Bunionette Deformity Correction with Distal Chevron Osteotomy and Single Absorbable Pin Fixation

Abstract

Between January 1997 and July 2000, 10 patients with symptomatic bunionette deformity underwent 12 distal fifth metatarsal chevron osteotomies in which an absorbable poly-p-dioxanone suture (PDS) pin was used for fixation. Of the 10 patients, nine were female. Average age at operation was 41 years (range, 23–70). Mean duration of follow-up was 48 months (range, 6–81). All patients obtained clinical and radiographic union by 6 weeks, and there was no radiographic evidence of osteolysis, displacement, or avascular necrosis of the metatarsal head at final follow-up. There were no serious complications. The average postoperative AOFAS score was 93 of 100 possible. All patients were satisfied with the procedure and would have it again. Distal chevron osteotomy with a single, nonpredrilled PDS absorbable pin for the correction of symptomatic bunionette deformity is a reliable and effective technique that provides adequate fixation without complications.

Keywords

Absorbable Pin Bunionette Chevron Osteotomy

Get full access to this article

View all access options for this article.

References

1. Atkinson

Lancaster

Atkinson

Arnoczky

Haut

Weisbrode

: Breaking strength retention and histologic effects around 1.3-mm ORTHOSORB polydioxanone absorbable pins at various sites in the rabbit J. Foot Ankle Surg. 37:42–47, 1998.

2. Coughlin

: Treatment of bunionette deformity with longitudinal diaphyseal osteotomy with distal soft tissue repair Foot Ankle 11:195–203, 1991.

3. DeOrio

Ware

: Single absorbable polydioxanone pin fixation for distal chevron bunion osteotomies Foot Ankle Int. 22:832–835, 2001.

4. Frederick

Hulst

Sundareson

: Foreign-body reaction to absorbable fixation devices J. Am. Podiatr. Med. Assoc. 86:396–398, 1996.

5. Friend

Grace

Stone

: L-osteotomy with absorbable fixation for correction of tailor's bunion J. Foot Ankle Surg. 32:14–19, 1993.

6. Gill

Martin

Coumas

Kiebzak

: Fixation with bioabsorbable pins in chevron bunionectomy J. Bone Joint Surg. 79-A:1510–1518, 1997.

7. Hirvensalo

Bostman

Tormala

Vainionpaa

Rokkanen

: Chevron osteotomy fixed with absorbable polyglycolide pins Foot Ankle 11:212–218, 1991.

8. Jahss

Troy

Kummer

: Roentgenographic and mathematical analysis of first metatarsal osteotomies for metatarsus primus varus: a comparative study Foot Ankle 5:280–321, 1985.

9. Kitaoka

Alexander

Adelaar

Nunley

Myerson

Sanders

: Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes Foot Ankle Int. 15:349–353, 1994.

10.

10. Kitaoka

Holiday

Jr Campbell

II : Distal chevron metatarsal osteotomy for bunionette Foot Ankle 12:80–85, 1991.

11.

11. Lavery

Peterson

Pollack

Higgins

: Risk of complications of first metatarsal head osteotomies with biodegradable pin fixation: Biofix versus Orthosorb J. Foot Ankle Surg. 33:334–340, 1994.

12.

12. Moran

Claridge

: Chevron osteotomy for bunionette Foot Ankle Int. 15:684–688, 1994.

13.

13. Nestor

Kitaoka

Ilstrup

Berquist

Bergmann

: Radiologic anatomy of the painful bunionette Foot Ankle 11:6–11, 1990.

14.

14. Sirlin

Boutin

Brossmann

Pathria

Convery

Bugbee

Resnick

: Polydioxanone biodegradable pins in the knee: MR imaging AJR 176:83–90, 2001.

15.

15. Small

Braly

Tullos

: Fixation of the Chevron osteotomy utilizing absorbable polydioxanon pins Foot Ankle Int. 16:346–350, 1995.

16.

16. Winemaker

Amendola

: Comparison of bioabsorbable pins and Kirschner wires in the fixation of chevron osteotomies for hallux valgus Foot Ankle Int. 17:623–628, 1996.