Percutaneous screw fixation for XXXX of the sesamoid bones of the hallux.

@entity1 @entity174
Over a period of one year we treated nine @entity174 ofhe sesamoid bones of the hallux, five of which were in the medial sesamoid. All @entity1 had symptoms on exercise, but only one had a recent history of injury. The mean age of the @entity1 was 27 years (17 to 45) and there were six @entity1 . The mean duration of symptoms was nine months (1.5 to 48). The diagnosis was based on clinical and radiological investigations. We describe a new surgical technique for percutaneous screw fixation for these @entity174 using a Barouk screw. All the @entity1 were assessed before and after surgery using the American Orthopaedic Foot and Ankle Society Hallux Score (AOFAS). There was a statistically significant improvement in the mean score from 46.9 to 80.7 (p = 0.0003) after fixation of the @entity174 with a rapid resolution of symptoms. All @entity1 returned to their previous level of activity by three months. We believe that this relatively simple technique is an excellent method of treatment in appropriately selected @entity1 .
