Surgical Technique
Weight-Bearing CT Planning for Minimally Invasive Bunion Correction
Three-dimensional loaded imaging changed the planned correction in a meaningful share of cases compared with standing radiographs alone.
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Specialty
Foot & Ankle
Location
Kochi, Kerala
Published
5 Dec 2024
Research type
Prospective Study
Abstract
Demo abstract. Consecutive patients scheduled for percutaneous bunion correction had planning repeated after weight-bearing CT, and plan changes were recorded prospectively.
Description
Rotational deformity of the first metatarsal was the most common finding that altered the plan.
Post-operative imaging assessed maintenance of correction at six months.
Innovation / discovery
Documenting plan changes prospectively, before surgery, made the imaging's contribution measurable rather than anecdotal.
Surgical / procedural method
Percutaneous distal metatarsal osteotomy with screw fixation, planning documented twice — once on radiographs, once after WBCT.
Research findings
- Plan changes clustered around correction magnitude and rotational adjustment.
- Correction was maintained at six months across the demo cohort.
- Scan cost remains the main barrier to routine use.
Attached documents
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Planning protocol
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