title: Fixation updates for hallux valgus correction.
abstract: Fixation options for hallux valgus correction vary. Although some methods are newer and more advanced, even the older techniques are successful in appropriate situations. Kirschner wires and cerclage wiring have their place in proximal phalanx and first metatarsal osteotomies. They are useful for fusion procedures, depending on patient bone quality. Advancements with staple fixation allow the surgeon to apply compression with this device. One of the most stable forms of fixation is the bone screw. By providing a stable construct with good interfragmentary compression, primary bone healing is facilitated. The more recent use of rigid locking plates has allowed for earlier weight bearing following fusion procedures.
authors.affiliation: University Foot and Ankle Institute, 2121 Wilshire Boulevard, Suite 101, Santa Monica, CA 90403, USA. Electronic address: rbenad@gmail.com.
authors.forename: Rotem
authors.initials: R
authors.lastname: Ben-Ad
mesh_terms: D001174:Arthrodesis / Q000295:instrumentation* / Q000379:methods; D001860:Bone Plates; D001864:Bone Wires; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D008682:Metatarsal Bones / Q000601:surgery*; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D016474:Weight-Bearing
keywords: Bunion; Fixation; Hallux valgus; Kirschner wire; Plate; Screw; Staple