Opening base wedge osteotomy of the first metatarsal utilizing rigid external fixation.

The authors describe their operative approach to metatarsus primus adductus deformity when present in conjunction with a congenitally short first metatarsal. Hallux abducto valgus correction in this clinical setting has traditionally advocated use of a crescentic or opening wedge osteotomy in order to prevent further shortening of the first metatarsal. Fixation of opening base wedge osteotomies has been fraught with problems in the past, with possibilities for displacement or eventual loss of initial correction.

A statistical analysis on the reliability of the proximal articular set angle.

The authors investigated the statistical relationship and significance between the transverse and sagittal plane proximal articular set angles both radiographically and intraoperatively. The analysis revealed a highly significant difference between the means of the respective measurements. Although the radiographic and intraoperative findings were found to be related for the transverse plane proximal articular set angle, the transverse plane PASA was approximately 7 degrees greater when measured intraoperatively.

Adolescent hallux valgus: its etiology and surgical management.

Although most patients who seek relief are adults, the problem of hallux valgus frequently begins at an earlier age. In the juvenile patient, except for congenital anomalies or inflammatory juvenile rheumatic disease, hallux abducto valgus appears to be related to the biochemical malfunction. It requires not only surgical management, but also the use of orthotics or surgical stabilization.