Erschienen in:
13.01.2021 | Surgical Techniques
Percutaneous basal closing wedge osteotomy for hallux valgus deformity
verfasst von:
Joel Vernois, David Redfern, Thomas Amouyel
Erschienen in:
Operative Orthopädie und Traumatologie
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Ausgabe 4/2021
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Abstract
Objective
This article describes the percutaneous technique of a minimally invasive basal closing wedge osteotomy for correction of hallux valgus.
Indications
This procedure allows correction of severe deformity with a minimally invasive approach.
Contraindications
No specific contraindication; a fusion would be preferred for an arthritic tarsometatarsal or metatarsophalangeal joint.
Surgical technique
The surgical technique is based on the use of burrs specifically adapted for foot surgery. A basal closing wedge osteotomy is performed and fixed percutaneously. Each step is controlled under fluoroscopy.
Postoperative management
A postoperative heel shoe is prescribed for 6 weeks with crutches. The foot is elevated during the first 2 weeks. Impact is forbidden for 3 months.
Results
The authors report good and excellent results with an average correction of the hallux valgus angle of 26° and an intermetatarsal angle of 8.2°.