Abstract
Although not without controversy in technique and fixation methods, the opening-base wedge can be a successful procedure for moderate-to-severe hallux valgus deformities with significant metatarsus primus varus while preserving relative metatarsal length. Literature regarding the opening-base wedge has been limited and somewhat unfavorable. It is our purpose to present a promising new technique combining the modified McBride bunionectomy with a proximal first metatarsal opening-base wedge osteotomy . Using a standardized technique, we were able to achieve an efficient, reproducible, and stable construct, thereby minimizing intraoperative complications and postoperative morbidity. Fixation is achieved in each case using a new titanium plate designed for opening proximal osteotomies . Because of the stable fixation construct, patients are able to progress to protected weightbearing status much sooner than with previously described base wedge procedures, thus making this procedure more tolerable as well. The opening-base wedge procedure can be a reliable addition to the armamentarium of surgical options for proximal hallux valgus correction. To our knowledge, no previous studies have been published regarding this method.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.