Acta Med. 2012, 55: 37-41

Our Experience with Double Metatarsal Osteotomy in the Treatment of Hallux Valgus

Pradeep George Mathew, Pavel Šponer, Jaroslav Pavlata, Haroun Hassan Shaikh

Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Czech Republic: Department of Orthopaedic Surgery

Received November 15, 2011
Accepted February 22, 2012

Adolescent hallux valgus (HV) is a progressive deformity of adolescent age consisting of metatarsus primus varus and hallux valgus. It has a high recurrence rate after conventional surgical correction. Ten feet in nine patients (two males, seven females) were treated surgically with the Peterson Newman bunion procedure, with a minimum follow‑up of one year. During the final follow‑up all these patients had no complaints of pain, joint stiffness or limping. Even though the patients had some mild loss of range of movements at the MTP joints 4–6° compared to preoperative value, it did not cause any functional impairment and all were satisfied with the final outcome. The double ostetomy for treatment of hallux valgus is technically precise procedure, provides excellent correction and stability and has low rate of recurrence of deformity. We had an excellent outcome in 10 feet in our study without residual deformity or complications.


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