Proximal and Distal First Metatarsal Osteotomies for Hallux Valgus



Proximal and Distal First Metatarsal Osteotomies for Hallux Valgus


Christopher B. Hirose, MD

Michael J. Coughlin, MD


Dr. Hirose or an immediate family member is a member of a speakers’ bureau or has made paid presentations on behalf of Arthrex, Inc. and serves as a paid consultant to or is an employee of Arthrex, Inc. Dr. Coughlin or an immediate family member has received royalties from Arthrex, Inc., Erchonia, Stryker, and Wright Medical Technology, Inc.; is a member of a speakers’ bureau or has made paid presentations on behalf of Arthrex, Inc. and Stryker; serves as a paid consultant to or is an employee of Arthrex, Inc., Erchonia, Integra, and Stryker; has received research or institutional support from Arthrex, Inc., Integra, and Stryker; has received nonincome support (such as equipment or services), commercially derived honoraria, or other non-research-related funding (such as paid travel) from Arthrex, Inc. and Stryker.



PATIENT SELECTION




PREOPERATIVE IMAGING

Three weight-bearing radiographic views of the foot are obtained: AP, lateral, and oblique. The radiograph tube is centered over the tarsometatarsal joint and angled 15° toward the ankle joint, with a 1-m separation between the radiograph tube and the radiograph. The hallux valgus angle (Figure 4, A), first-second intermetatarsal angle (Figure 4, B), distal metatarsal articular angle (Figure 4, C), and first metatarsophalangeal joint congruency (Figure 5) are measured and noted.


Feb 2, 2020 | Posted by in ORTHOPEDIC | Comments Off on Proximal and Distal First Metatarsal Osteotomies for Hallux Valgus
Premium Wordpress Themes by UFO Themes