The Hip
Home » Bones » Foot » Akin Procedure

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