Abstract
We introduce a new set of modifications and present the results from 48 patients (a total of 60 feet operated), who underwent this modified Wilson’s osteotomy for the correction of Hallux Valgus. Patients were of an average age of 52 years old (from 21 to 75 years of age) and were followed up for a mean of 12 months post-operatively. Patient evaluation was made with the symptom scoring system as presented by Kataraglis et al., with the final outcome being satisfactory in all of the cases. This set of modifications introduced to the original Wilson’s osteotomy, proved to offer a stable, predictable and satisfactory outcome in all cases and we strongly recommend it.
Highlights
Hallux Valgus represents a rather common deformity and a variety of operative procedures has been developed for its treatment [1]
The broad osteotomy surfaces had reduced risk of nonunion, and the large metatarsal head fragment minimized the chances of avascular necrosis
The technique consists of an oblique osteotomy of the distal third of the first metatarsal, combined with remodeling of the medial exostosis
Summary
Hallux Valgus represents a rather common deformity and a variety of operative procedures has been developed for its treatment [1]. Osteotomies of the first metatarsal have played a prominent role in the surgical management of hallux valgus deformities. Distal metatarsal osteotomies are usually preferred, together with remodeling of the medial exostosis and some form of soft tissue restoration and balancing technique. His technique presented a simple and relatively stable way of displacing the metatarsal head, without the need for internal fixation. The technique consists of an oblique osteotomy of the distal third of the first metatarsal, combined with remodeling of the medial exostosis. The distal fragment is transferred and the remaining prominent shaft is removed after the osteotomy is in its correct alignment [2, 3]
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