Outcome of Distal First Metatarsal Osteotomy Shortening in XXXX Grades II and III.

@entity24070 @entity1 @entity158
BACKGROUND: Existing techniques for operative treatment of @entity24070 commonly combine skeletal and soft tissue interventions to obtain long-lasting relief of @entity158 . To date, operative treatments include implant arthroplasty, cheilectomy, various osteotomies, nonimplant arthroplasty, and arthrodesis. We assessed a technique that respects the anatomy and joint function and used a shortening osteotomy of the head of the first metatarsal. METHODS: We evaluated a series of 40 consecutive @entity1 affected by grade II and III @entity24070 , aged 32 to 79 years, who had undergone surgery from January 2010 to January 2014. All @entity1 were evaluated clinically and radiographically, preoperatively and postoperatively, and underwent a final follow-up at a mean of 35.4 (range = 12-51) months. For the clinical evaluation, the American Orthopaedic Foot _ Ankle Society (AOFAS) clinical rating scale for the hallux metatarsophalangeal-interphalangeal joints was used. RESULTS: A @entity1 survey revealed excellent and good overall satisfaction in 90% of the sample. Postoperative results included a significant increase (P < .001) in the median global AOFAS score, from 39 (range = 25-60) to 84 (range = 78-94). CONCLUSIONS: The technique of a shortening osteotomy of the first metatarsal head appeared to be useful for the correction of stiffness, @entity158 relief, and an improvement in range of motion. Other advantages were that it preserved the integrity of the metatarsophalangeal joint and led to a rapid functional recovery. LEVEL OF EVIDENCE: Level IV, retrospective case series.
