Orthopaedic Jobs

Akin Procedure



- See: Hallux Valgus Menu:

- Discussion:
    - indicated for hallux valgus interphalangeus - when deformity is located at IP joint;
           - some authors feel that this procedure is better suited as a salvage procedure;
    - procedure consists of a closing lateral wedge osteotomy of proximal phalanx combined w/ excision of medial eminence;
    - may be used to correct a congruent deformity of MP joint as well as to correct a severe pronation deformity of the hallux;
    - usually the Aiken is performed along w/ a Silver procedure;
    - w/ severe deformity, consider combination of proximal osteotomy or distal metatarsal osteotomy along w/ the Aiken procedure;
    - a medially based wedge (0.3 to 0.4 mm) is cut, leaving the lateral cortex intact;
    - the toe is supinated if there is a severe deformity;
    - fixation is achieved w/ 2 crossed K wires



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, September 6, 2011 2:49 pm