Fixation of the Austin procedure with the Herbert screw. A modified technique

SJ Palladino Department of Podiatric Surgery, California College of Podiatric Medicine, San Francisco 94115.

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Although the Austin osteotomy is intrinsically stable, some surgeons use fixation to enhance stability. One form of fixation that may be used for this procedure is the Herbert screw. The author presents a modification of a previously reported technique, and describes it as a five-step process. The advantages and potential disadvantages of the use of the Herbert screw with the presented technique are discussed.