Akin osteotomy as an adjunct to hallux MTPJ fusion:

Foot & Ankle Orthopaedics

DevendraDamany¹ 

关键词: Hallux rigidus;    Akin osteotomy;    Hallux valgus interphalangeus;   

DOI  :  10.1177/2473011417S000149

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Midfoot/Forefoot, Hallux MTP fusionIntroduction/Purpose:It is not uncommon to note residual valgus at the hallux interphalangeal joint when performing a hallux MTPJ fusion. On occasion, despite optimum positioning of hallux MTPJ for fusion, we found that in some cases the hallux was still abutting the second toe. We noted that these cases had either a high hallux interphalangeus valgus angle or the proximal phalanx had a shorter, concave lateral border due to eccentric wear. These two variables were difficult to correct despite optimum positioning of the hallux MTPJ. Consequently the hallux abuts the second toe causing irritation.We have used Akin osteotomy as an adjunct to hallux MTPJ fusion to address this intraoperative problemMethods:Between 2013 to 2016 this technique was utilised in 16 patients in whom residual hallux valgus interphalangeus was noted once the hallux MTPJ was stabilised in the appropriate position. We used two 4.0 mm AO cannulated partially threaded screws inserted in a cros...

【 授权许可】

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