Anatomical and Micro-CT Assessment of the First Metatarsal Head Vascularization and Soft Tissue Envelope Following Minimally Invasive Chevron Osteotomy for Hallux Valgus Deformity
As tested in this cadaveric study on 20 specimens, the MIS chevron-type osteotomy procedure preserved the soft tissue envelope of the first metatarsal head complex and the blood supply of the first metatarsal head, with a low number of injuries. Completing the dorsal arm of the MIS chevron-type osteotomy at a median distance of 25.6 mm, and the plantar arm at 23.9 mm from the furthest point of the first metatarsal head, while ensuring the Shannon burr does not exceed 3.9 mm dorsolaterally and 4.0 mm plantar-laterally from the cortical bone exit point, appeared crucial to avoid vascular damage.
Authors
- Nacime Salomão Barbachan Mansur (ORCID: https://orcid.org/0000-0003-1067-727X)
- Képler Alencar Mendes de Carvalho (ORCID: https://orcid.org/0000-0003-1082-6490)
- Aly M. Fayed
- Alexandre Leme Godoy‐Santos (ORCID: https://orcid.org/0000-0002-6672-1869)
- César de César Netto (ORCID: https://orcid.org/0000-0001-6037-0685)
- A. Holly Johnson (ORCID: https://orcid.org/0000-0001-8244-7479)
- Miki Dalmau‐Pastor (ORCID: https://orcid.org/0000-0001-6043-698X)
- Paul G. Talusan (ORCID: https://orcid.org/0000-0003-3316-5576)
- Bopha Chrea (ORCID: https://orcid.org/0000-0003-4328-9855)
Institutions
- University of Iowa (US)
- Hospital for Special Surgery (US)
- Duke University (US)
- Universidade de São Paulo (BR)
- University of Michigan (US)
- Universitat de Barcelona (ES)
Publication Details
- Journal
- Foot & Ankle International
- Published
- 2024-11-29
- DOI
- https://doi.org/10.1177/10711007241298681
- Citations
- 3
- Primary Topic
- Foot and Ankle Surgery
- Type
- article
- Field-Weighted Citation Impact
- 1.43