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

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

Research output: Contribution to journalArticle

8 Citations (Scopus)

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)
JournalJournal of Foot and Ankle Surgery
DOIs
StateAccepted/In press - 2016

Fingerprint

Hallux Valgus
Osteotomy
Hallux
Metatarsal Bones
Arthrodesis
Joints
Maintenance

Keywords

  • Bunion
  • Metatarsus primus varus
  • Recurrence
  • Surgery
  • Tibial sesamoid position

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Evaluation of Hallux Valgus Correction With Versus Without Akin Proximal Phalanx Osteotomy. / Shibuya, Naohiro; Thorud, Jakob C.; Martin, Lanster R.; Plemmons, Britton S.; Jupiter, Daniel.

In: Journal of Foot and Ankle Surgery, 2016.

Research output: Contribution to journalArticle

Shibuya, Naohiro ; Thorud, Jakob C. ; Martin, Lanster R. ; Plemmons, Britton S. ; Jupiter, Daniel. / Evaluation of Hallux Valgus Correction With Versus Without Akin Proximal Phalanx Osteotomy. In: Journal of Foot and Ankle Surgery. 2016.
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