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Complications after Metatarsal Osteotomies for Hallux Valgus: Malunion, Nonunion, Avascular Necrosis, and Metatarsophalangeal Osteoarthritis.
- Source :
-
Foot and ankle clinics [Foot Ankle Clin] 2020 Mar; Vol. 25 (1), pp. 169-182. Date of Electronic Publication: 2019 Nov 26. - Publication Year :
- 2020
-
Abstract
- Avascular necrosis (AVN), nonunion, malunion, and metatarsophalangeal (MTP) osteoarthritis following hallux valgus osteotomies, as well as pathophysiology, diagnosis, prevention strategies, and treatment are discussed in this article. AVN and nonunion are very infrequent, and they can be effectively prevented taking into consideration local anatomy preservation, biomechanics, and patient comorbidities. Shortening, elevation, plantarflexion, varus/valgus, and rotational of the first metatarsal are the most common types of malunion. They can lead to pain, stiffness, deformity recurrence, and transfer metatarsalgia. MTP osteoarthritis can develop after metatarsal malunion or AVN. Treatment options include cheilectomy, osteotomies to correct malunions, and MTP arthrodesis.<br />Competing Interests: Disclosure The authors have nothing to disclose.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1558-1934
- Volume :
- 25
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Foot and ankle clinics
- Publication Type :
- Academic Journal
- Accession number :
- 31997743
- Full Text :
- https://doi.org/10.1016/j.fcl.2019.10.008