At the Orthopaedic Department of the hospital in Zwettl between January 1988 and August 1990 a total of 35 operations according to Austin were made. The group comprised 33 patients, 30 women and 3 men. The follow-up period was 7 to 38 months, on average 23.4 months. In 24 instances the operation was performed on the right, in 11 instances on the left foot. Indications, surgical technique and results are discussed in detail.

• MeSH
• hallux valgus chirurgie   MeSH
• lidé MeSH
• metatarzus chirurgie   MeSH
• osteotomie metody   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

The authors describe a group of 13 patients where during treatment of aseptic necrosis of the head of the metatarsal bone a new surgical method was used--wedge-shaped resection of the head. They describe the aetiology, surgical technique and results. This surgical technique is used at the Orthopaedic Clinic of the Institute for Postgraduate Medical Training Prague-Bulovka since 1987. In the discussion the authors evaluate the disadvantages of hitherto used surgical techniques and compare the methods with the method they use. In the conclusion the achieved results are evaluated which justify wider use of the described method in routine practice of orthopaedic departments.

• MeSH
• dospělí MeSH
• lidé MeSH
• metatarzus diagnostické zobrazování   chirurgie   MeSH
• metody MeSH
• mladiství MeSH
• osteochondritida diagnostické zobrazování   chirurgie   MeSH
• radiografie MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladiství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

The authors summarize initial findings with Bösh's modification of Hohmann's subcapital osteotomy made by means of a cutter from a short dermal incision under X-ray control. The valgosity and rotation of the hallux are corrected by a lateral and possibly plantar shift and by derotation of the head of the metatarsus. The position of the head is ensured by supporting the medial exostosis by a wire inserted by the intramedullary route into the Ist metatarsus. The operation was performed in five female patients aged 37-60 years on nine feet. The results were evaluated after 10-13 months. For osteotomy conic cutters were used (diameter of base 2.1 mm and 5 mm) and a drill (3000 rotations per minute) from the small instrumentarium of SYNTHES Co. The Kirschner wire was removed after four weeks and fixation a with a plaster spica of the toe took, depending on healing, 7-12 weeks after operation. In all instances marked correction of the position of the toe occurred (reduction of the valgosity angle by 8-19 degrees). As to subjective evaluation, four patients evaluated the result as excellent, three as satisfactory, i.e. disappearance or marked reduction of complains and once as unsatisfactory with persisting pain and difficulties as regards footwear. After analysis of the first early results the authors recommend to indicate the operation in valgosity of the toe up to 35 degrees and minimal arthrosis, to perform the osteotomy in a strictly subcapital and extracapsular position and to reduce the period of fixation. The advantage of the method is that the metatarsophalangeal joint is not damaged, the operation is sparing, marked correction of the position of the toes is achieved, the time of operation is short and the scar is not visible.

• MeSH
• dospělí MeSH
• hallux valgus diagnostické zobrazování   chirurgie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• metatarzus diagnostické zobrazování   chirurgie   MeSH
• osteotomie metody   MeSH
• pooperační komplikace MeSH
• radiografie MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

• MeSH
• dospělí MeSH
• hallux valgus chirurgie   MeSH
• lidé MeSH
• metatarzus chirurgie   MeSH
• osteotomie metody   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

• MeSH
• dospělí MeSH
• hallux valgus diagnóza   chirurgie   MeSH
• lidé MeSH
• metatarzus chirurgie   MeSH
• následné studie MeSH
• osteotomie metody   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

• MeSH
• dospělí MeSH
• kojenec MeSH
• lidé MeSH
• metatarzus abnormality   chirurgie   MeSH
• prsty nohy abnormality   diagnostické zobrazování   chirurgie   MeSH
• radiografie MeSH
• Check Tag
• dospělí MeSH
• kojenec MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH