Midshaft first-ray osteotomies for hallux valgus.
In this article, the authors describe the indications, contraindications, surgical technique and its fixation considerations, postoperative care, results, and potential complications of the offset V and the traditional Z osteotomies. Because of its versatility, inherent stability, minimal first metatarsal shortening, good intermetatarsal reduction, and ease of rigid internal fixation, shaft osteotomies are gaining popularity as procedures for the correction of hallux valgus. Strong and stable internal fixation allows for earlier functional recovery and primary bone healing. Shaft osteotomies can provide predictable and rewarding results for the patient and surgeon for the correction of hallux valgus.
Rockett
Matthew S
MS
Bay Area Podiatry Associates, 1234 Bay Area Boulevard, Suite G, Houston, TX 77058, USA. rockettman@houston.rr.com
Goss
Larry R
LR
D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D008682:Metatarsal Bones / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D011182:Postoperative Care