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Shortening of the first metatarsal following closing base wedge osteotomy

1997; American Podiatric Medical Association; Volume: 87; Issue: 5 Linguagem: Inglês

10.7547/87507315-87-5-199

8750-7315

AS Banks, RS Cargill, S Carter, J A Ruch,

Diabetic Foot Ulcer Assessment and Management

Shortening of the first metatarsal has been one of the reported complications noted in association with base osteotomies. Previous studies have used radiographs as a means of assessing metatarsal length, the reliability of which has been subject to question. In this study, the authors have determined the amount of shortening that may be anticipated with a closing base wedge osteotomy of the first metatarsal through an experimental model. A mathematical model was also devised that confirmed these findings. Additional studies were performed to determine what influences other variables may have on this procedure.