Preservation of the Length of the First Metatarsal after Modified Mitchell’s Osteotomy for Hallux Valgus Deformity. Overview, Technique and Preliminary Results
|Vlamis John, Karampinas K. Panagiotis*, Polizois V, Evangelopoulos S. Dimitrios and Pneumaticos G. Spyridon|
|3rd Orthopaedic Department, University of Athens, Greece|
|Corresponding Author :||Karampinas K. Panagiotis, MD, MSc
Consultant in Orthopaedics, 3rd Department of Orthopaedic Surgery
KAT Hospital, University of Athens, Greece, 13 Kirinias str 15669. Athens, Greece
E-mail: [email protected]
|Received November 25, 2014; Accepted February 23, 2015; Published February 25, 2015|
|Citation: John V, Panagiotis KK, Polizois V, Dimitrios ES, Spyridon PG (2015) Preservation of the Length of the First Metatarsal after Modified Mitchell’s Osteotomy for Hallux Valgus Deformity. Overview, Technique and Preliminary Results. Clin Res Foot Ankle 3:164. doi:10.4172/2329-910X.1000164|
|Copyright: © 2015 John V, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Background: Mitchell’s osteotomy is considered an effective treatment option for patients with moderate hallux valgus deformity. Common complications include shortening of the first metatarsal bone as well as inadequate correction. We present an overview of the technique and propose a new modification in an attempt to improve congruity of the metatarsophalangeal joint angle and minimize metatarsal shortening. Preliminary results are reported.
Methods: 9 patients (11 feet) were operated using the new osteotomy. All patients were evaluated postoperatively and at 2 year follow up by means of the hallux metatarsophalangeal-interphalangeal score (HMIS) of the AOFAS.
Results: Postoperatively, there was no pain in the first MTP joint, no deformity or signs of local inflammation. Average HMIS and AOFAS scores were found significantly improved at the second year follow up.
Conclusion: The new technique displays good results for the correction of moderate hallux valgus deformities and preserves the length of the metatarsal bone.