Abstract
A relatively new method to treat a bunion deformity by means of positional correction
rather than structural realignment via osteotomy has been used in a series of 5 patients.
This approach to first ray correction entails the use of an interosseous suture and
button device that is positioned under tension between the first and second metatarsals,
thereby reducing the first intermetatarsal angle. The median age of the group of patients
was 51 years (range, 16-71 years), and the median follow-up duration was 20 months
(range, 8-64 months). Statistically significant reductions in the first intermetatarsal
and hallux abductus angles were observed between the preoperative and immediate postoperative
measurements (P = .0006 and P = .0044, respectively) and between the preoperative and long-term postoperative measurements
(P = .0189 and P = .0305, respectively), and, although loss of correction was observed between the
immediate and long-term postoperative first intermetatarsal and hallux abductus angles,
these changes were not statistically significant (P = .1369 and P = .1193, respectively). In 3 (60%) of the cases, complications developed that required
revisional surgery and removal of the device. In the other 2 (40%) cases, the surgical
procedure was modified and satisfactory outcomes were obtained, although minor complications
occurred in both. Based on our experience with these patients, the modified surgical
procedure shows some effectiveness in treating hallux abductovalgus, although further
evaluation of the technique is warranted.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: November 11, 2009
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
