The Improved Proximal Phalanx Osteotomy for Reducing Sesamoid in Hallux Valgus Surgery—A Cadaver Study

Dong-Oh Lee, Eunah Hong and Dai-Soon Kwak
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Dong-Oh Lee: SNU Seoul Hospital, Seoul 03080, Korea
Eunah Hong: Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea
Dai-Soon Kwak: Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea

IJERPH, 2022, vol. 19, issue 11, 1-7

Abstract: A metatarsal osteotomy is known to have the effect of reduction of the sesamoid. However, the reduction of the sesamoid is not always completed by a metatarsal osteotomy alone. The purpose of this cadaver study was to show that the improved technique of a modified Akin proximal phalanx osteotomy (MPO) could be helpful for the reduction of the sesamoids in hallux valgus surgery. Ten feet of cadavers were used; the cadavers had hallux valgus on both feet. The first trial of two feet underwent only the MPO. The other eight feet underwent a proximal metatarsal chevron osteotomy and MPO simultaneously. The hallux valgus angle, intermetatarsal angle, Hardy’s grade, and Smith’s grade were measured. To predict possible complications, cadavers were dissected after surgery. In the feet that underwent an MPO only, the hallux valgus angle and sesamoid position were improved. In the feet that underwent an MPO and metatarsal osteotomy, the hallux valgus deformity was completely corrected, and the sesamoid position was improved. Overall, the hallux valgus angle and intermetatarsal angle improved from 30.6 to 8.4 degrees and from 11.2 to 4.1 degrees, respectively. The sesamoid position was reduced from 5.3 to 2.5 (Hardy) and from 1.7 to 0.7 (Smith). The MPO combined with the metatarsal osteotomy were helpful for reducing the sesamoids compared to the metatarsal osteotomy only.

Keywords: hallux valgus; hallux valgus surgery; Akin proximal phalanx osteotomy; sesamoid bone (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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