OPEN Monday – Friday
CLOSED Saturday – Sunday
(404) 806-3731
Fax: (770) 321-0001
2864 Johnson Ferry Rd, Suite 100
Marietta GA 30062

We Have Moved! 

We are excited to announce that our office has moved to a new location as of August 21, 2023. The new office is located at 2864 Johnson Ferry Road, Suite 100, Marietta, GA 30062. It is conveniently located at the corner of Johnson Ferry Road and Post Oak Tritt, just a few miles away from our current office. All appointments scheduled on or after August 21st will be held at the new location. We look forward to seeing you there!


Closing Base Wedge Osteotomy

For patients with moderate to severe hallux valgus and a large intermetatarsal angle, proximal first metatarsal osteotomies may be indicated to achieve an appropriate amount of correction. The closing base wedge osteotomy is a reliable procedure resulting in a strong structural correction and is amenable to multiple fixation techniques. Loison first described and advocated the transverse closing base wedge osteotomy in 1901.1 Juvara modified the procedure in 1919, employing the oblique version of the closing base wedge osteotomy.

Controversy has surrounded this procedure due to its relative difficulty and the possibility of associated complications. Some authors have described the closing base wedge osteotomy as technically demanding with little margin for error and have even called for its extinction and replacement with the Lapidus arthrodesis. Martin and Blitch described the difficulties in the execution of this procedure and presented alternatives to the closing base wedge osteotomy. The osteotomy requires precise wedge resection with preservation of the hinge at the medial cortex of the metatarsal. Once the wedge is resected, intraoperative alterations for over- and under correction of the intermetatarsal angle can be technically challenging.

When the Bunion Correction procedure first became popular, complications included first metatarsal elevatus, shortening, delayed bone healing, and unstable fixation.  However, with advances in surgical technique, fixation methods, and adequate postoperative weight-bearing instruction, outcomes have improved. The closing base wedge osteotomy is a powerful procedure that preserves the first ray range of motion while correcting hallux valgus deformities that may not be amenable to distal metatarsal osteotomies.

The primary indication for the closing base wedge osteotomy is a rigid deformity with an intermetatarsal angle of 15 degrees or greater. A rigid deformity is not manually reducible in the transverse plane and indicates the need for an osteotomy that corrects the larger angular deformity. The closing base wedge osteotomy is more effective at correcting moderate to severe deformities in comparison to distal metatarsal osteotomies. This is because the proximal position of the osteotomy is closer to the apex of the deformity, permitting greater angular correction and a more rectus alignment. When it comes to an intermetatarsal angle of 15 degrees or greater, performing a distal metatarsal osteotomy or soft tissue procedure may result in under-correction and a higher recurrence rate. Cited

Seeking Treatment For Bunion Correction

If you’ve been searching for podiatric surgeons for your foot and ankle needs, take time to meet with the Podiatry Group of Georgia. Our doctor has the experience and knowledge you need to help your feet and ankles feel their best. Give us a call today and set up an appointment for your initial consultation. Call us today

Call Our Marietta, Georgia Office Today at 404-806-3731, or Book your appointment online now!