Haddad R J
South Med J. 1975 Jun;68(6):684-6. doi: 10.1097/00007611-197506000-00006.
Sixteen feet with hallux valgus and metatarsus primus varus have been treated by excision of the exostosis of the first metatarsal head, advancement of the medial capsule and the abductor hallucis, release of the lateral capsule and adductor tendon, and open-wedge osteotomy at the base of the first metatarsal inserting a bone graft. During a three-year period ther have been no nonunions of the osteotomy, and satisfactory maintenance of the corrections has occurred. This method is preferred over distal metatarsal osteotomy.
16例患有拇外翻和第一跖骨内翻的患者接受了如下治疗：切除第一跖骨头的外生骨疣，推进内侧关节囊和拇展肌，松解外侧关节囊和内收肌腱，并在第一跖骨基部进行开放楔形截骨并植入骨移植。在三年期间，截骨处未发生骨不连，矫正效果维持良好。这种方法比远端跖骨截骨术更可取。
