Preoperative criteria for hallux valgus surgery and use of convergent angled base wedge osteotomy.
A discussion is presented about objective correction criteria for hallux abducto valgus surgery. A historical review of commonly used procedures performed for correction at various levels of first ray deformity is related. Based on ideal criteria for base wedge osteotomies, a new template and procedure for base wedge osteotomies derived from computer-augmented graphics is described in detail. This procedure has been referred to as a convergent angled osteotomy (CAO) and effectively reduces the metatarsus primus adductus angle with minimal loss of length, cortex to cortex apposition in closure, relative lengthening with plantarflexion if desired, and a capacity for very stable rigid internal fixation that optimizes recovery from base wedge reduction. Case histories are also presented.
Southerland
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CC
Department of Podiatric Surgery, Southeastern Medical Center, North Miami Beach.
Spinner
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SM
D000328:Adult; D000368:Aged; D005260:Female; D006215:Hallux Valgus / Q000145:classification / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D010027:Osteotomy / Q000379:methods*