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Illustration showing Akin osteotomy correction of the big toe. Akin osteotomy is a surgical procedure often used in the treatment of hallux valgus deformity, more commonly known as a bunion. [1] A bunion is a bony bump that forms on the joint at the base of the big toe, often resulting in the toe pointing abnormally toward the second toe.
Syndesmosis procedure is one of the more than twenty bunion surgeries currently being performed. While the majority of bunion surgeries involve the breaking and shifting of bones (osteotomy procedures), [1] syndesmosis procedure [2] is one of few surgical techniques that use a soft-tissue or non-osteotomy (non-bone-breaking) approach to afford the same correction.
The location of the removed wedge of bone depends on where osteoarthritis has damaged the knee cartilage. The most common type of osteotomy performed on arthritic knees is a high tibial osteotomy, which addresses cartilage damage on the inside (medial) portion of the knee. The procedure usually takes 60 to 90 minutes to perform. [9]
Bunion splints: "These bunion correctors offer more structured support and are generally used for more severe cases," says Derek Roach, foot health specialist and owner of Flow Feet Orthopedic ...
Surgical treatments are closing wedge osteotomy, opening wedge osteotomy, and reversed wedge osteotomy. [1] Radiographs of the fingers are useful in planning the surgical procedure. Severe clinodactyly may require soft tissue alterations to the digit such as release of skin, extensor tendon relocation, and collateral ligament advancement.
Keck and Kelly Wedge Osteotomy [5] Excision of the retrocalcaneal bursa. [6] Calcaneal osteotomy. [6] Osseous debridement from the Achilles tendon. [6] Retrocalcaneal enthesophyte resection with functional Achilles tendon lengthening and buried knots. [6]
Some use "lateral onychoplasty," or "wedge resection," as the method of choice for ingrown toenails. A wide wedge resection, with a total cleaning (removal) of nail matrix, has a nearly 100% success rate. [citation needed] Some physicians will not perform a complete nail avulsion (removal) except under extreme circumstances. In most cases ...
Reduction can be by "closed" or "open" methods: Closed reduction is the manipulation of the bone fragments without surgical exposure of the fragments. See also: Closed reduction with internal fixation
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