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Dorsal bunions in children.

D W McKay

    The Journal of Bone and Joint Surgery. American Volume
    |September 1, 1983
    PubMed
    Summary

    This study presents a successful surgical technique for treating iatrogenic dorsal bunions in children. The procedure involves tendon transfers and joint procedures, showing high efficacy in correcting this complication.

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    Area of Science:

    • Pediatric Orthopedics
    • Foot and Ankle Surgery
    • Reconstructive Surgery

    Background:

    • Iatrogenic dorsal bunions can occur in children, often following surgery for conditions like post-poliomyelitic paralysis or clubfoot.
    • These bunions represent a significant complication that can impair foot function and require effective treatment.

    Purpose of the Study:

    • To describe and evaluate a surgical technique for correcting iatrogenic dorsal bunions in pediatric patients.
    • To assess the efficacy and outcomes of this specific operative approach.

    Main Methods:

    • A surgical procedure involving the transfer of flexor brevis, abductor hallucis, and adductor hallucis tendons to the first metatarsal neck.
    • Supplementation with sesamoid removal, capsulotomy of the first metatarsophalangeal joint, and, when indicated, arthrodesis or tenodesis.
    • Application of the technique to seventeen pediatric feet with iatrogenic dorsal bunions.

    Main Results:

    • The described surgical intervention demonstrated a high success rate in correcting iatrogenic dorsal bunions.
    • Out of seventeen treated feet, only one case (in a patient with arthrogryposis) resulted in failure.

    Conclusions:

    • The described tendon transfer and associated procedures offer a reliable and effective solution for iatrogenic dorsal bunions in children.
    • This surgical method provides a positive prognosis for functional recovery and correction of the deformity.

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