Universität zu Köln

Morawe, G. A. and Schmieschek, M. H. T. (2018). Minimally invasive bunionette correction. Oper. Orthopade Traumatol., 30 (3). S. 184 - 195. MUNICH: URBAN & VOGEL. ISSN 1439-0981

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Abstract

Bunionette or 'tailor's bunion' is a deformity of the fifth ray, which comes along with a metatarsus quintus valgus and a varus deformity of the fifth toe with subluxation of the metatarsophalangeal joint. A minimally invasive osteotomy of the fifth metatarsal without internal fixation using burrs is an increasingly used alternative for symptomatic tailor's bunion deformity. Similar to open surgery procedures the type of osteotomy complies with the underlying pathology. Minimally invasive surgical (MIS) procedures allow comprehensive treatment of various types of tailor's bunion deformities. Symptomatic tailor's bunion deformity, failed conservative treatment, a closed epiphyseal gap. Osteoporotic bone, poor patient compliance. The technique comprises percutaneous resection of the lateral exostosis of the fifth metatarsal head with a straight burr and an osteotomy of the fifth metatarsal, either distally, diaphyseal or proximally with a conical burr due to the shape of the deformity, usually without internal fixation. Redressive wrapping, partial pain-adapted weight bearing. Non-steroidal anti-inflammatory drugs for 3-5 days, lymphatic drainage, intermittent cooling. Radiographic assessment on postoperative day 1; radiographic follow-up 6 weeks postoperatively. Thromboembolic prophylaxis. The clinical outcome is comparable to standard surgical procedures with the advantages of MIS. Based on our results and the current literature, the minimally invasive distal metatarsal osteotomy without fixation is becoming a reliable treatment for tailor's bunion.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Morawe, G. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmieschek, M. H. T. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-184875
DOI:	10.1007/s00064-018-0542-z
Journal or Publication Title:	Oper. Orthopade Traumatol.
Volume:	30
Number:	3
Page Range:	S. 184 - 195
Date:	2018
Publisher:	URBAN & VOGEL
Place of Publication:	MUNICH
ISSN:	1439-0981
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SYMPTOMATIC BUNIONETTE; OSTEOTOMY; DEFORMITY; 5TH-METATARSAL Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18487