Hemiarthroplasty in a patient affected by osteonecrosis of the first metatarsal head following chevron osteotomy: A case report

Nicolò, Martinelli; Paolo, Ronconi; Francesco, Cancilleri; Andrea, Marinozzi; Longo, Umile Giuseppe; Vincenzo, Denaro

doi:10.1016/j.foot.2009.09.001

« Previous Next »The Foot
Volume 20, Issue 1 , Pages 32-34, March 2010

Hemiarthroplasty in a patient affected by osteonecrosis of the first metatarsal head following chevron osteotomy: A case report

Martinelli Nicolò
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128 Rome, Italy
- Corresponding author. Tel.: +39 06225411613; fax: +39 06225411934.
Ronconi Paolo
- Foot Hospital, Rome, Italy
Cancilleri Francesco
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128 Rome, Italy
Marinozzi Andrea
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128 Rome, Italy
Umile Giuseppe Longo
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128 Rome, Italy
Denaro Vincenzo
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128 Rome, Italy

Received 19 August 2009; received in revised form 19 September 2009; accepted 23 September 2009.

Abstract

Osteonecrosis of the first metatarsal head after distal metatarsal osteotomy is a rare condition. Latter stages with complete destruction of the metatarsophalangeal joint often required arthodesis in order to relieve pain and improve function. We present a case of a 50-years old woman who developed osteonecrosis of the first metatarsal head after distal chevron osteotomy which was successfully treated with hemiarthroplasty of the proximal phalanx. Although longer follow-up and larger number of patients is needed to draw valid conclusions, the current result is encouraging and can be suggested in similar cases.

Keywords: Hallux rigidus, Distal osteotomy, Osteonecrosis, Hemiarthroplasty