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Osteotomy of the first metatarsal base for metatarsus primus varus
T J Limbird1, R M DaSilva, N E Green
1Department of Orthopaedics and Rehabilitation, Vanderbilt University, Nashville, Tn 37232.
Foot & Ankle
|February 1, 1989
Abstract:
An opening wedge osteotomy of the first metatarsal base using either iliac crest bone or the removed exostosis as a graft was used to treat metatarsus primus varus in 22 feet of 15 patients. The preoperative intermetatarsal angle averaged 15 degrees, with the final angle averaging 8 degrees. All osteotomies healed in 3 months with excellent cosmetic and functional results and no difference between iliac crest and exostosis grafts. We conclude that an opening wedge osteotomy of the first metatarsal base is a satisfactory method for the correction of metatarsus primus varus.