Fixation of first metatarsal basal osteotomy using Acutrak screw

G. E. Fadel, S. M. Hussain, S. Sripada, A. S. Jain

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Background: The purpose of this study is to determine clinical and radiological outcome following the internal fixation of first metatarsal basal osteotomy using Acutrak screw. Methods: Between May 1999 and December 2003, 37 feet undergoing basal closing wedge osteotomy were stabilised using Acutrak screw. The minimum follow-up period was 18 months. The position and fate of the screw, complications, hallux valgus, intermetatarsal and metatarsal declination angles, and time for bony union were assessed postoperatively and at the final follow-up. Results: Seventy-nine percent of the corrected feet had achieved excellent or good AOFAS score, 13% fair, and 8% poor score. The average preoperative intermetatarsal, hallux valgus and first metatarsal declination angles were 17.3° (12-20°), 38° (17-53°) and 22.5° (16-30°), respectively. These were reduced to 10.3° (0-16°), 14.6° (9-26°) and 20.4° (16-26°) following surgery and 11.2° (0-18°), 16.0° (12-22°) and 20.1° (16-23°), respectively, at the final follow-up. Clinical and radiological union has been achieved in all cases. Conclusion: Our technique provides stable fixation with minimal loss of position at the osteotomy site. © 2007 European Foot and Ankle Society.
    Original languageEnglish
    Pages (from-to)21-25
    Number of pages5
    JournalFoot and Ankle Surgery
    Volume14
    Issue number1
    DOIs
    Publication statusPublished - 2008

    Fingerprint

    Metatarsal Bones
    Osteotomy
    Hallux Valgus
    Foot
    Ankle

    Keywords

    • Adult
    • Bone Screws
    • Female
    • Follow-Up Studies
    • Hallux Valgus
    • Humans
    • Male
    • Middle Aged
    • Osteotomy
    • Young Adult

    Cite this

    Fadel, G. E. ; Hussain, S. M. ; Sripada, S. ; Jain, A. S. / Fixation of first metatarsal basal osteotomy using Acutrak screw. In: Foot and Ankle Surgery. 2008 ; Vol. 14, No. 1. pp. 21-25.
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    abstract = "Background: The purpose of this study is to determine clinical and radiological outcome following the internal fixation of first metatarsal basal osteotomy using Acutrak screw. Methods: Between May 1999 and December 2003, 37 feet undergoing basal closing wedge osteotomy were stabilised using Acutrak screw. The minimum follow-up period was 18 months. The position and fate of the screw, complications, hallux valgus, intermetatarsal and metatarsal declination angles, and time for bony union were assessed postoperatively and at the final follow-up. Results: Seventy-nine percent of the corrected feet had achieved excellent or good AOFAS score, 13{\%} fair, and 8{\%} poor score. The average preoperative intermetatarsal, hallux valgus and first metatarsal declination angles were 17.3° (12-20°), 38° (17-53°) and 22.5° (16-30°), respectively. These were reduced to 10.3° (0-16°), 14.6° (9-26°) and 20.4° (16-26°) following surgery and 11.2° (0-18°), 16.0° (12-22°) and 20.1° (16-23°), respectively, at the final follow-up. Clinical and radiological union has been achieved in all cases. Conclusion: Our technique provides stable fixation with minimal loss of position at the osteotomy site. {\circledC} 2007 European Foot and Ankle Society.",
    keywords = "Adult, Bone Screws, Female, Follow-Up Studies, Hallux Valgus, Humans, Male, Middle Aged, Osteotomy, Young Adult",
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    language = "English",
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    Fadel, GE, Hussain, SM, Sripada, S & Jain, AS 2008, 'Fixation of first metatarsal basal osteotomy using Acutrak screw', Foot and Ankle Surgery, vol. 14, no. 1, pp. 21-25. https://doi.org/10.1016/j.fas.2007.09.001

    Fixation of first metatarsal basal osteotomy using Acutrak screw. / Fadel, G. E.; Hussain, S. M.; Sripada, S.; Jain, A. S.

    In: Foot and Ankle Surgery, Vol. 14, No. 1, 2008, p. 21-25.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Fixation of first metatarsal basal osteotomy using Acutrak screw

    AU - Fadel, G. E.

    AU - Hussain, S. M.

    AU - Sripada, S.

    AU - Jain, A. S.

    PY - 2008

    Y1 - 2008

    N2 - Background: The purpose of this study is to determine clinical and radiological outcome following the internal fixation of first metatarsal basal osteotomy using Acutrak screw. Methods: Between May 1999 and December 2003, 37 feet undergoing basal closing wedge osteotomy were stabilised using Acutrak screw. The minimum follow-up period was 18 months. The position and fate of the screw, complications, hallux valgus, intermetatarsal and metatarsal declination angles, and time for bony union were assessed postoperatively and at the final follow-up. Results: Seventy-nine percent of the corrected feet had achieved excellent or good AOFAS score, 13% fair, and 8% poor score. The average preoperative intermetatarsal, hallux valgus and first metatarsal declination angles were 17.3° (12-20°), 38° (17-53°) and 22.5° (16-30°), respectively. These were reduced to 10.3° (0-16°), 14.6° (9-26°) and 20.4° (16-26°) following surgery and 11.2° (0-18°), 16.0° (12-22°) and 20.1° (16-23°), respectively, at the final follow-up. Clinical and radiological union has been achieved in all cases. Conclusion: Our technique provides stable fixation with minimal loss of position at the osteotomy site. © 2007 European Foot and Ankle Society.

    AB - Background: The purpose of this study is to determine clinical and radiological outcome following the internal fixation of first metatarsal basal osteotomy using Acutrak screw. Methods: Between May 1999 and December 2003, 37 feet undergoing basal closing wedge osteotomy were stabilised using Acutrak screw. The minimum follow-up period was 18 months. The position and fate of the screw, complications, hallux valgus, intermetatarsal and metatarsal declination angles, and time for bony union were assessed postoperatively and at the final follow-up. Results: Seventy-nine percent of the corrected feet had achieved excellent or good AOFAS score, 13% fair, and 8% poor score. The average preoperative intermetatarsal, hallux valgus and first metatarsal declination angles were 17.3° (12-20°), 38° (17-53°) and 22.5° (16-30°), respectively. These were reduced to 10.3° (0-16°), 14.6° (9-26°) and 20.4° (16-26°) following surgery and 11.2° (0-18°), 16.0° (12-22°) and 20.1° (16-23°), respectively, at the final follow-up. Clinical and radiological union has been achieved in all cases. Conclusion: Our technique provides stable fixation with minimal loss of position at the osteotomy site. © 2007 European Foot and Ankle Society.

    KW - Adult

    KW - Bone Screws

    KW - Female

    KW - Follow-Up Studies

    KW - Hallux Valgus

    KW - Humans

    KW - Male

    KW - Middle Aged

    KW - Osteotomy

    KW - Young Adult

    U2 - 10.1016/j.fas.2007.09.001

    DO - 10.1016/j.fas.2007.09.001

    M3 - Article

    VL - 14

    SP - 21

    EP - 25

    JO - Foot and Ankle Surgery

    JF - Foot and Ankle Surgery

    SN - 1268-7731

    IS - 1

    ER -