First Metatarsal Shortening to MS Point for Hallux Valgus correction

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First Metatarsal Shortening to MS Point for Hallux Valgus correction

By Francesco Albo 2 Videos

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September 10, 2012

A modified Scarf Osteotomy to correct hallux valgus is demostrated. When MTP joint is severely ...
read more ↘ deformed, a procedure that brings back the Metatarsal head above the sesamoid plate may produce overpressure on joint surfaces causing with time their damage and sometimes stiffness. A method to avoid these complicances is to shorten the first ray while lateral translation of metatarsal head is performed. This allows an easier joint reduction and helps to restore a wider Hallux dorsiflexion.
It’s possible to evaluate the amount of required shortening on Xrays dorso-plantar view just utilising as reference point the most proximal part of the Phalangeal Base of the Hallux (Ms - Metatarsal shortening Point).
The lesser Metatarsals have to be shortened consequently.

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