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Related Experiment Videos

Mitchell osteotomy for adolescent hallux valgus

B K Weiner1, D S Weiner, N Mirkopulos

  • 1Children's Hospital Medical Center of Akron, Ohio 44309-2090, USA.

Journal of Pediatric Orthopedics
|May 20, 1998
PubMed
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This study shows a modified Mitchell osteotomy is highly effective for adolescent hallux valgus, achieving excellent or good results in 91% of cases after a 6-year follow-up for bunion pain.

Area of Science:

  • Orthopedic Surgery
  • Podiatry
  • Adolescent Medicine

Background:

  • Hallux valgus is a common foot deformity in adolescents.
  • Painful hallux valgus can significantly impact quality of life.
  • Current surgical options require careful consideration for this age group.

Purpose of the Study:

  • To evaluate the efficacy of a modified Mitchell osteotomy for adolescent hallux valgus.
  • To assess radiographic, clinical, and subjective outcomes.
  • To determine long-term patient satisfaction and functional improvement.

Main Methods:

  • A modified Mitchell osteotomy with smooth-pin fixation and trapezoidal step-off was performed.
  • Sixty-nine procedures were conducted on 46 adolescent patients.

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  • Radiographic, clinical, and subjective data were collected over an average 6-year follow-up.

    • Main Results:

    • 91% of patients reported excellent or good outcomes.
    • Most patients experienced normal range of motion.
    • Minor issues included cosmetic concerns and mild pain with specific activities in a subset of patients.

    Conclusions:

    • The modified Mitchell osteotomy is a satisfactory surgical option for adolescent hallux valgus.
    • The procedure demonstrates a high success rate and good functional recovery.
    • This technique effectively addresses chronic bunion discomfort in young patients.