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Related Experiment Video

Updated: Jan 23, 2026

Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
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Progressive Akin Osteotomy.

Enrique Martinez Gimenez1, Carmen Verdu Roman1, Javier Sanz-Reig1

  • 1Foot and Ankle Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Alicante, Spain.

Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
|June 14, 2019
PubMed
Summary

A progressive Akin osteotomy technique prevents lateral cortex fractures during surgery. This method allows precise wedge removal for accurate bone correction in hallux valgus correction.

Keywords:
akinhallux valgusosteotomy

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery

Background:

  • Akin osteotomy is a common procedure for hallux valgus correction.
  • Intraoperative fracture of the proximal phalanx lateral cortex is a frequent complication.

Purpose of the Study:

  • To introduce a progressive Akin osteotomy technique.
  • To preserve the lateral cortex of the proximal phalanx during the procedure.

Main Methods:

  • A modified Akin osteotomy technique was developed.
  • The technique focuses on preserving the integrity of the lateral cortex.
  • Allows for controlled removal of a specific wedge size.

Main Results:

  • The progressive technique successfully preserves the lateral cortex.
  • Enables accurate achievement of preoperative planned correction.
  • Reduces the risk of intraoperative fracture complications.

Conclusions:

  • The progressive Akin osteotomy is a viable alternative for hallux valgus correction.
  • This technique minimizes a common surgical complication.
  • Offers improved control over correction accuracy.