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Bioabsorbable fixation for Mitchell's bunionectomy osteotomy.

TitelBioabsorbable fixation for Mitchell's bunionectomy osteotomy.
Publication TypeJournal Article
Year of Publication2009
AuthorsAlcelik, I, Alnaib, M, Pollock, R, Marsh, DJ, Tulloch, CJ
JournalThe Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
Volume48
Issue1
Pagination9-14
Date Published2009 Jan-Feb
ISSN1542-2224
SchlüsselwörterHallux Valgus, Hallux valgus Operation
Zusammenfassung Although bioabsorbable pins have been used to successfully stabilize a wide range of osteotomies, to date there have been not published studies describing the results of their use for fixation of first metatarsal osteotomies in Mitchell's bunionectomy. The purpose of this retrospective investigation of 78 first metatarsal osteotomies was to evaluate the effectiveness of polydioxanone bioabsorbable pin fixation of the first metatarsal osteotomy in Mitchell's bunionectomy. The mean length of the first metatarsal preoperatively was 6.65 +/- 0.42 cm, and postoperatively it was 6.31 +/- 0.57 cm (P < .0001). The mean first IMA preoperatively was 17.59 degrees +/- 3.51 degrees , and postoperatively it was 9.91 degrees +/- 2.58 degrees (P < .0001). The mean HVA preoperatively was 29.74 degrees +/- 4.70 degrees , and postoperatively it was 12.89 degrees +/- 4.26 degrees (P < .0001). The average time to bony union was 6.01 +/- 0.61 weeks. There were 5 (6.41%) superficial wound infections that resolved with oral antibiotics, 1 (1.28%) deep-seated infection requiring surgical debridement, and 2 (2.56%) patients complained of transfer metatarsalgia. Five (6.41%) patients displayed persistent localized translucency at some portion of the osteotomy site on postoperative radiographs, and there were no cases of progressive osteolysis. In this series there were no complications related to pin fracture or failure of osteotomy fixation. Based on the results observed in this study, it appears that the use of polydioxanone bioabsorbable pins provides satisfactory stabilization of the first metatarsal osteotomy in Mitchell's bunionectomy, and was not associated with any serious complications. Level of Clinical Evidence: 2.
Alternate JournalJ Foot Ankle Surg
Full Text
PubMed ID19110154
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