Complications of screw-fixated chevron osteotomies for the correction of hallux abducto valgus.
The surgical records of three podiatric physicians were reviewed to identify all chevron-type osteotomies performed during 2000-2001 for the correction of bunion deformity, and complications were reviewed for each. In the 95 cases identified, 15 complications occurred in 12 patients. Of these 15 complications, 4 were soft-tissue infections (4 patients), 4 were cases of painful hardware (3 patients), 4 were cases of second metatarsal head pain (2 patients), 2 were cases of cystic changes initially interpreted as osteomyelitis but later determined to be degenerative changes (2 patients), and 1 was a case of stiff toe (1 patient). There were no cases of avascular necrosis, hallux varus, or recurrence.
Viehe
Richard
R
Western Medical Center, Santa Ana, CA, USA.
Haupt
D Jeffrey
DJ
Heaslet
Michael W
MW
Walston
Sharon
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws / Q000009:adverse effects*; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008682:Metatarsal Bones / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects* / Q000295:instrumentation; D010149:Postoperative Pain / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology