Evaluation of Hallux Valgus Correction With Versus Without Akin Proximal Phalanx Osteotomy

Naohiro Shibuya, Jakob C. Thorud, Lanster R. Martin, Britton S. Plemmons, Daniel C. Jupiter

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Although the efficacy of Akin proximal phalanx closing wedge osteotomy as a sole procedure for correction of hallux valgus deformity is questionable, when used in combination with other osseous corrective procedures, the procedure has been believed to be efficacious. However, a limited number of comparative studies have confirmed the value of this additional procedure. We identified patients who had undergone osseous hallux valgus correction with first metatarsal osteotomy or first tarsometatarsal joint arthrodesis with (n = 73) and without (n = 81) Akin osteotomy and evaluated their radiographic measurements at 3 points (preoperatively, within 3 months after surgery, and ≥6 months after surgery). We found that those people who had undergone the Akin procedure tended to have a larger hallux abduction angle and a more laterally deviated tibial sesamoid position preoperatively. Although the radiographic correction of the deformity was promising immediately after corrective surgery with the Akin osteotomy, maintenance of the correction was questionable in our cohort. The value of additional Akin osteotomy for correction of hallux valgus deformity is uncertain.

Original languageEnglish (US)
Pages (from-to)910-914
Number of pages5
JournalJournal of Foot and Ankle Surgery
Volume55
Issue number5
DOIs
StatePublished - Sep 1 2016

Keywords

  • bunion
  • metatarsus primus varus
  • recurrence
  • surgery
  • tibial sesamoid position

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Evaluation of Hallux Valgus Correction With Versus Without Akin Proximal Phalanx Osteotomy'. Together they form a unique fingerprint.

  • Cite this