First metatarsal wedge joint fusion in the treatment of hallux valgus osteotomy.docVIP

 PAGE \* MERGEFORMAT 6 First metatarsal wedge joint fusion in the treatment of hallux valgus osteotomy Hallux valgus is a common disease, the treatment for the disease by a variety of clinical factors, the clinical experience of the specific situation is different, so no single method can serve as a general method to use. So now About 250 species of surgical treatment. in our hospital from 2008-2010, 16 feet in 12 patients with moderate to severe hallux valgus treated by cyst excision of thumb, soft tissue release, osteotomy of the first metatarsal joint fusion wedge treatment, and after March -2.5 year follow-up with satisfactory results, reported as follows. 1 Materials and Methods 1.1 Clinical data, the group of 12 patients were female, aged from 33 to 60 years, mean 46 years old. All associated with thumb bursitis, local pain, , under the metatarsal heads to form the corpus callosum, in which 6 cases of flat feet. Surgery before the X-ray measurements: hallux valgus angle is 20 ~ 36 , an average of about 27.4 , No. 1, inter-metatarsal angle (FMA) 12 ~ 17 , an average of 15.1 . 1.2 Procedures Thumb sac excision, soft tissue release: first metatarsophalangeal joint in the toe of the inside to make a concave arc-arc cut, about 4cm or so, free down along the subcutaneous tissue to expose the inside of the metatarsophalangeal joint capsule and deep fascia, the joint capsule and deep fascia, curved to make a vertical incision, tongue flap, exposing the metatarsal head and medial osteophytes, from below the metatarsal head with a grooved depression retrograde resection of osteophytes, bone knife, and then take joint approximately 2cm lateral incision, the proximal phalanx of the base cut off the adductor tendon and lateral capsule release. osteotomy: in the first metatarsal joint of the proximal plantar medial wedge, take about longitudinal incision about 3cm , cut the skin, subcutaneous tissue, from the periosteum and under the first meta