Modified Wilson Technique for Treatment of Hallux Valgus

Ali Zein A. A. Al-Khooly; Mohamed Y. Hasan; Hesham A. Mohamed

doi:10.4236/ojo.2014.43015

Home > Journals > Medicine & Healthcare > OJO

OJO> Vol.4 No.3, March 2014

Share This Article:

Open Access

Modified Wilson Technique for Treatment of Hallux Valgus

Abstract Full-Text HTML

Download as PDF (Size:2180KB) PP. 90-96

DOI: 10.4236/ojo.2014.43015 3,697 Downloads 5,389 Views Citations

Author(s) Leave a comment

Ali Zein A. A. Al-Khooly, Mohamed Y. Hasan, Hesham A. Mohamed

Affiliation(s)

Department of Orthopedic and Trauma, El-Minia University Hospital, El-Minia, Egypt.

ABSTRACT

Background: Moderate to severe hallux valgus deformity demands correction of the deformity. The purpose of the current study was to evaluate the results and advantages of the modified Wilson technique for treatment of hallux valgus. Twenty four operations of distal oblique osteotomies on the first metatarsal bone as described by Wilson (1963) with some modifications were performed on fifteen patients suffering from hallux valgus, done in the Department of Orthopedic Surgery and Traumatology of El-Minia University Hospital; nine of them were bilateral and six were unilateral. The osteotomy site was fixed by K. wire after displacement of the distal fragment laterally and proximally. A below the knee plaster cast was applied and the patients were encouraged to bear weight partially after the second post-operative week. The K. wire was removed after 6 weeks and the cast was removed after 10 weeks. Excellent results occurred in 18 out of 24 feet operated (75%), good in 3 feet (12.5%), fair in 2 feet (8.33%) and poor in one case (4.17%). Conclusions: These modifications added more advantages to Wilson technique as a good procedure for treatment of hallux valgus.

KEYWORDS

Hallux Valgus; Osteotomy

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Al-Khooly, A. , Hasan, M. and Mohamed, H. (2014) Modified Wilson Technique for Treatment of Hallux Valgus. Open Journal of Orthopedics, 4, 90-96. doi: 10.4236/ojo.2014.43015.

References

[1]	Richardson, E.G. (1987) The Foot in Adolescents and Adults. Campbell’s Operative Orthopaedics, 35, 833.

[2]	Coughlin, M.J. (1996) Hallux Valgus. Journal of Bone and Joint Surgery, 78-A, 932-966.

[3]	Mann, R. and Coughlin, M. (1981) Hallux Valgus—Etiology, Anatomy, Treatment and Surgical Considerations. Clinical Orthopaedics, 157, 31-41.

[4]	Tachdjian, M.O. (1972) Paediatric Orthopaedics. W.B. Saunders, Philadelphia.

[5]	Piggott, H. (1960) The Natural History of Hallux Valgus in Adolescence and Early Adult Life. Journal of Bone and Joint Surgery, 42-B, 749-760.

[6]	Coughlin, M.J. (1996) Hallux Valgus. Journal of Bone and Joint Surgery, 78-A, 932-966.

[7]	Mann, R. and Coughlin, M. (1981) Hallux Valgus-Etiology, Anatomy, Treatment and Surgical Considerations. Clinical Orthopaedics, 157, 31-41.

[8]	Allen, T.R., Gross, M., Miller, J., Lowe, L.W. and Hutton, W.C. (1989) The Assessment of Adolescent Hallux Valgus before and after First Metatarsal Osteotomy. International Orthopaedics, 5, 111-115. http://dx.doi.org/10.1007/BF00267841

[9]	Briggs, T.W.R., Smith, P. and McAuliffe, T.B. (1992) Mitchell’s Osteotomy Using Internal Fixation and Early Mobilisation. Journal of Bone and Joint Surgery, 74-B, 137-139.

[10]	Helal, B. (1981) Surgery for Adolescent Hallux Valgus. Clinical Orthopaedics, 157, 50-63.

[11]	Helal, B., Gupta, S.K. and Gojaseni, P. (1974) Surgery for Adolescent Hallux Valgus. Acta Orthopaedica Scandinavica, 45, 271-295. http://dx.doi.org/10.3109/17453677408989149

[12]	Mitchell, C.L., Fleming, J.L., Allen, R., Glenney, C. and Sanford, G.A. (1958) Osteotomy-Bunionectomy for Hallux Valgus. Journal of Bone and Joint Surgery, 40-A, 41-60.

[13]	Wu, K. (1992) Wu’s Bunionectomy: A Clinical Analysis of 150 Personal Cases. Journal of Foot Surgery, 31, 288-297.

[14]	Wilson, J.N. (1963) Oblique Displacement Osteotomy for Hallux Valgus. Journal of Bone and Joint Surgery, 45-B, 552-556.

[15]	Allen, T.R., Gross, M., Miller, J., Lowe, L.W. and Hutton, W.C. (1989) The Assessment of Adolescent Hallux Valgus before and after First Metatarsal Osteotomy. International Orthopaedics, 5, 111-115. http://dx.doi.org/10.1007/BF00267841

[16]	Geldwert, J.J., McGrath, M., Rock, G.C. and Mancuso, J.E. (1991) Wilson Bunionectomy with Internal Fixation: A Ten-Year Experience. Journal of Foot Surgery, 30, 574-579.

[17]	Schemitsch, E. and Horne, G. (1989) Wilson’s Osteotomy for the Treatment of Hallux Valgus. Clinical Orthopaedics, 240, 221-225.

[18]	Ellis, V.H. (1951) A Method of Correcting Primus Varus. Journal of Bone and Joint Surgery, 33-B, 415-417.

[19]	Butson, A.E.G. (1980) A Modification of the Lapidus Operation for Hallux Valgus. Journal of Bone and Joint Surgery, 62-B, 350-352

[20]	Keller, H.L. (1904) The Surgical Treatment of Bunions and Hallux Valgus. N.Y. State. Journal of Medicine, 80, 741.

[21]	Keller, J.W. (1974) Distal First Metatarsal Displacement Osteotomy. Journal of Bone and Joint Surgery, 56 A, 923.

[22]	Lapidus, P.H. (1934) Operative Correction of the Metasis Varus Primus in Hallux Valgus. Surgery, Gynecology & Obstetrics, 58, 183.

[23]	Mac Bride, E.D. (1954) Hallux Valgus, Bunion Deformity, Its Treatment in (Moderate and Severe Stages). The Journal of the International College of Surgeons, 21, 99-105.

[24]	Helal, B. (1981) Surgery for Adolescent Hallux Valgus. Clinical Orthopaedics, 157, 50-63.

[25]	Coughlin, M.J. (1996) Hallux Valgus. Journal of Bone and Joint Surgery, 78-A, 932-966.

[26]	Turnbull, T. and Grange, W. (1986) A Comparison of Keller’s Arthroplasty and Distal Metatarsal Osteotomy in the Treatment of Adult Hallux Valgus. Journal of Bone and Joint Surgery, 68-B, 132-137.

[27]	Mann, R. and Hagy, J. (1979) The Function of the Toes in Walking, Jogging and Running. Clinical Orthopaedics, 142, 24.

[28]	Briggs, T.W.R., Smith, P. and McAuliffe, T.B. (1992) Mitchell’s Osteotomy Using Internal Fixation and Early Mobilisation. Journal of Bone and Joint Surgery, 74-B, 137-139.

[29]	Geoffrey, H., Tanzer, I. and Michael, F. (1984) Chevron Osteotomy for the Treatment of Hallux. Clinical Orthopaedics, 183, 32-36.

[30]	Carr, C.R. and Boyd, B.H. (1968) Correctional Osteotomy for Metatarsus Primus Varus and Hallux Valgus. Journal of Bone and Joint Surgery, 50-A, 1353-1367.