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Absorbable fixation of first ray osteotomies
V J Hetherington1, S L Shields, K R Wilhelm
1Department of Surgery, Ohio College of Podiatric Medicine, Cleveland.
Summary
ORTHOSORB absorbable pins effectively fix distal first ray osteotomies for hallux valgus management. This study found no adverse reactions or complications, indicating safe and reliable use in patients.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Hallux valgus is a common foot deformity requiring surgical correction.
- Distal first ray osteotomies are a surgical technique used to address hallux valgus.
- Absorbable fixation devices offer potential advantages over traditional hardware.
Purpose of the Study:
- To evaluate the efficacy and safety of ORTHOSORB absorbable pins for distal first ray osteotomies.
- To assess clinical outcomes and potential complications associated with ORTHOSORB pin fixation.
Main Methods:
- A prospective study involving 14 patients (20 osteotomies) undergoing distal first ray osteotomies fixed with ORTHOSORB pins.
- Pins were inserted in a crossing fashion.
- Patients were evaluated pre- and post-operatively for hallux abductus, metatarsus primus varus, tibial sesamoid position, range of motion, metatarsalgia, and osteolysis.
Main Results:
- No osteotomy displacement, delayed healing, or osteonecrosis was observed.
- No adverse clinical reactions to the ORTHOSORB pins were reported.
- The average follow-up period was 11 months in a patient population with an average age of 30.
Conclusions:
- ORTHOSORB absorbable pins provide a safe and effective fixation method for distal first ray osteotomies in hallux valgus management.
- The pins demonstrated good biocompatibility and did not lead to complications in this patient cohort.