title: [Intermediate results following subcapital metatarsal osteotomy in the therapy of hallux valgus with metatarsus primus varus].
abstract: 71 feet were investigated after subcapital modified osteotomy of the metatarsus according to Kramer for an average follow-up period of 19 months. Mean improvement of the Hallux valgus angle was 10 degrees whereas the intermetatarsal angle was improved by 4 degrees on average. The high degree of satisfaction of patients (83%) with the outcome of this surgical method suggest its application in cases of medium metatarsus primus varus within hallux valgus deformations when the metatarso-phalangeal joint is not affected. In patients aged 50 years and older as well as in cases of MT I varus exceeding 18-20 degrees this operation should strictly be limited to the cases indicated above.
authors.affiliation: Universitätsklinik für Orthopädie, Wien.
authors.forename: W
authors.initials: W
authors.lastname: Bretschneider
authors.forename: A
authors.initials: A
authors.lastname: Wanivenhaus
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001864:Bone Wires; D005260:Female; D005500:Follow-Up Studies; D005684:Gait; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008297:Male; D008684:Metatarsus / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D010149:Postoperative Pain / Q000175:diagnosis; D017060:Patient Satisfaction; D011182:Postoperative Care; D011859:Radiography
vernacular_title: Mittelfristige Resultate nach subkapitaler Metatarsalosteotomie zur Therapie des Hallux valgus mit Metatarsus primus varus.