Preliminary communication
Keller’s Arthroplasty with Proximal Metatarsal Opening Wedge Osteotomy in Treating Severe Hallux Valgus Deformity – Surgical Techniques and Case Report
Hari Jurdana
; Clinic for Orthopaedic Surgery »Lovran«, School of Medicine, University of Rijeka, Rijeka, Croatia
Gordan Gulan
; Clinic for Orthopaedic Surgery »Lovran«, School of Medicine, University of Rijeka, Rijeka, Croatia
Branko Šestan
; Clinic for Orthopaedic Surgery »Lovran«, School of Medicine, University of Rijeka, Rijeka, Croatia
Dalen Legović
; Clinic for Orthopaedic Surgery »Lovran«, School of Medicine, University of Rijeka, Rijeka, Croatia
Veljko Šantić
; Clinic for Orthopaedic Surgery »Lovran«, School of Medicine, University of Rijeka, Rijeka, Croatia
Jagoda Ravlić-Gulan
; Department for Physiology and Pathophysiology, School of Medicine, University of Rijeka, Rijeka, Croatia
Sandor Roth
; Department of Children’s Orthopaedics, University Hospital Center »Rijeka«, Rijeka, Croatia
Abstract
The paper presents an operative technique proposed for treating severe Hallux Valgus deformity with arthrosis of the first metatarsal joint in elderly people. The procedure consists of the Keller’s arthroplasty in combination with basal osteotomy of the first metatarsal bone, whereby the head of the metatarsal is displaced laterally and plantarward. The osteotomy is fixed with a reconstructive plate. The results show a significant improvement in the hallux valgus angle, the first metatarsal angle, as well as in the plantar pressure distribution.
Keywords
Hallux Valgus; Keller’s arthroplasty; osteotomy
Hrčak ID:
41860
URI
Publication date:
10.9.2009.
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