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Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Bioabsorbable fixation for Mitchell's bunionectomy osteotomy.

Ilhan Alcelik¹, Mustafa Alnaib, Raymond Pollock

¹University Hospital of North Tees, Stockton-on-Tees, UK. ialcelik@doctors.org.uk

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons

|December 27, 2008

Summary

This summary is machine-generated.

Polydioxanone bioabsorbable pins effectively stabilize the first metatarsal osteotomy in Mitchell's bunionectomy. This study found satisfactory fixation without serious complications, supporting their use in this procedure.

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Area of Science:

Orthopedic Surgery
Podiatric Surgery
Bioabsorbable Materials

Background:

Bioabsorbable pins are utilized for osteotomies, but their efficacy in Mitchell's bunionectomy is unstudied.
First metatarsal osteotomies are common in bunionectomy procedures.

Purpose of the Study:

To evaluate the effectiveness of polydioxanone bioabsorbable pin fixation for first metatarsal osteotomies in Mitchell's bunionectomy.
To assess complications and outcomes associated with this fixation method.

Main Methods:

Retrospective investigation of 78 first metatarsal osteotomies.
Utilized polydioxanone bioabsorbable pins for fixation.
Analyzed pre- and post-operative measurements including metatarsal length, first intermetatarsal angle (IMA), and hallux valgus angle (HVA).

Main Results:

Significant reductions in first IMA (17.59° to 9.91°) and HVA (29.74° to 12.89°) were observed (P < .0001).
Mean time to bony union was 6.01 weeks.
Low complication rates: 6.41% superficial infections, 1.28% deep infection, 2.56% transfer metatarsalgia, and 6.41% localized translucency. No pin failures or progressive osteolysis occurred.

Conclusions:

Polydioxanone bioabsorbable pins provide satisfactory stabilization for first metatarsal osteotomies in Mitchell's bunionectomy.
This fixation method is associated with a low rate of serious complications.