Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Medial Horizontal Suture Fixation of the Akin Osteotomy: A Technical Report

Akin 절골술의 내측 횡 봉합사 고정: 술기 보고

  • Yune, Young-Phil (Department of Orthopedic Surgery, Daejeon Woori Hospital) ;
  • Kim, Sanghwan (Department of Orthopedic Surgery, Daejeon Woori Hospital)
  • 윤영필 (대전우리병원 정형외과) ;
  • 김상환 (대전우리병원 정형외과)
  • Received : 2015.08.13
  • Accepted : 2015.11.04
  • Published : 2015.12.15
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Abstract

The Akin osteotomy is a complimentary procedure in hallux valgus surgery. Surgical techniques may vary depending on the operators or fixation devices. Suture fixation, for which a removal procedure is not necessary, can often be recommended. However, there is a risk of failure due to the thin cortex of the phalanx. We describe a new technique using Ethibond suture fixation in Akin osteotomy, which can lower the risk of phalangeal cortical failure and articular cartilage irritation. First, the Akin osteotomy was performed on the proximal phalanx 5 to 6 mm distal to the first metatarsophalangeal joint. Then bone holes were drilled from dorsum to plantar parallel to osteotomy with the Kirschner wire. The final procedure involved passing the Ethibond sutures connected to a straight needle through the holes and tying it. This fixation method offers an effective and easy technique for performance of Akin osteotomy.

Keywords

References

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Cited by

  1. 무지 외반증에서 Akin 절골술 내측 횡 봉합사 고정술의 결과 vol.21, pp.1, 2015, https://doi.org/10.14193/jkfas.2017.21.1.1