Bunionette

Ceccarini, Paolo; Rinonapoli, Giuseppe; Nardi, Andrea; Bisaccia, Michele; Giacomo, Lorenzo Maria Di; Caraffa, Auro

doi:10.1177/1938640016679696

Cited by 17 publications

(6 citation statements)

References 43 publications

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“…Laffenêtre et al (16) retrospectively evaluated 49 operated feet and reported an improvement in mean AOFAS score from 58 to 97, and a mean correction of The minimally invasive technique used in the present study stands out as an effective approach because, via percutaneous access without the use of hardware, it produces radiographic results comparable to those of open techniques (17) . Surgical wound infection and local hardware irritation are the most commonly described complications in open techniques and in techniques that use hardware for fixation of the osteotomy (4,11) . The results of the present study reinforce this advantage, since there were no cases of infection, wound dehiscence, or need for surgical reintervention.…”

Section: Discussionmentioning

confidence: 99%

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Minimally invasive bunionette treatment

Lima

Baumfeld

Maciel³

et al. 2020

J Foot Ankle

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Objective: To report the clinical and radiographic results of surgical treatment of bunionette deformity with a minimally invasive technique without the use of hardware. Methods: This is a case series of 13 patients (14 feet) with a diagnosis of bunionette surgically treated with a minimally invasive osteotomy of the fifth metatarsal. All patients completed the American Orthopedic Foot and Ankle Society (AOFAS) score and a visual analog scale (VAS) for pain preoperatively and in the last follow-up visit. Radiographic measurements included the fourth-fifth intermetatarsal angle (4-5 IMA) and the fifth metatarsophalangeal (MTP-5) angle. Complications and level of patient satisfaction were also documented. Results: Mean follow-up was 12.3 months. The mean AOFAS score increased from 51.3 to 94.0, and the VAS score decrease from 7.5 to 1.1. The MTP-5 angle decreased from 11.5º to 2.3º, and the 4-5 IMA decreased from 9.8º to 3.6º. These outcomes showed a statistically significant difference (p<0.001). The only complication was hypertrophic callus formation observed in 3 feet (21.4%). There were no cases of infection, neurapraxia, wound dehiscence, nonunion, or deformity recurrence. Ten patients rated their outcome as excellent and 3 as good. Conclusion: Treatment of bunionette with percutaneous osteotomy of the fifth metatarsal without the use of hardware showed good clinical and radiographic results, with a low complication rate and a high level of patient satisfaction. Level of Evidence IV; Therapeutic Studies; Case Series.

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Section: Discussionmentioning

confidence: 99%

“…Some complications associated with these procedures are soft-tissue irritation, infection, and hardware-related problems (8,9) . The description by De Prado of a low invasive technique without the use of hardware boosted the minimally invasive approaches for the treatment of fifth metatarsal deformity (10,11) .…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive bunionette treatment

Lima

Baumfeld

Maciel³

et al. 2020

J Foot Ankle

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“…Possible complications associated with these procedures are soft tissue problems, infection, and irritation by the hardware when used. 1,3 Minimally invasive approaches to the treatment of fifth toe deformities have gained much popularity in recent years due to the great improvement of percutaneous techniques and the possibility of decreasing the rate of complications. However, the literature on these techniques is scarce.…”

Section: Levels Of Evidencementioning

confidence: 99%

Percutaneous Bunionette Correction: Retrospective Case Series

Nunes

Baumfeld

Nery

et al. 2020

Foot & Ankle Specialist

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Introduction. Bunionette is a deformity of the fifth metatarsal in which there is a painful lateral bony prominence of the distal region of this bone caused by various anatomical and biomechanical changes. The aim of this study is to report on a minimally invasive technique without the use of hardware to treat these deformities. Methods. This is a case series of 18 patients, 25 feet, who underwent bunionette percutaneous surgical treatment. All patients answered the American Orthopaedic Foot and Ankle Society (AOFAS) scale and the visual analogue pain scale (VAS) preoperatively and at the last follow-up. Standard radiological evaluation included measurement of intermetatarsal (4-5 IMA) and fifth toe metatarsophalangeal (5-MTTP) angles. Time to radiographic consolidation, complications, and satisfaction rate were also documented. Results. The average follow-up was 15.9 months, the AOFAS increased from 49.6 to 92.4 and the VAS decreased from 7.7 to 1.2. It was observed that average 5-MTTP decreased from 15° to 2.7° and that 4-5-IMA decreased from 9.1° to 3.3°. These outcomes showed a statistically significant difference ( P < .001). The most common observed complication was the formation of a hypertrophic bone callus in the third postoperative month in three operated feet (12%). One patient had algodystrophy, which improved after conservative treatment. There were no cases of infection, neuropraxis, or recurrences. Fifteen patients rated the result as excellent, 2 as good, and 2 as regular. Conclusion. Percutaneous osteotomy of the fifth metatarsal without the use of hardware is a safe, reproducible technique and presents good clinical and radiographic results for the treatment of bunionette. Levels of Evidence: Therapeutic studies, Level IV: Case series

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“…The traditional surgical management for a bunionette deformity has been an open lateral approach using a range of osteotomy techniques including sliding, transverse, oblique, and scarf among others. 3 - 5 , 21 A systematic review from 2018 found that significant deformity correction could be achieved with all osteotomies; however, patient satisfaction was higher with distal osteotomies. 21 …”

Section: Introductionmentioning

confidence: 99%

“… 23 A number of case series have found positive results in terms of deformity correction, complication profile, recurrence, and clinical outcomes. 3 , 16 , 23 , 25 There are potential advantages of percutaneous techniques for bunionette correction including smaller wounds, fewer hardware-related complications, and quicker recovery. 3 , 20 , 25 The learning curve for percutaneous bunionette correction is small compared to other percutaneous deformity correction procedures, so this technique can be easily adopted in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Surgery For Management of Bunionette Deformity (Tailor’s Bunion) Using Fifth Metatarsal Osteotomies: A Systematic Review and Meta-Analysis

Lewis,

Lam,

Alkhalfan

et al. 2024

Foot & Ankle Orthopaedics

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Background: There has been increasing interest in the use of percutaneous or minimally invasive osteotomy techniques for bunionette correction. The aim of this systematic review was to investigate the clinical and radiographic outcomes following percutaneous or minimally invasive surgery for bunionette deformity correction. Methods: A systematic review following PRISMA guidelines was undertaken. All clinical studies published in MEDLINE, Embase, PubMed, and the Cochrane Library Database from inception until December 2023 reporting on the use of percutaneous or minimally invasive osteotomy techniques for bunionette deformity correction were included. The primary outcome was radiographic deformity correction. A meta-analysis of clinical and radiographic outcomes was performed to assess the mean difference following surgery. Risk of bias was assessed using the ROBINS-I tool. Results: A total of 942 potential studies were identified, of which 18 were included encompassing 714 feet in 580 patients. There were no comparative studies identified. The majority of studies (n = 14/18) used an unfixed distal osteotomy technique. All studies showed a statistically significant improvement in clinical outcomes (American Orthopaedic Foot & Ankle Society ankle-hindfoot score and visual analog scale for pain) and radiologic outcomes (fourth-fifth intermetatarsal angle and fifth metatarsophalangeal angle). Complication rates ranged from 0% to 21.4%. The nonunion rate was 0% to 5.6%. Overall risk of bias was low to moderate. The most common complication was development of a hypertrophic callus that tended to resorb over time without needing further surgical intervention. Conclusion: The results of this systematic review must be considered in light of the methodologic limitations of the studies analyzed—including additional procedures performed at the same time as the bunionette correction, lack of comparative studies, and heterogeneity of the case series included. Despite these limitations, our review suggests that percutaneous techniques for bunionette deformity correction are generally clinically safe and associated with improvement in radiographic alignment and patient-reported outcome measures.

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Bunionette

Abstract: IV: Topical review.

Cited by 17 publications

References 43 publications

Minimally invasive bunionette treatment

Minimally invasive bunionette treatment

Percutaneous Bunionette Correction: Retrospective Case Series

Minimally Invasive Surgery For Management of Bunionette Deformity (Tailor’s Bunion) Using Fifth Metatarsal Osteotomies: A Systematic Review and Meta-Analysis

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