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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XLIII | Pages 12 - 12
1 Sep 2012
BIFOCAL METATARSAL AND AKIN OSTEOTOMIES IN THE TREATMENT OF COMPLEX HALLUX VALGUS
Riley N Hobbs C Rudge B Clark C
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Introduction

Hallux valgus deformity is a common potentially painful condition. Over 150 orthopaedic procedures have been described to treat hallux valgus and the indication for surgery is pain intractable to nonoperative management.

Methods

A retrospective analysis of the treatment of complex hallux valgus with bifocal metatarsal and Akin osteotomies of the first ray performed by the senior author (CC). 22 patients were treated over a three year period from 2008 to 2011, 24 trifocal osteotomies were undertaken. Hallux valgus angle (HVA), intermetatarsal angle (IMA) and distal metatarsal articular angle (DMAA) were all measured from pre- and postoperative radiographs. The patients were also clinically reviewed.