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Foot (Edinb). 2010 Mar;20(1):32-4. doi: 10.1016/j.foot.2009.09.001. Epub 2009 Oct 29.

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

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  • 1Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 200, Rome, Italy.


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 arthrodesis 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.

Copyright (c) 2009 Elsevier Ltd. All rights reserved.

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