Proximal 1st Metatarsal Osteotomy

Proximal metatarsal osteotomy using plates 0 large

Proximal metatarsal osteotomies work well to achieve reliable deformity correction in patients with a large 1st-2nd intermetatarsal angle. They may help minimize rotation, shortening, and elevation of the metatarsal. A number of osteotomy techniques have been described, including Ludloff, Mau, proximal crescentic, proximal chevron, scarf, opening wedge, and closing wedge, among others.

The plate works with osteotomies where the proximal 1.5 cm of the 1st metatarsal is preserved to allow for placement of locking screws. The plate can be used alone or as an adjunct to screw fixation.

Tags:
metatarsal osteotomy opening wedge extension osteotomy pes cavus

Videos - Surgical Technique (3)
- - Proximal Chevron Osteotomy
  - File Type:
  - Ref. #: VID1-01373-EN
  - Version: A
  - Language: English
  - Revision Date: 06/15/2018
  - Presenter: Michael R. Clain , MD
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- - Ludloff Osteotomy Using the 1st Metatarsal Osteotomy Plate
  - File Type:
  - Ref. #: VID1-01262-EN
  - Version: A
  - Language: English
  - Revision Date: 03/13/2018
  - Presenter: Eugene E. Curry, MD
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- - Proximal 1st Metatarsal Osteotomy Featuring the LPS Opening Wedge System
  - File Type:
  - Ref. #: DVD-1082
  - Version: N/A
  - Language: English
  - Revision Date: 12/13/2006
  - Presenters: Paul Shurnas, MD, Mark Easley, MD
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Animations - Surgical Technique (2)
- - Low Profile Metatarsal Opening Wedge Plate
  - File Type:
  - Ref. #: AN1-00106-EN
  - Version: F
  - Language: English
  - Revision Date: 12/15/2017
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- - Low Profile Locking Proximal Opening Wedge Osteotomy Plate
  - File Type:
  - Ref. #: AN1-00105-EN
  - Version: D
  - Language: English
  - Revision Date: 07/17/2017
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Surgical Technique Guides (1)
- - Proximal 1st Metatarsal Osteotomy Plate
  - File Type:
  - Ref. #: LT1-00102-EN
  - Version: B
  - Language: English
  - Revision Date: 05/02/2018
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Videos - Presentation (1)
- - Double Osteotomy for Moderate Hallux Valgus Correction Utilizing the POW Plates and Trim-It™ Pin
  - File Type:
  - Ref. #: VID1-00664-EN
  - Version: A
  - Language: English
  - Revision Date: 12/23/2015
  - Presenter: John Crates, MD
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Animations - Patient Education (2)
- - Low-Profile Proximal Opening Wedge Osteotomy Using a Locking Plate
  - File Type:
  - Ref. #: pAN1-00105-EN
  - Version: A
  - Language: English
  - Revision Date: 08/14/2018
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- - First Metatarsal Phalangeal Joint Fusion with Lapidus Plate System
  - File Type:
  - Ref. #: PAN1-00019-EN
  - Version: E
  - Language: English
  - Revision Date: 07/13/2017
  - Show Translations
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Office Forms & Reference Documents (1)
- - Inventory Control Form: LPS — Forefoot Osteotomy Module — AR-13240S
  - File Type:
  - Ref. #: LF1-0430-EN
  - Version: H
  - Language: English
  - Revision Date: 10/13/2016
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