The proximal phalangeal osteotomy. A technically advanced approach.

A historical review of osteotomies of the proximal phalanx has been presented. The techniques have remained relatively unchanged since their introduction by O. F. Akin in 1925. This article describes a minimal incision osteotomy technique using a medial approach to the hallux and wedge-shaped burs. The results suggest that the procedure produces good clinical results and is highly accepted by the patient. The procedure is compatible with a hospital or outpatient surgical facility. The procedure is recommended to those surgeons who are well-trained in ambulatory foot surgery. A statistical survey of the end-results is not available at the present time.