Journal of Foot and Ankle Surgery
Volume 48, Issue 6 , Pages 662-667 , November 2009

The Opening Base Wedge Osteotomy and Subsequent Lengthening of the First Metatarsal: An In Vitro Study

  • Adam M. Budny, DPM, AACFAS

      Affiliations

    • Private Practice, Blair Orthopedic Associates and Sports Medicine, Altoona, PA
    • Corresponding Author InformationAddress correspondence to: Adam M. Budny, DPM, AACFAS, Blair Orthopedic Associates and Sports Medicine, 3000 Fairway Dr, Altoona, PA 16602.
  • ,
  • Suhail B. Masadeh, DPM

      Affiliations

    • Fellow, American Health Network, Indianapolis, IN
  • ,
  • Michael C. Lyons II, DPM

      Affiliations

    • Submitted as 3rd Year Resident, Saint Vincent Charity Hospital, Department of Podiatric Surgery, Cleveland, OH
  • ,
  • Stephen J. Frania, DPM, FACFAS

      Affiliations

    • Private Practice, Lake County Foot and Ankle Associates, Willoughby, OH

References 

  1. Pinney S, Song K, Chou L. Surgical treatment of severe hallux valgus: the state of practice among academic foot and ankle surgeons. Foot Ankle Int. 2006;27(11):970–973
  2. Trethowan J. Hallux valgus. In:  Choyce C editors. A System of Surgery. ed 3. New York: PB Hoeber; 1923;p. 1046–1049
  3. Amarnek D, Juda E, Oloff L, Jacobs A. Opening base wedge of the first metatarsal utilizing rigid external fixation. J Foot Surg. 1986;25(4):321–326
  4. Bonney G, McNabb L. Hallux valgus and hallux limitus: a critical survey of operative results. J Bone Joint Surg. 1952;34:366–385
  5. Burns A. Opening abductory wedge osteotomy of the first metatarsal base. In:  Gerbert J editors. Textbook of Bunion Surgery. ed 3. Philadelphia: Saunders; 2001;p. 267–276
  6. Castellano B. Opening base wedge osteotomy of the first metatarsal: a revitalized procedure. In: The Proceedings of the Annula Meeting of the Podiatry Institute, Update 2005. Tucker, GA: The Podiatry Institute, Inc; 2005;p. 23–29
  7. Sollitto R, Hart T, Sergi A. Opening base wedge osteotomy with first metatarsophalangeal implant arthroplasty. J Foot Surg. 1991;30(2):165–169
  8. Stamm T. The surgical treatment of hallux valgus. Guy's Hosp Rep. 1957;106:273–279
  9. Banks A, Cargill R, Carter S, Rcuh J. Shortening of the first metatarsal following closing base wedge osteotomy. J Am Podiatr Med Assoc. 1997;87(5):199–208
  10. Gamble J, Deckert S, Abrams R. Short first ray as a complication of multiple metatarsal osteotomies. Clin Orthop Rel Res. 1982;164(Apr):241–244
  11. Haendel C, Lindholm J. First metatarsal wedge osteotomies. J Am Podiatr Assoc. 1982;72:550
  12. Holden D, Siff S, Butler J, Cain T. Shortening of the first metatarsal as a complication of metatarsal osteotomies. J Bone Joint Surg 66-A(4). 1984;582–587
  13. Kummer F. Mathematical analysis of first metatarsal osteotomies. Foot Ankle. 1989;9:281
  14. Mothershed R. Osteotomies of the first metatarsal base. In:  Banks A editors. Comprehensive Textbook of Foot Surgery. Baltimore: Williams & Wilkins; 2001;p. 529–556
  15. Schuberth J, Reilly C, Gudas C. The closing wedge osteotomy: a critical analysis of first metatarsal elevation. J Am Podiatr Assoc. 1984;74:13
  16. Zlotoff H. Shortening of the first metatarsal following osteotomy and its clinical significance. J Am Podiatr Assoc. 1977;67:412
  17. Morton D. Structural factors in static disorders of the foot. Am J Surg. 1930;9:315
  18. Harris R, Beath T. The short first metatarsal. J Bone Joint Surg 31-A:553. 1949;
  19. Glasoe W, Coughlin M. A critical analysis of Dudley Morton's concept of disordered foot function. J Foot Ankle Surg. 2006;45(3):147–155
  20. Grebing B, Coughlin M. Evaluation of Morton's theory of second metatarsal hypertrophy. J Bone Joint Surg 86-A(7). 2007;1375–1386
  21. Jung H, Zaret D, Parks B, Schon L. Effect of first metatarsal shortening and dorsiflexion osteotomies on forefoot pressure in a cadaver model. Foot Ankle Int. 2005;26(9):748–753
  22. Myerson M, Schon L, McGuigan F, Oznur A. Result of arthrodesis of the hallux metatarsophalangeal joint using bone graft for restoration of length. Foot Ankle Int. 2000;21(4):297–306
  23. Toth K, Huszanyik I, Kellerman P, Boda K, Rode L. The effect of first ray shortening in the development of metatarsalgia in the second through fourth rays after metatarsal osteotomy. Foot Ankle Int. 2007;28(1):61–63
  24. Arthrex . Low Profile Plate and Screw System Pamphlet. Naples, FL: Arthrex, Inc; 2007;

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00300-7

doi: 10.1053/j.jfas.2009.07.021

Journal of Foot and Ankle Surgery
Volume 48, Issue 6 , Pages 662-667 , November 2009