title: The Ludloff osteotomy: a review of current concepts.
abstract: The Ludloff osteotomy is a technique option to address hallux valgus in patients with a moderately to significantly increased first-second intermetatarsal angle. The Ludloff osteotomy is an oblique osteotomy of the first metatarsal extending dorsal-proximal to plantar-distal when viewed in the sagittal plane. The dorsal-proximal portion of the metatarsal is cut with the saw while maintaining the plantar-distal surface intact. A screw is inserted across the proximal aspect of the osteotomy, then the osteotomy is extended across the plantar surface distally. The metatarsal is rotated around the axis of the screw to the desired correction. In order to perform the osteotomy correctly, the surgeon must not only effectively complete the nuances of the technique, but also understand the limitations and contraindications of the Ludloff osteotomy. This review of current concepts for the Ludloff osteotomy reviews recent literature as well as technique pearls and pitfalls in the application of this powerful osteotomy.
authors: Institute for Foot and Ankle Reconstruction, Baltimore, USA. abeles@post.harvard.edu
authors: Deborah A
authors: DA
authors: Castaneda
authors: Mark S
authors: MS
authors: Myerson
authors: Steven K
authors: SK
authors: Neufeld
mesh_terms: D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008682:Metatarsal Bones / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D011859:Radiography
references: Foot Ankle Int. 2003 Jan;24(1):34-9
references: 12540079
references: Foot Ankle Int. 2004 Aug;25(8):532-6
references: 15363373
references: J Foot Ankle Surg. 2011 Nov-Dec;50(6):699-702
references: 21813302
references: Foot Ankle Int. 2009 Oct;30(10):955-63
references: 19796589
references: Foot Ankle Int. 2005 Aug;26(8):627-32
references: 16115420
references: Foot Ankle Int. 2003 Oct;24(10):805-11
references: 14587999
references: Acta Orthop Traumatol Turc. 2010;44(1):70-5
references: 20513994
references: Clin Biomech (Bristol, Avon). 2010 Mar;25(3):271-6
references: 20060627
references: Foot Ankle Int. 2009 Dec;30(12):1154-60
references: 20003873
references: Clin Biomech (Bristol, Avon). 2008 Jan;23(1):101-8
references: 17910899
references: Foot Ankle Int. 2005 Jul;26(7):579-81
references: 16045853
references: Foot Ankle Int. 2005 Aug;26(8):620-6
references: 16115419
references: J Bone Joint Surg Am. 2008 Mar;90(3):531-9
references: 18310703
references: J Bone Joint Surg Am. 2009 Mar 1;91 Suppl 2 Pt 1:156-68
references: 19255208