Dr. Hans-Joachim Poessel Announces a New Bunion Surgery Method for Middle East
Modern surgical treatment of hallux valgus is based on radiological assessment of the deformity in standing a/p and lateral x-rays of the foot. The distal soft tissue procedure is an important part of valgus deformity correction and enables reduction of the sesamoids.
However, this is not the complete answer and combination with a bony procedure is mostly recommended. Proximal osteotomies on average allow a greater correction than distal osteotomies.
Most surgeons choose a V-shaped Chevron-osteotomy for mild deformities with a hallux valgus angle (HVA) up to 19° and a intermetatarsal angle (IMA) to 13°. Diaphyseal osteotomies (e.g. Scarf-osteotomy, Ludloff-osteotomy) are recommended for moderate deformities (HVA 20° to 40°, IMA 14° to 20°).
Severe deformities (HVA > 40°, IMA > 20°) are usually corrected with diaphyseal osteotomies, performed by experienced surgeons or with basal osteotomies and with a Lapidus arthrodesis respectively. Correction of the distal metatarsal articular angle (DMAA) which is significantly larger in juvenile hallux valgus deformity is crucial for satisfying results, if necessary, in combination with a second rotational osteotomy (double osteotomy). Interphalangeal hallux valgus can be corrected with the Akin-Osteotomy. First metatarsophalangeal joint arthrodesis is indicated for hallux valgus in severe or neuropathic deformities and as a salvage procedure following failed surgery.
A novel fixation Method, mostly used in Austria, Switzerland and Germany allows a wider Range of Indication and great option for correction while fully weightbearing. Patients are usually very happy avoiding 6 weeks or longer in special shoes or non-weight bearing procedures. The Materials are distributed by the German Manufacturer LINK.
Currently, Dr. Hans-Joachim Poessel is the only Surgeon licensed to perform and realize this novel surgery in the Middle East. Already > 60 Feet have been corrected with this Method in Abu Dhabi and Dubai. For more information, please email us or use our contact form.