The proximal open wedge osteotomy with an Interlocking Plate for the correction of moderate to...
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![Page 1: The proximal open wedge osteotomy with an Interlocking Plate for the correction of moderate to severe Hallux valgus.](https://reader036.fdocuments.in/reader036/viewer/2022062720/56649f0c5503460f94c1f6f4/html5/thumbnails/1.jpg)
The proximal open wedge osteotomy
with an Interlocking Plate for the correction
of moderate to severe Hallux
valgus
![Page 2: The proximal open wedge osteotomy with an Interlocking Plate for the correction of moderate to severe Hallux valgus.](https://reader036.fdocuments.in/reader036/viewer/2022062720/56649f0c5503460f94c1f6f4/html5/thumbnails/2.jpg)
Interlocking Plate and screw
![Page 3: The proximal open wedge osteotomy with an Interlocking Plate for the correction of moderate to severe Hallux valgus.](https://reader036.fdocuments.in/reader036/viewer/2022062720/56649f0c5503460f94c1f6f4/html5/thumbnails/3.jpg)
Indication
Hallux valgus conservative to uncontrollable
complaints Intermetatarsal angle> 15 ° no arthritis in the Metatarsophlangal
joint TMT stable MT I shorter MT II
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1.) Measurement of the hallux valgus angle and intermetatarsal angle
2.) Determination of the degree and position of the osteotomy
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Operative technique Mobilisation MTP 1
Intermetatarsaler incission I / II level MTP 1 Mobilization of the Sesammoid Cutting of Tendon M. adduktor hallucis Incision of lateral capsule MTP 1 „lateral release“
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OP-Technique: surgical access
Mediodorsal Incission of TMT 1 till basic of proximal phalanges
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Surgical technique
Osteotomy and add the plate
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Insertion of the plate
Fill the osteotomy with the spongiosa
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Pre- and postoperatively X-ray
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Postoperative treatment
forefoot relieving shoe for 6 weeks suitable bandage Removing of suture after 12-14 days Final X-ray controll after operation 6
weeks Start of complete burden
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Pre- and postoperatively
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Pre- and postoperatively
Condition before (a) and after surgery (b)
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Summary
simple technique Reproducible controlled, complete correction of the
IMA stable after surgery Prevention of elevation and
shortening MT 1 No Transfermetatarsalgia
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Advantage
good three-dimensional correction possibilities
Combinations with distal operation no shortening of the MT I lower risk of postoperative
Transfermetatarsalgia comparatively shorter learning curve
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Thank you so much for your
attention
Prof.Dr.med.Y.M-Goudarzi