Hallux Valgus Treatment Using Minimally Invasive Distal Osteotomy with Paraosseous Fixation
The paper presents the improved method of distal osteotomy of the first metatarsal bone with paraosseous fixation in the treatment of valgus deformity of the great toe, which has been carried out through the open approach. The results obtained from clinical testing have shown that the slight extension of the skin incision made it possible to implement all elements of the surgery under visual control, without the use of image intensifier. Open approach enabled to exclude soft tissue injury by instruments, to apply a variety of tools for osteotomy, to carry out a thorough hemostasis. Now it is possible to excise pathologically changed synovial bursa, to remove the exostosis, to perform manipulations aimed on the strengthening the medial wall of the joint capsule.