Anatomía y biomecánica del gran artejo o hallux

Maestro, M.; Leemrijse, Thibault; Rivet, Jacqueline

doi:10.1016/s1762-827x(18)91762-1

Cited by 1 publication

(2 citation statements)

References 31 publications

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“…Hallux Abductus Valgus (HAV) was first described by Carl Hueter 1 and is characterized as one of the most common foot deformities seen in clinical practice 2 , 3 . It typically presents with pain and is caused by abnormal biomechanics of the first metatarsophalangeal joint (MTPJ) during the propulsive phase of gait 4 . The hallux adopts a valgus position due to the action of the adductor muscle, resulting in lateral deviation of the proximal phalanx over the head of the first metatarsal.…”

Section: Introductionmentioning

confidence: 99%

“…The chosen technique for the minimally invasive surgical treatment of moderate HAV is the Reverdin-Isham and Akin osteotomy. Reverdin Isham is a percutaneous surgical procedure without osteosynthesis 11 in which an intracapsular wedge-shaped osteotomy is performed at the medial neck of the metatarsal bone, with a dorsal distal to plantar proximal angle of approximately 25°-45°1 [1][2][3][4][5][6][7][8][9][10][11][12][13] . In 1981, Isham refined the Reverdin technique initially described in 1881 for HAV by modifying the angulation of the osteotomy 14 .…”

mentioning

confidence: 99%

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Radiological and functional outcomes of Reverdin Isham osteotomy in moderate Hallux Valgus: a systematic review and meta-analysis

Sanchís-Soria,

Nieto-González,

Nieto-García

et al. 2024

Sci Rep

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This systematic review and meta-analysis addresses the effects of minimally invasive surgical techniques, specifically the Reverdin Isham osteotomy, on functional and radiological outcomes in patients with moderate Hallux Valgus, a common foot deformity. The review included randomized and non-randomized controlled trials, as well as case reports, assessing the osteotomy in adults with moderate to severe Hallux Valgus. Searches were conducted in electronic databases such as MEDLINE and Web of Science up until July 2023, and the Joanna Briggs Institute’s critical appraisal tool was used to assess the risk of bias. Meta-analytical analyses employed a random-effects model with small-sample correction, presenting results as standardized mean differences and mean differences with 95% confidence intervals. Seven studies involving 554 patients and 643 operated feet were included, showing significant improvements in AOFAS scores (an average improvement of 36 points from 28.61 to 45.16) and reductions in radiological angles such as the distal metatarsal angle and hallux valgus angle post-surgery (IMA improved by − 3.07° from − 4.68 to − 1.46, DMAA by − 6.12° from − 9.52 to − 2.71, and HVangle by − 15.27° from − 17.98 to − 12.57). Despite these positive outcomes, most studies exhibited risks of bias and other methodological limitations, impacting the generalizability of the results. Overall, the findings highlight the efficacy of the Reverdin Isham osteotomy in improving both functional and radiological parameters in patients with moderate Hallux Valgus, although further research is warranted to solidify these results. No specific funding was received for this study, and the protocol was registered on PROSPERO with the number CRD-42023445886.

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