Fixation of the Chevron osteotomy utilizing absorbable polydioxanon pins.
The Chevron osteotomy has become popular for the treatment of hallux valgus deformity. Displacement of the osteotomy is a known complication. Many methods of internal fixation have previously been reported to prevent the displacement and each has inherent advantages and disadvantages. An alternative method of fixation, utilizing absorbable polydioxanon pins, is presented in this article. Between April 1989 and April 1990, 71 procedures were performed on 50 patients. At 1-year follow-up, there were no complications or infections. Review of the osteotomy after surgery and at 1 year revealed no fractures or displacements, and no pins required removal. Internal fixation utilizing absorbable polydioxanon pins appears to have significant benefits when compared with metallic fixation.
Small
H N
HN
Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
Braly
W G
WG
Tullos
H S
HS
D000328:Adult; D000368:Aged; D001858:Bone Nails; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010027:Osteotomy / Q000295:instrumentation* / Q000379:methods; D016687:Polydioxanone; D011183:Postoperative Complications; D011446:Prospective Studies; D011859:Radiography; D016896:Treatment Outcome
D016687:Polydioxanone