استيوتومي لدلوف جهت اصلاح هالوكس والگوس

LUDLOFF OSTEOTOMY FOR CORRECTION OF METATARSUS VARUS IN HALLUX VALGUS

Eighteen patients underwent surgery for correction of intermetatarsal angle between first and second metatarsal bones. There were 12 females and 6 males,with an average valgus angle of 30° and intermetatarsal angle of 15°. Radiographic findings were either negligible or else absent . An oblique osteotomy in sagital plane,called "Ludloff Osteotomy" was performed on the shaft of first metatarsal bone.After rotating the distal fragment laterally to achieve a corrected angle,two fragments were fixed, using 2.7 or 3.5 mm AO screws.The mean time of following up of these patients was 3.2 years. By osteotomy, the average correction angles of varus and valgus were nearly 6 and 15 respectively.