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Avascular Necrosis of the First Metatarsal Head after Distal Chevron Osteotomy for Hallux Valgus (A Case Report)
J Korean Foot Ankle Soc. 2007;11:115-119
Published online June 1, 2007
© 2007 J Korean Foot Ankle Soc.

Jeong, Un-Seob;Lee, Jung-Ho;Park, Yong-Wook

Hallym University College of Medicine, Seoul, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Avascular necrosis of the first metatarsal head is uncommon. It is most often seen following a distal metatarsal osteotomy for hallux valgus. Although many cases may be subclinical, it is a powerful cause of failure of bunion surgery. Avascular necrosis of the first metatarsal head results in a series of events that begins with phases of avascularity; revascularization, with or without collapse; and reossification. Collapse may result in degenerative change of the metatarsophalangeal joint. We have recently experienced a case of avascular necrosis of the first metatarsal head.
Keywords : Hallux valgus; Distal chevron osteotomy; Avascular necrosis of the first metatarsal head


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