Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of Russia2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics35210.21823/2311-2905-2013--3-37-44First metatarsal fixed displaced distal percutaneous osteotomy in the metatarsus primus varus surgical correctionBerezhnoyS. Y.Doktor@Berezhnoi.ruMedincenter GlavUpDK by the Ministry of Foreign Affairs of Russia30092013193374401112016Copyright © ,The purpose of the study was to expand the possibilities of metatarsus primus varus percutaneous correction through the development of surgical technique, taking into account the advantages and disadvantages of known techniques. Materials and method: by the example of 67 surgeries the results of the first metatarsal displaced distal percutaneous osteotomy fixed by the screw were reviewed. Surgical technique was described. Proposed intervention was applicable over a wide range of the first intermetatarsal angle (from 12 to 29° in this series). Immediate fool weight-bearing was authorized. An average hospital stay was 1.02 due to the painless early postoperative period. Results: desired correction of the first metatarsal has been achieved in the course of all surgical interventions. Partial or complete loss of correction in the postoperative period, that did not affect final results, was registered in three patients after interventions on four feet. The average first intermetatarsal angle after surgery was 10.6 ° (4-16). No transfer metatarsalgia, infectious or other complications were noted, as well as unsatisfactory results. Conclusions: first metatarsal fixed displaced distal percutaneous osteotomy together with previously proposed percutaneous first metatarsocuneiform joint arthrodesis technique allows percutaneous correction of any degrees of metatarsus primus varus.чрескожная хирургия стопыдистальная остеотомия первой плюсневой костикоррекция metatarsus primus varuspercutaneous foot surgeryfirst metatarsal distal osteotomymetatarsus primus varus correction[Бережной С.Ю. Чрескожная модификация артродеза первого плюснеклиновидного сустава: проспективное исследование. Травматология и ортопедия России. 2012; 4(66): 51-58.][Bauer T., Hardy Ph. Hallux valgus deformity correction with a percutaneous distal metatarsal osteotomy: a 125 cases prospective monocenter study. II International Congress of mini-invasive foot and ankle surgery (abstracts book). Murcia, Spain. 2009 April 23-25; p. 33.][Bösch P., Markowski H., Rannicher V. Technik und erste ergebnisse der subkutanen distalen metatarsale-I-osteotomie. Orthopädische Praxis. 1990;26: 51-56.][Bösch P., Wanke S., Legenstein R. Hallux valgus correction by the method of Bösch: a new technique with a seven-to-ten-year follow-up. Foot Ankle Clin. 2000;5:485-498.][De Prado M., Ripoll P.L., Golano P. Cirugia percutanea del pie. Barcelona, Spain: Masson. 2003. 253 p.][Magnan B., Pezzè L., Rossi N., Bartolozzi P. Percutaneous distal metatarsal osteotomy for correction of hallux valgus. J.Bone Joint Surg. Am. 2005;87(6):1191-1199.][Pinsker E., Daniels T. AOFAS position statement regarding the future of the AOFAS clinical rating systems. Foot Ankle Int. 2011;32: 841-82.][Ulivarri М. Reverdin-Isham displaced osteotomy. 3rd International Foot & Ankle MIS Congress of the GRECMIP. Bruges, Belgium; 2011 May 26-28; p.1.][Vernois J. The treatment of the hallux valgus with a percutaneous chevron osteotomy. J. Bone Joint Surg. Br. 2011;93-B(suppl. IV):482-486.]