The Effect of Derotational Closing Wedge Akin Osteotomy for the Treatment of Hallux Valgus with the Pronation of Great Toe

Moon, Gi Hyuk; Ahn, Gil Yeong; Lee, Yeong Hyun; Nam, Il Hyun; Lee, Jung Ick

Abstract

PURPOSE
We tried to understand the effects of the derotational closing wedge Akin osteotomy during the operation for the hallux valgus with pronation of great toe.
MATERIALS AND METHODS
Eighty five patients who had undergone Akin osteotomy among the eighty seven patients who had been treated with Scarf osteotomy with hallux valgus were included in this study. Derotational supination was added on the medial closing wedge Akin osteotomy at the base of proximal phalanx and it was secured with K-wire, headless screw or staple. We measured and analyzed pre- and post-operative hallux primus valgus angle and hallux pronational rotatory angle.
RESULTS
The hallux primus valgus angle improved an average of 14+/-2.98 degrees to -1+/-1.68 degrees with the hallux pronational rotatory angle respectively from 24.8+/-7.64 degrees to 4.7+/-4.22 degrees.
CONCLUSIONS
After the metatarsal osteotomy for the treatment of the hallux valgus with the pronation of great toe, derotational closing wedge Akin osteotomy can give us a belief that it can correct the hallux primus valgus angle and hallux pronational rotatory angle also and it can be a helpful method for minimizing the recurrence rate of the hallux valgus deformity.