Osteotomy of the first metatarsal base for metatarsus primus varus.

Abstract

An opening wedge osteotomy of the first metatarsal base using either iliac crest bone or the removed exostosis as a graft was used to treat metatarsus primus varus in 22 feet of 15 patients. The preoperative intermetatarsal angle averaged 15 degrees, with the final angle averaging 8 degrees. All osteotomies healed in 3 months with excellent cosmetic and functional results and no difference between iliac crest and exostosis grafts. We conclude that an opening wedge osteotomy of the first metatarsal base is a satisfactory method for the correction of metatarsus primus varus.

• Authors: T J Limbird, R M DaSilva, N E Green
• Journal: Foot & ankle (Foot Ankle) Vol. 9 Issue 4 Pg. 158-62 (Feb 1989) ISSN: 0198-0211 [Print] United States
• PMID: 2731825 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Child
• Female
• Hallux Valgus (surgery)
• Humans
• Metatarsal Bones (surgery)
• Middle Aged
• Osteotomy (methods)