Rotational and opening wedge basal osteotomies

Paulo N Ferrao; Nikiforos P Saragas

doi:10.1016/j.fcl.2014.02.004

Rotational and opening wedge basal osteotomies

Foot Ankle Clin. 2014 Jun;19(2):203-21. doi: 10.1016/j.fcl.2014.02.004.

Authors

Paulo N Ferrao¹, Nikiforos P Saragas²

Affiliations

¹ Department of Orthopedic Surgery, WITS University, Jubilee Road, Johannesburg 2193, South Africa. Electronic address: Paulo@cybersmart.co.za.
² Department of Orthopedic Surgery, WITS University, Jubilee Road, Johannesburg 2193, South Africa.

PMID: 24878410
DOI: 10.1016/j.fcl.2014.02.004

Abstract

There are more than 150 different procedures described for correction of the hallux valgus deformity, the treatment of which is usually guided by severity. Moderate to severe hallux valgus has traditionally been managed with a shaft or proximal osteotomy together with distal soft-tissue release. Proximal osteotomies can be classified as translation or rotational. Rotational osteotomies such as the Ludloff and proximal opening wedge have not been popular historically because of instability from lack of fixation, resulting in complications. This article describes modified techniques with modern fixation of these 2 osteotomies, which offer stable fixation and reproducible results.

Keywords: Basal osteotomies; Hallux valgus; Ludloff; Proximal opening wedge osteotomy; Rotational osteotomy.

Publication types

Review

MeSH terms

Hallux Valgus / diagnostic imaging
Hallux Valgus / surgery*
Humans
Metatarsal Bones / diagnostic imaging
Metatarsal Bones / surgery*
Osteotomy / methods*
Radiography
Rotation