Hallux valgus. The treatment by distal wedge osteotomy of the 1st metatarsal (Hohmann-Thomasen).
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Thirty-five feet that have undergone an off-set V osteotomy with screw fixation are reviewed in this retrospective study. The average length of follow-up is 3 years. The osteotomy successfully reduced the intermetatarsal angle, proximal articular set angle, and hallux abductus angle while leaving the first metatarsal length and first metatarsal declination angle unchanged. Aside from effectively correcting the clinical values, this procedure was also rated very high in patient satisfaction. Satisfaction (excellent and good) with the procedure as reported by 33 (94%) and complete relief from pain was described by 23 (66%) of the respondents. The authors highly recommend this procedure based on successful reduction of radiographic angles, minimal complications, and high patient satisfaction.
This article is an overview from a sports medicine podiatrist who deals mainly with athletes. The author addresses all aspects of rehabilitation.
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It is reported about the combined use of different methods for metatarsal osteotomy and in conclusion we recommend a differentiation of these corrective techniques and their indications. The differentiation is based on the consideration of the valgus angle, the grade of secondary arthrosis and the functional load of the joints.
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