Modified Wilson Technique for Treatment of Hallux Valgus
Background: Moderate to severe hallux valgus deformity demands correction of the deformity. The purpose of the current study was to evaluate the results and advantages of the modified Wilson technique for treatment of hallux valgus. Twenty four operations of distal oblique osteotomies on the first metatarsal bone as described by Wilson (1963) with some modifications were performed on fifteen patients suffering from hallux valgus, done in the Department of Orthopedic Surgery and Traumatology of El-Minia University Hospital; nine of them were bilateral and six were unilateral. The osteotomy site was fixed by K. wire after displacement of the distal fragment laterally and proximally. A below the knee plaster cast was applied and the patients were encouraged to bear weight partially after the second post-operative week. The K. wire was removed after 6 weeks and the cast was removed after 10 weeks. Excellent results occurred in 18 out of 24 feet operated (75%), good in 3 feet (12.5%), fair in 2 feet (8.33%) and poor in one case (4.17%). Conclusions: These modifications added more advantages to Wilson technique as a good procedure for treatment of hallux valgus.