Abstract
ABSTRACT According to current experiences, hallux sesamoid non-unions of athletic patients frequently do not respond toconservative therapy. Different surgical approaches havebeen introduced to cure the small, but debilitating, bonefracture. Most commonly, total sesamoid bone excisionis used. Despite good outcome, a constant rate of hallucaldeviations (10%Y20% of cases) is reported. In addition,open surgery with meticulous reconstruction of the flexorhallucis brevis tendon is mandatory to achieve goodresults. The following article describes an alternativemethod with percutaneous screw fixation of sesamoidbone nonunions. The procedure uses a cannulated com-pression screw. Postoperative management encompassesfull weight bearing as tolerated in stiff-sole shoes for6 weeks; no sutures will have to be removed becausewound closure is done with a sterile strip. Gradual returnto full level of activity is allowed after constant reductionof the fracture is documented at the 6-week follow-up.Keywords: sesamoid fracture nonunion, bipartite, screwfixation, athlete, deformity
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