Using the Center of Rotation of Angulation Concept in Hallux Valgus Correction: Why Do We Choose the Proximal Oblique Sliding Closing Wedge Osteotomy?

Emilio Wagner*, Cristian Ortiz, Pablo Wagner

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Many different surgeries have been proposed for hallux valgus treatment, osteotomies being the currently recommended ones. Because of high recurrence rates, distal, diaphyseal and proximal osteotomies have been used to improve alignment and sesamoid reduction. The center of rotation of angulation (CORA) concept applies to any deformity and helps to completely realign 2 bone segments. When used with proximal osteotomies, bone displacement and angulation is performed obtaining complete deformity correction. The proximal oblique sliding closing wedge (POSCOW) osteotomy follows the CORA concept and permits preoperative planning. Future directions must include the correction of the pronation deformity of the metatarsal.

Original languageEnglish
Pages (from-to)247-256
Number of pages10
JournalFoot and Ankle Clinics
Volume23
Issue number2
DOIs
StatePublished - Jun 2018
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2018 Elsevier Inc.

Keywords

  • CORA
  • Closing wedge
  • POSCOW
  • Proximal osteotomy
  • Severe hallux valgus

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