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Pseudarthrosis After Percutaneous Distal Osteotomy in Hallux Valgus Surgery

A Case Report

Nicolo Martinelli Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy.

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Francesco Cancilleri Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy.

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Gianluca Marineo Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy.

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Andrea Marinozzi Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy.

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Umile Giuseppe Longo Campus Biomedico University, Rome, Italy.

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Vincenzo Denaro Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy.

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Nonunion of the first metatarsal after hallux valgus surgery is a rare complication that often results in significant pain and disability requiring surgical management. We report the case of a 42-year-old woman who developed a pseudarthrosis of the first metatarsal after percutaneous retrocapital distal osteotomy of the first metatarsal for a mild hallux valgus deformity. The operative treatment consisted of debridement of fibrous nonunion with plating followed by application of pulsed electromagnetic fields (PEMF) with an external device. (J Am Podiatr Med Assoc 102(1): 78–82, 2012)

Corresponding author: Nicolo Martinelli, MD, Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Via Álvaro del Portillo, 21 Rome, 00100, Italy. (E-mail: n.martinelli@unicampus.it)