Distal soft tissue correction for hallux valgus with proximal screw fixation of the first metatarsal.
These early results with short-term to medium-term followup demonstrate the effectiveness of this distal soft tissue procedure with proximal realignment in a subset of patients with moderate to severe hallux valgus and mobility of the first ray. With up to 2-year followup, the correction seems to hold with no significant recurrence and only mild increases in the hallux valgus and intermetatarsal angles with time. Obviously, longer-term followup with a larger group of patients is needed, but these early results are encouraging. In this group of patients, this procedure provides reliable correction of hallux valgus while possibly avoiding some of the morbidity of the different procedures for proximal osteotomy.
Department of Orthopaedic Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California, USA. DFriscia@aol.com
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Friscia
D001458:Bandages; D001863:Bone Screws; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D005528:Foot / Q000503:physiopathology / Q000601:surgery*; D006215:Hallux Valgus / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy*; D006801:Humans; D016268:Internal Fixators; D008349:Manipulation, Orthopedic / Q000379:methods; D008682:Metatarsal Bones / Q000601:surgery*; D011312:Pressure