• 0.5% Marcaine (15–30 ml) is injected: • 0.5% Marcaine (15 ml) is injected in a wheal anteriorly at the level of the ankle joint to anesthetize the branches of the superficial peroneal nerve and sural nerves. • A longitudinal skin incision 4–7 cm long is made dorsomedial and centered over the medial eminence. • Dissection is performed down to the capsule.
Chevron Osteotomy for Adolescent Hallux Valgus
Examination/Imaging
Anteroposterior, lateral, and oblique weight-bearing films of the foot are obtained and reviewed for hallux valgus.
Figure 1 shows preoperative (Fig. 1A) and postoperative (Fig. 1B) weight-bearing radiographs of a patient treated for hallux valgus.
Figure 2 shows preoperative (Fig. 2A), intraoperative (Fig. 2B), and postoperative (Fig. 2C) radiographs.
Portals/Exposures
Adjacent to the deep peroneal nerve (near the dorsalis pedis)
Adjacent to the posterior tibial nerve under the medial malleolus
Metzenbaum scissors are used to cut through subcutaneous tissue.
The capsule and metatarsal shaft are exposed with an elevator.Related posts:
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48: Chevron Osteotomy for Adolescent Hallux Valgus
