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The modified McBride bunionectomy utilizing the adductor tendon transfer.

S A Kempe, R H Singer

    The Journal of Foot Surgery
    |January 1, 1985
    PubMed
    Summary

    This modified McBride bunionectomy uses an adductor tendon transfer for improved hallux valgus correction. It helps maintain reduction of the intermetatarsal angle and allows for concurrent osteotomies.

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    Area of Science:

    • Orthopedic surgery
    • Podiatric surgery
    • Foot and ankle reconstruction

    Background:

    • The McBride bunionectomy is a surgical procedure for correcting hallux valgus.
    • Limitations of the original McBride procedure include difficulty in maintaining reduction and inability to perform concomitant osteotomies.

    Purpose of the Study:

    • To describe a modification of the McBride bunionectomy.
    • To evaluate the effectiveness of an adductor tendon transfer technique in hallux valgus surgery.

    Main Methods:

    • A modified McBride bunionectomy involving transposition of the adductor hallucis tendon into the medial capsular flap using a pulley suture.
    • Derotation of the sesamoidal apparatus by torque on the medial capsular flap, transferring the tendon to the medial and fibular sesamoids.
    • Sacrifice of the contracted fibular sesamoid ligament.

    Main Results:

    • The modified procedure aids in maintaining the reduction of increased intermetatarsal angles in patients with a hypermobile first ray.
    • Allows for concurrent metatarsal neck osteotomy, an advantage over the original McBride technique.
    • Short-term results are encouraging.

    Conclusions:

    • This modified McBride bunionectomy with adductor tendon transfer offers a viable option for hallux valgus correction.
    • The technique provides enhanced stability and flexibility for surgical correction, particularly in cases with hypermobile first ray.

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