Combination of osteotomy of the first metatarsal according to Frejka with McBride operation procedure in surgical therapy of extreme hallux valgus.
Hallux valgus is to be perceived as a complex of deformities of the first ray of the foot, often accompanied by deformity of forefoot. Although, this deformity can be treated with as many as 200 surgical procedures, the authors would like to demonstrate the effect of their own approach. The authors evaluate the results of hallux valgus surgery combining the operation according to McBride and wedge osteotomy of the first metatarsal (MT) basis in 21 patients (37 surgeries) with post-surgical follow-up lasting from 29 to 45 months (i.e. 3 years in average). Pre-operative mean intermetatarsal 1-2 angle revealed by radiographs was surgically corrected from 21.7 degrees at the baseline to the mean degree of 8.8. The pre-surgical average 45.9-degree of great toe valgosity proved by radiographs was surgically improved to the mean of 13.5 degrees. 87% of patients expressed their personal satisfaction with their surgical results. The authors consider the combination of wedge osteotomy of the first metatarsal basis with the operation according to McBride to be suitable in the therapy of extreme valgosity of great toes with increased metatarsal angle between first and 2nd metatarsal in young patients with minimum of changes in the metatarsophalangeal joint developed due to arthrosis (Tab. 2, Fig. 6, Ref. 7).
Kokavec
M
M
Department of Paediatric Orthopaedics, Comenius University, Bratislava, Slovakia. kokavec@dfnsp.sk
Novorolsky
K
K
Bdzoch
M
M
D005260:Female; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*