Modified osteotomy with elevation of the first metatarsal

preliminary results

Authors

  • Daniel Kamura Bueno Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-7281-2054
  • Rafael Trevisan Ortiz Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0001-7742-829X
  • Tarsis Padula Dos Santos Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-4690-4457
  • Rafael Barban Sposeto Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0003-1085-0917
  • Rodrigo Sousa Macedo Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-5025-4338
  • Túlio Diniz Fernandes Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-9687-7143

DOI:

https://doi.org/10.30795/scijfootankle.2018.v12.784

Keywords:

Talipes Cavus, Osteotomy, Metatarsus

Abstract

Objective: The main objective of this study is to describe the preliminary results of modified osteotomy with elevation of the first metatarsal to repair cavovarus foot deformities. Methods: In a five-case series, radiographic findings related to the modified osteotomy with elevation of the first ray were analysed.
Results: Five patients who underwent a modified osteotomy with elevation were followed up for a minimum of six months. One hundred percent consolidation rates were observed, with no complications related to the materials, such as screw breakage, screw loosening and/or pseudoarthrosis (0% of the cases), regardless of age and gender. Conclusion: The modified technique generates an osteotomy plane that is more horizontal, reducing the technical difficulty and resulting in less risk of loss of fixation during passage of the screw. Using a single screw for fixation reduces the cost of the procedure and pseudarthrosis rates.

Level of Evidence IV; Therapeutic Studies; Case series.

Published

2018-06-30

How to Cite

Bueno, D. K., Ortiz, R. T., Dos Santos, T. P., Sposeto, R. B., Macedo, R. S., & Fernandes, T. D. (2018). Modified osteotomy with elevation of the first metatarsal: preliminary results. Scientific Journal of the Foot & Ankle, 12(2), 140–144. https://doi.org/10.30795/scijfootankle.2018.v12.784