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Hallux valgus: Surgical treatment with open proximal wedge osteotomy using low-profile plate — A case series

Objectives: Hallux valgus is one of the common causes of foot pain and deformity in the adult and adolescent population with multiple possible causes. Surgical correction with the opening proximal wedge osteotomy using low-profile plate system (LPS) fixation has been gaining popularity in the recent literature. This study report results from a case series of feet with hallux valgus corrected utilizing open proximal wedge osteotomy using LPS fixation. Methods: This was a retrospective case series of 12 consecutive patients (14 feet). All surgeries were done by a single orthopedic surgeon. A proximal wedge osteotomy using Arthrex opening wedge LPS fixation was done to all patients. Follow-up was 3 years minimum except for four patients who were lost to follow. Patient subjective satisfaction, radiographic assessment, and physical examination were reported. Results: The overall satisfaction was at 100% of followed patients. Shoe wear and foot shape were improved in 11 feet, and 12 had postoperative pain improvement. Mean preoperative hallux valgus angle (HVA) and intermetatarsal angle (IMA) were at 30.07° and 12.36°, respectively. Postoperatively, the mean HVA and IMA improved to 13.36° and 6°, respectively (P < 0.001). All followed patients showed complete healing. Conclusion: The opening proximal wedge osteotomy with a LPS fixation has a high overall satisfaction by patients and is preferred by surgeons, which stems from its straightforward technique, which makes the technique an attractive option for correcting the hallux valgus deformity.