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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
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    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.

    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.

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  • 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.