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Fixation of the Chevron osteotomy utilizing absorbable polydioxanon pins
H N Small1, W G Braly, H S Tullos
1Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
Foot & Ankle International
|June 1, 1995
Summary
Absorbable polydioxanone pins offer a safe and effective alternative for internal fixation in Chevron osteotomies for hallux valgus. This study found no displacements or complications, suggesting benefits over traditional metallic fixation.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Chevron osteotomy is a common procedure for hallux valgus.
- Osteotomy displacement is a known complication.
- Existing internal fixation methods have limitations.
Purpose of the Study:
- To present an alternative internal fixation method using absorbable polydioxanone pins.
- To evaluate the safety and efficacy of this novel fixation technique.
Main Methods:
- A prospective study involving 71 Chevron osteotomies in 50 patients.
- Fixation was achieved using absorbable polydioxanone pins.
- Follow-up included clinical and radiographic assessment at 1 year.
Main Results:
- No instances of osteotomy fracture or displacement were observed.
- Zero complications or infections were reported at the 1-year follow-up.
- No absorbable polydioxanone pins required removal.
Conclusions:
- Internal fixation with absorbable polydioxanone pins is a safe and effective alternative for Chevron osteotomies.
- This method demonstrates significant benefits compared to metallic fixation.
- Further research may support wider adoption in hallux valgus treatment.