Background: Since we are very successful in the operation of hallux valgus using a transverse subcapital\nosteotomy fixated with an intramedullary angle-stable locking plate, and a tailors bunion is\nunderstood as a reversed hallux valgus, we have applied the operation also for such indication.\nMethod: The osteotomy was carried out at a straight V. metatarsal subcapitally, and in case of an\noutwardly curved V. metatarsal at the bending location. The intramedullary plates are available in\ndifferent designs and the plate and screws disappear completely in the bone, so the soft tissues are\nnot disturbed. The head of the plate is either straight or curved in order to shift the distal fragment\nsufficiently. Results: 26 patients were operated within a period of 5 years (2008-2012). 21\npatients were followed up after an average of 34.4 months. The IM angle IV/V could be improved\nby an average of 11.76 to an average of 4.10. This is a highliy significant pre- to postoperative\ndifference of 7.66 (t = 15.07, p < 0.001). The AOFAS score was improved by an average of 42.24\npoints from 55.76 points preoperatively to 98.00 points postoperative. There was no pseudoarthrosis\nand no wound healing impairment. All patients were either satisfied or very satisfied\nwith the surgery. Conclusion: This method does not have the disadvantages of the other common\noperations of the Tailors bunion and is applied now as a standard method in this deformity.
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