title: Early results of the modified Peterson bunion procedure for adolescent hallux valgus.
abstract: Adolescent hallux valgus has a high recurrence rate after conventional surgical corrections. Excellent results have been reported with a double osteotomy of the first metatarsal fixed with a 3/16" transarticular pin. The present study reports the early results of using a medial plate and screws with an osteoperiosteal distally based flap to correct metatarsophalangeal joint subluxation, decrease recurrence from laxity in the medial capsular repair, and avoid intra-articular damage. The study included 18 feet in 16 patients (8 males, 8 females). All osteotomies healed primarily without complications, though there was recurrence in 3 undercorrected feet (2 patients). The average preoperative hallux valgus angle of 34 degrees was reduced to 16 degrees at a minimum 1-year follow-up. The average intermetatarsal angle improved from 14 degrees (before operation) to 6 degrees. No patient has requested plate removal.
authors.affiliation: Department of Orthopaedic Surgery, Arkansas Children's Hospital, Little Rock 72202, USA. aronsonjames@exchange.uams.edu
authors.forename: J
authors.initials: J
authors.lastname: Aronson
authors.forename: L L
authors.initials: LL
authors.lastname: Nguyen
authors.forename: E A
authors.initials: EA
authors.lastname: Aronson
mesh_terms: D000293:Adolescent; D001860:Bone Plates; D001863:Bone Screws; D002648:Child; D005260:Female; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D012008:Recurrence; D013524:Surgical Flaps; D016896:Treatment Outcome