Asunto(s)
Callosidades/cirugía , Adulto , Callosidades/etiología , Femenino , Huesos del Pie/cirugía , Humanos , RecurrenciaRESUMEN
Shortening of the first metatarsal has been one of the reported complications noted in association with base osteotomies. Previous studies have used radiographs as a means of assessing metatarsal length, the reliability of which has been subject to question. In this study, the authors have determined the amount of shortening that may be anticipated with a closing base wedge osteotomy of the first metatarsal through an experimental model. A mathematical model was also devised that confirmed these findings. Additional studies were performed to determine what influences other variables may have on this procedure.
Asunto(s)
Hallux Valgus/cirugía , Metatarso/cirugía , Osteotomía/métodos , Humanos , Modelos Teóricos , Resultado del TratamientoRESUMEN
Fusion of the first metatarsocuneiform joint may provide correction of positional deformities of the first metatarsal while offering significant structural stability to the medial column. The authors present a modification of the Lapidus procedure that uses well established internal fixation principles.