title: Lateral shifting of the first metatarsal head in hallux valgus surgery: effect on sesamoid reduction.
abstract: Thirty feet with hallux valgus (HV) having grade 2 and 3 sesamoid stations on AP radiographs were examined after Lindgren-Turan oblique distal metatarsal osteotomy with a minimum follow-up of 12 months. Adductor tendon release from the lateral sesamoid was not performed to determine the isolated effect of distal metatarsal osteotomy on metatarsosesamoidal reduction. Of the 30 feet, 20 (67%) had reduced and 10 (33%) unreduced sesamoids at the follow-up. Ultimately, distal metatarsal osteotomy (DMO) with lateral shifting of the first metatarsal head more than 7.2 mm was found to reduce the sesamoids in the great majority of the cases (95% CI 7.243-9.757). Sesamoid release is redundant for metatarsosesamoidal reduction if sufficient lateral shift of the first metatarsal head over the sesamoids is accomplished.
authors.affiliation: Marmara University School of Medicine, Department of Orthopaedic Surgery, Istanbul, Turkey. tesemen@prizma.net.tr
authors.forename: Tanil
authors.initials: T
authors.lastname: Esemenli
authors.forename: Yakup
authors.initials: Y
authors.lastname: Yildirim
authors.forename: Murat
authors.initials: M
authors.lastname: Bezer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005528:Foot / Q000601:surgery; D006215:Hallux Valgus / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy; D012189:Retrospective Studies; D012716:Sesamoid Bones / Q000503:physiopathology / Q000601:surgery*; D013710:Tendons / Q000601:surgery