First and Second Metatarsal Wire and Button Fixation with First and Fifth Bunionectomies for Correction of Splay Foot

Abstract

ABSTRACT Splay foot is a common foot deformity causing pain and disability. Various osteotomy techniques have been recommended for correction of the intermetatarsal angle, with variable success rates. Knowing that wire and button fixation device can provide strong and stiff repair, the aim of the present study was to assess the clinical and radiographic outcomes following 1st and 2nd metatarsal wire and button fixation with 1st and 5th bunionectomies in patients with symptomatic splay foot. The preoperative and postoperative radiological measurements and American Orthopaedic Foot and Ankle Society (AOFAS) scores were statistically assessed in 12 patients (19 feet) with symptomatic splay foot using Wilcoxon signed rank test. The postoperative hallux valgus angle, 1st and 2nd intermetatarsal angle, and maximum distance between 1st and 5th metatarsal heads decreased significantly (p < 0.05). The AOFAS score improved significantly from 49.0 ± 6.0 to 82.0 ± 5.0 points (p < 0.05). The overall postoperative radiological and clinical outcomes in patients with symptomatic splay foot suggest that the technique of 1st and 2nd metatarsal wire and button fixation with 1st and 5th bunionectomies is safe, feasible and effective for surgical treatment of splay foot deformity. How to cite this article Xie B, Zhou D-P, Tian J. First and Second Metatarsal Wire and Button Fixation with First and Fifth Bunionectomies for Correction of Splay Foot. J Foot Ankle Surg (Asia-Pacific) 2015;2(1):1-7.