Evaluation of Hallux Valgus Correction With Versus Without Akin Proximal Phalanx Osteotomy.
Although the efficacy of Akin proximal phalanx closing wedge osteotomy as a sole procedure for correction of hallux valgus deformity is questionable, when used in combination with other osseous corrective procedures, the procedure has been believed to be efficacious. However, a limited number of comparative studies have confirmed the value of this additional procedure. We identified patients who had undergone osseous hallux valgus correction with first metatarsal osteotomy or first tarsometatarsal joint arthrodesis with (n = 73) and without (n = 81) Akin osteotomy and evaluated their radiographic measurements at 3 points (preoperatively, within 3 months after surgery, and ≥6 months after surgery). We found that those people who had undergone the Akin procedure tended to have a larger hallux abduction angle and a more laterally deviated tibial sesamoid position preoperatively. Although the radiographic correction of the deformity was promising immediately after corrective surgery with the Akin osteotomy, maintenance of the correction was questionable in our cohort. The value of additional Akin osteotomy for correction of hallux valgus deformity is uncertain.
Associate Professor, Department of Surgery, Texas A&M Health Science Center, College of Medicine, Temple, TX; Chief, Section of Podiatry, Central Texas Veterans Health Care System, Temple, TX; and Staff, Baylor Scott and White Health Care System, Temple, TX. Electronic address: shibuya@medicine.tamhsc.edu.
Naohiro
N
Shibuya
Staff, Section of Podiatry, Surgical Services, Central Texas Veterans Health Care System, Temple, TX; and Staff, Baylor Scott and White Health Care System, Temple, TX.
Jakob C
JC
Thorud
Podiatric Medicine and Surgery Resident, Scott and White Health Care System and Texas A&M Health Science Center, Temple, TX.
Lanster R
LR
Martin
Podiatric Medicine and Surgery Resident, Scott and White Health Care System and Texas A&M Health Science Center, Temple, TX.
Britton S
BS
Plemmons
Assistant Professor, Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX.
Daniel C
DC
Jupiter
D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D005260:Female; D006214:Hallux / Q000601:surgery; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011183:Postoperative Complications; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome
bunion; metatarsus primus varus; recurrence; surgery; tibial sesamoid position