Operative Techniques in Orthopaedics
Volume 16, Issue 1 , Pages 76-81 , January 2006

Opening Wedge Osteotomy of the First Metatarsal Base: A Technique for Correction of Metatarsus Primus Varus Using a New Titanium Opening Wedge Plate

  • Dane K. Wukich, MD

      Affiliations

    • Foot and Ankle Division, Department of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
    • ,
  • Andy J. Roussel, DPM

      Affiliations

    • Department of Graduate Medical Education, Foot and Ankle Surgery, University of Pittsburgh Medical Center, South Side, Pittsburgh, PA.
    • Corresponding Author InformationAddress reprint requests to Andy J. Roussel, DPM, University of Pittsburgh Medical Center, South Side, 2000 Mary Street, Pittsburgh, PA 15203.
    • ,
  • Dekarlos Dial, DPM

      Affiliations

    • Department of Graduate Medical Education, Foot and Ankle Surgery, University of Pittsburgh Medical Center, South Side, Pittsburgh, PA.

References 

  1. Limbers JP , Robinson AH . Modern concepts in the treatment of hallux valgus . J Bone Joint Surg Br . 2005;87:1038–1452
  2. Honkamp NJ , Rongstad KM . A technique for proximal first metatarsal osteotomy for hallux valgus repair . J Foot Ankle Surg . 2004;43:204–205
  3. Markbreiter LA , Thompson FM . Proximal metatarsal osteotomy in hallux valgus correction (A comparison of crescentic and chevron procedures) . Foot Ankle Int . 1997;18:71–76
  4. Granberry WM , Hickey CH . Hallux valgus correction with metatarsal osteotomy (Effect of a lateral distal soft tissue procedure) . Foot Ankle Int . 1995;16:132–138
  5. Carr CR , Boyd BM . Correctional osteotomy for metatarsus primus varus and hallux valgus . J Bone Joint Surg Am . 1968;50:1353–1367
  6. Mann RA , Rudicel S , Graves SC . Repair of hallux valgus with a distal soft-tissue procedure and proximal metatarsal osteotomy. A long-term follow-up . J Bone Joint Surg Am . 1992;74:124–129
  7. Trethowan L . Hallux valgus . In:  Choyce C editors. A System of Surgery . New York, NY: P.B. Hoeber; 1923;p. 1046–1049
  8. Sollitto RJ , Hart TJ , Sergi AR . Opening base wedge osteotomy with first metatarsophalangeal joint implantation arthroplasty—a retrospective study . J Foot Surg . 1991;30:165–169
  9. Limbird TJ , DaSilva RM , Green NE . Osteotomy of the first metatarsal base for metatarsus primus varus . Foot Ankle . 1989;9:158–162
  10. Haddad RJ . Hallux valgus and metatarsus primus varus treated by bunionectomy and proximal metatarsal osteotomy . South Med J . 1975;68:684–686
  11. Amarnek DL , Juda EJ , Oloff LM , et al.   Opening base wedge osteotomy of the first metatarsal utilizing rigid external fixation . J Foot Surg . 1986;25:321–326
  12. Fillinger EB , Hesse DF , McGwire JW , et al.   Inherent stability of proximal first metatarsal osteotomies (A comparative analysis) . J Foot Ankle Surg . 1998;37:292–302
  13. Banks AS , Cargill RS , Carter S , et al.   Shortening of the first metatarsal following closing base wedge osteotomy . J Am Podiatr Med Assoc . 1997;87:199–207
  14. Dreeben S , Mann RA . Advanced hallux valgus deformity (long-term results utilizing the distal soft tissue procedure and proximal metatarsal osteotomy) . Foot Ankle Int . 1996;17:142–144
  15. Wanivenhaus AH , Feldner-Busztin H . Basal osteotomy of the first metatarsal for the correction of metatarsus primus varus associated with hallux valgus . Foot Ankle . 1988;8:337–343
  16. Hardy RH , Claphman JC . Observations on hallux valgus; based on a controlled series . J Bone Joint Surg Br . 1951;33:376–391
  17. Coughlin MJ . An instructional course lecture, the American Academy of Orthopaedic Surgeons-hallux valgus . J Bone Joint Surg Am . 1996;78:932–966
  18. Coughlin MJ , Carlson RE . Treatment of hallux valgus with an increased distal metatarsal articular angle (Evaluation of double and triple first ray osteotomies) . Foot Ankle Int . 1999;20:762–770
  19. McBride ED . The McBride bunion Hallux Valgus Operation . J Bone Joint Surg Am . 1967;49:1675–1683
  20. Pfeffinger LL . The modified McBride procedure . Orthopedics . 1990;13:979–984

PII: S1048-6666(06)00003-6

doi: 10.1053/j.oto.2006.01.002

Operative Techniques in Orthopaedics
Volume 16, Issue 1 , Pages 76-81 , January 2006

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