Abou Bakr Zein Mohammed, Ahmed Mahmoud Kholif, Ali Mohammed Reda, Hosam El-Din Amin, Sayed Naser Abdallah Naser
{"title":"Evaluation of K-Wires Splinting of First and Second Metatarsals Following Proximal Open Wedge Osteotomy for Hallux Valgus Correction.","authors":"Abou Bakr Zein Mohammed, Ahmed Mahmoud Kholif, Ali Mohammed Reda, Hosam El-Din Amin, Sayed Naser Abdallah Naser","doi":"10.1053/j.jfas.2025.09.009","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hallux valgus is a prevalent foot deformity affecting a significant portion of the population and often managed through various surgical techniques. Proximal opening wedge osteotomy of the first metatarsal bone is a popular and effective management modality, yet there remains no consensus on the optimal fixation method PURPOSE: Evaluating the outcomes of K-wires fixation versus plate and screws fixation following proximal opening wedge osteotomy of the first metatarsal bone for managing moderate to severe hallux valgus STUDY DESIGN: Retrospective multicenter cohort study.</p><p><strong>Methods: </strong>Forty patients were evenly divided into two groups; Group A (K-wires fixation to the second metatarsal) and Group B (plate and screws fixation). Patients were followed up for at least 1 year.</p><p><strong>Results: </strong>Both groups showed significant improvements in hallux valgus angle, inter-metatarsal angle, and American Orthopedic Foot and Ankle Society scores, with no significant differences between them. However, K-wires fixation was associated with lower implant costs (P = 0.01), and fewer subsequent surgeries (P = 0.01). Complications such as complex regional pain syndrome and wound issues were more frequent in the plate group, with six cases requiring plate removal due to prominence CONCLUSION: K-wire fixation is a cost-effective and reliable alternative to plate and screws fixation, offering similar clinical outcomes while reducing secondary surgical intervention rates.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Foot & Ankle Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1053/j.jfas.2025.09.009","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Hallux valgus is a prevalent foot deformity affecting a significant portion of the population and often managed through various surgical techniques. Proximal opening wedge osteotomy of the first metatarsal bone is a popular and effective management modality, yet there remains no consensus on the optimal fixation method PURPOSE: Evaluating the outcomes of K-wires fixation versus plate and screws fixation following proximal opening wedge osteotomy of the first metatarsal bone for managing moderate to severe hallux valgus STUDY DESIGN: Retrospective multicenter cohort study.
Methods: Forty patients were evenly divided into two groups; Group A (K-wires fixation to the second metatarsal) and Group B (plate and screws fixation). Patients were followed up for at least 1 year.
Results: Both groups showed significant improvements in hallux valgus angle, inter-metatarsal angle, and American Orthopedic Foot and Ankle Society scores, with no significant differences between them. However, K-wires fixation was associated with lower implant costs (P = 0.01), and fewer subsequent surgeries (P = 0.01). Complications such as complex regional pain syndrome and wound issues were more frequent in the plate group, with six cases requiring plate removal due to prominence CONCLUSION: K-wire fixation is a cost-effective and reliable alternative to plate and screws fixation, offering similar clinical outcomes while reducing secondary surgical intervention rates.
期刊介绍:
The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors.