Rotational Osteotomy for Hallux Valgus. A New Technique for Primary and Revision Cases

Pablo Wagner, Cristian Alejandro Ortiz Mateluna, Emilio Wagner

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

More than 200 different surgical techniques exist for hallux valgus (HV). Some of them are designed for mild, moderate, or severe deformities depending on their correction power. Nevertheless, they all correct only the coronal and/or sagittal plane deformity. Just a handful of them correct the known axial malrotation that exists in most HV cases. This malrotation is one possible factor that could be the source of recurrence of an operated HV as it has been described. We describe a new technique which simultaneously corrects the metatarsal internal rotation and varus deformity by rotating the metatarsal through an oblique plane osteotomy. This is performed with no bone wedge resection. Also, there is a broader bone surface contact than on a transverse proximal osteotomy. This technique is easy to remember and relatively simple to perform in primary and revision cases. The authors results show that it is as safe and effective as other procedures, with some advantages to be discussed. Levels of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence.

Original languageEnglish
Pages (from-to)3-10
Number of pages8
JournalTechniques in Foot and Ankle Surgery
Volume16
Issue number1
DOIs
StatePublished - 2017
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2017 The Authors. Published by Wolters Kluwer Health, Inc.

Keywords

  • hallux valgus
  • osteotomy
  • rotational correction
  • surgical technique

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