Method of surgical treatment of hallux valgus toe FIRST

摘要

1. A method for the treatment of valgus deformity of the first toe, including shearing the flap of the inner capsule card metatarsus-phalanx joint, removal of osteochondral exostosis, holding transverse osteotomy in the proximal first metatarsal osteotomy and distal bone with the capture of the wedge, followed by the introduction of bone fragments a zone proximal osteotomy and fixation, characterized in that in the first step, further performing slit coating tissues 3 cm in length in the first intertarsal interval is isolated and dissected tendon adductors of the thumb, the second step is carried out a linear slit on the inner surface of the head of the first metatarsal bone length of 5 cm from the capsule of the first toe phalanx joint form a flap base facing distally, after removal of osteochondral proliferation coagulator on the surface of the metatarsal bones is applied line planned osteotomies: for the first osteotomy bottom line is carried out parallel to the axis of the metatarsal bones, stepping up ¼ of the diameter metatarsal bone of the lower surface of the articular cartilage and ends in the lower cortical metatarsal proximal vascular bundle the head of the metatarsal bone, the second osteotomy distal upper line is performed from the upper border of the articular cartilage, and further, perpendicularly metatarsal bone to the intersection of the axis with the lower line for the third proximal osteotomy is carried out parallel to the upper line of the distal upper line in the distance calculated in advance, then, in the angle formed by the distal upper and lower lines of the mouth