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Austin Bunionectomy

Discussion in 'Foot Surgery' started by NewsBot, Feb 1, 2008.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    3 video clips on the procedure:

    Part 1


    Part 2


    Part 3
     
    Last edited by a moderator: Sep 22, 2016
  2. simonf

    simonf Active Member

    Re: Austin Bunionectomy on You Tube

    marks out of 10 anyone?
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Re: Austin Bunionectomy on You Tube

    Comparison of plantar pressure, clinical, and radiographic changes of the forefoot after biplanar austin osteotomy and triplanar boc osteotomy in patients with mild hallux valgus.
    Cancilleri F, Marinozzi A, Martinelli N, Ippolito M, Spiezia F, Ronconi P, Denaro V.
    Foot Ankle Int. 2008 Aug;29(8):817-24
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Re: Austin Bunionectomy on You Tube

    Evaluation of surgical experience and the use of an osteotomy guide on the apical angle of an Austin osteotomy
    V.J. Hetherington, J.S. Kawalec-Carroll, J. Melillo-Kroleski, T. Jones, M. Melillo, N. McFarland, M. Blazer and J.A. Favazzo
    The Foot; Volume 18, Issue 3, September 2008, Pages 159-164
     
  5. Dr. DSW

    Dr. DSW Active Member

    Re: Austin Bunionectomy on You Tube

    My critique of the surgery is that I believe the surgeon could have moved over the capital fragment a little more to reduce the IM angle slightly more, and that he got a little too aggressive after the fixation. I believe he removed too much of the head of the metatarsal medially, and didn't respect the "sagittal groove", and as a result you can see a little peaking of the tibial sesamoid on the AP view. If he moved the osteotomy over more laterally, he would not have to have compensated by taking so much "bump" medially.

    It was standard to remove the resultant ledge after he moved over the capital fragment, but I would not have been as aggressive on the actual medial aspect of the metatarsal head.

    Additionally, I believe at the end of the procedure, he took off took much "dorsal" bump where not much really existed. Instead, he could have modified the osteotomy to obtain some mild plantarflexion, if he thought there was some elevatus/dorsiflexion. By removing the dorsal "bump" as much as he did, he actually removed articular cartilage which will result in dorsal adhesions and will restrict the ability of the proximal phalanx of the hallux to dorsiflex on the metatarsal head, since some of the dorsal cartilage has been removed. This is very evident on the lateral view.

    I believe that over aggressive dorsal bone removal is often the cause of poor post op range of motion, and can be eliminated by better operative planning such as modifying your osteotomy to slightly plantarflex the head, etc. The articular cartilage must be respected to maintain post operative range of motion.

    Just my humble opinion!
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Axial loading cross screw fixation for the Austin bunionectomy.
    Rigby RB, Fallat LM, Kish JP.
    J Foot Ankle Surg. 2011 Sep-Oct;50(5):537-40
     
  7. NewsBot

    NewsBot The Admin that posts the news.

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