Stability and fixation techniques in first metatarsal osteotomies.

Abstract:

:Osteotomy of the first metatarsal is a common procedure for correction of hallucal disease. Metatarsals are unique in that they are the only long bones in the human body that support load perpendicular to their longitudinal axis during standing. Thus, osteotomy of the first metatarsal may be complicated by loss of fixation, resulting in nonunion or malunion. The authors review the forces that must be resisted by the osteotomy of the first metatarsal as postoperative weight bearing is initiated, and explore the principles of osteotomy geometry and different fixation techniques to maximize stability of the final construct and to minimize the risk of displacement.

journal_name

Foot Ankle Clin

journal_title

Foot and ankle clinics

authors

Sammarco VJ,Acevedo J

doi

10.1016/s1083-7515(03)00105-0

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

409-32, v-vi

issue

3

eissn

1083-7515

issn

1558-1934

pii

S1083-7515(03)00105-0

journal_volume

6

pub_type

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