The Reverdin-lsham Procedure for the Correction of Hallux Abducto Valgus |
Advantages of the Procedure |
- Good healing is due to the placement of the osteotomy in metaphyseal bone.
- Minimal fixation (internal or external) is required because the procedure is intracapsular and compressed by the retrograde force of the hallux.
- It provides biplane correction of the structural deformity with improved positions of sesamoids.
- It involves a minimal amount of postoperative disability, similar to the minimal incision Silver-Akin procedure.
- It can be performed on children prior to epiphyseal closure because the ephiphysis is located at the metatarsal base.
- It can be performed in the presence of uncontrollable pronatory forces.
- The average reduction of the intermetatarsal angle of 7° has been noted, especially when the procedure is performed with the Akin procedure.
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Disadvantages of the Procedure |
- The sagittal plane deformity may not be corrected; however, with reduction of the first intermetatarsal angle, relative sagittal plane correction is noted.
- If poor healing takes place at the osteotomy site, possible shortening of the metatarsal may occur.
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