Sweden.
authors.forename: S
authors.initials: S
authors.lastname: Resch
authors.forename: A
authors.initials: A
authors.lastname: Stenström
authors.forename: N
authors.initials: N
authors.lastname: Egund
mesh_terms: D000328:Adult; D000368:Aged; D003258:Consumer Behavior; D005260:Female; D005500:Follow-Up Studies; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011182:Postoperative Care; D013710:Tendons / Q000601:surgery*; D014034:Toes / Q000601:surgery*