The fixation method of Mitchell's osteotomy after displacement is controversial. In the current study, we evaluated a previously described technique of using transosseous capsulorrhaphy. In this series, foot plaster slipper was used for six weeks.
Twenty-seven feet (21 patients) underwent the technique for symptomatic hallux valgus was included in this study. Retrospective and consecutive series. Mitchell's step cut osteotomy was performed without metal fixation, trans osseous capsulorrhaphy was used for fixation.
At 15 months follow-up, the results were satisfactory in 23 feet, fair in three patients and poor in one patient. Mean HVA correction was 17 º and IMA correction of 5.4º this is considered to be significant.
The main advantage of the described technique is that it can be used in a less sophisticated surgical unit, without the need for internal fixation implants and image intensifier.