Abstract
During the period of modern medicine, there has been a multitude of procedures described to address hallux valgus deformity. Most commonly these procedures have been used to address deformity of the first metatarsal. It is generally accepted that deformity can also be intrinsic to the hallux, and if present correction must be done at this level as well. When hallux osteotomies were initially considered, they were felt to be a primary procedure. Due to less favorable outcomes when done as a primary procedure, these are now considered to be adjunctive. Like any type of corrective osseous procedure, there have been multiple variations described for osteotomy performance as well as fixation of the bone. The intent of this chapter will be to discuss the history of phalangeal osteotomies in correction of hallux valgus, indications, preoperative evaluation, technical performance of several variations, perioperative management, and discussion of current evidence.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Akin OF. The treatment of hallux valgus: a new operative procedure and its results. Medical Sentinel. 1925;33:678–9.
Arnold H. The Akin procedure as closing wedge osteotomy for the correction of a hallux interphalangeus deformity. Oper Orthop Traumatol. 2008;20(6):477–83.
Banks AS. McGlamry’s comprehensive textbook of foot and ankle surgery: Lippincottt Williams & Wilkins; 2001.
Gerbert J. Textbook of bunion surgery. 3rd ed. Philadelphia: WB Saunders; 2001.
Rettedal D, Lowery NJ. Proximal phalangeal osteotomies for hallux abductovalgus deformity. Clin Podiatr Med Surg. 2014;31(2):213–20.
Shannak O, Sehat K, Dhar S. Analysis of the proximal phalanx size as a guide for an Akin closing wedge osteotomy. Foot Ankle Int. 2011;32(4):419–21.
Cohen MM. The oblique proximal phalangeal osteotomy in the correction of hallux valgus. J Foot Ankle Surg. 2003;42(5):282–9.
Castaneda DA, Myerson MS, Neufeld SK. The Ludloff osteotomy: a review of current concepts. Int Orthop. 2013;37(9):1661–8.
Kim PH, Chen X, Hillstrom H, Ellis SJ, Baxter JR, Deland JT. Moberg osteotomy shifts contact pressure plantarly in the first metatarsophalangeal joint in a biomechanical model. Foot Ankle Int. 2016;37(1):96–101.
Frey C, Jahss M, Kummer FJ. The Akin procedure: an analysis of results. Foot Ankle Int. 1991;12(1):1–6.
Seelenfreund M, Fried A. Correction of hallux valgus deformity by basal phalanx osteotomy of the big toe. J Bone Joint Surg Am. 1973;55(7):1411–5.
Goldberg I, Bahar A, Yosipovitch Z. Late results after correction of hallux valgus deformity by basilar phalangeal osteotomy. J Bone Joint Surg Am. 1987;69(1):64–7.
Shibyua N, Thorud JC, Martin LR, Plemmons BS, Jupiter DC. Evaluation of hallux valgus correction with versus without Akin proximal phalanx osteotomy. J Foot Ankle Surg. 2016;55:910–4.
Roukis TS. Outcomes after cheilectomy with phalangeal dorsiflexory osteotomy for hallux rigidus: a systematic review. J Foot Ankle Surg. 2010;49:479–87.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Theodoulou, M.H., Bohman, L. (2018). Phalangeal Osteotomy Procedures. In: Dayton, P. (eds) Evidence-Based Bunion Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-60315-5_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-60315-5_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-60314-8
Online ISBN: 978-3-319-60315-5
eBook Packages: MedicineMedicine (R0)