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Flashcards in Hallux Limitus (Surgery) Deck (36)
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31

Moberg osteotomy

1? skin incision 

2? exposed 

 

1. Medial 

2. Capsule inside joint 

 

32

Moberg Osteotomy

Make 1? first, then 2? why?

Drill holes with 3?

Thread 4?

 

 

1. proximal osteotomy

2. distal osteotomy

3. 1.4 mm K-wire

4. stainless steel wire

 

 

33

Moberg procedure

After-care

 Post-op sandal 1?

 Co-plus wrap 2?

Possible complications: 

 Avoid 3?

4?

5?

6?

 

 

1.  4-6/52

2.  4/52

3.  Over tightening wire sutures

4. Fracture plantar hinge

5. Delayed/non-union

6. AVN base proximal phalanx

 

 

 

34

1st Metatarsal Osteotomies 

 Distal osteotomies:

 Useful in 1?

 Obtain 2?

 Youngswick- modification of 3?

 Plantarflexory basal osteotomies: 

 Lambrinudi

 Sagittal Z

 Waterman

 

 

1.  Mild-moderate metatarsus primus elevatus

2.  shortening and plantar flexion of capital fragment

3. Austin (1982)

 

35

Youngswick Osteotomy/Modified Watermann

Modification 1?

2? 1st ray

 Fixated with 3?

 Ambulatory procedure

 Stage 4?

 5? loss of joint cartilage

Indications 6?  7?

 

 

1. Austin osteotomy

2.  Plantar-flexes and shortens

3.  screw or Kwire/s

4. I or II HL

5. < 50%

6. Age < 75 years

7.  Good bone density

 

36

Proximal osteotomies:

 After care:

 Non-weight bearing for 1?

 B-K cast

 Careful 2?

 Less surgery at MPJ level - less surgical scarring around joint

 Complications 3?

 

1. 6-8 weeks

2.  ROM exercises

3. Need for nwb

immobilisation

 MPE

 Delayed/non-union

 Reduced ROM 1st mpj