Interventions for treating hallux valgus (abductovalgus) and bunions

Ferrari, Jill; Higgins, Julian P T; Prior, Trevor D

doi:10.1002/14651858.cd000964.pub3

Cited by 88 publications

(68 citation statements)

References 34 publications

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“…reduction of surgical exposure, decreased operative time, the possibility of performing the procedure bilaterally, the use of distal ankle-block anaesthetic techniques, and early weightbearing. Distal metatarsal osteotomies performed percutaneously or by open surgery have been classically indicated for mild to moderate deformities with an intermetatarsal angle of up to 20° [12]; however, after a systematic review of the published literature, Ferrari et al [13] concluded that there was no evidence that any of these methods of treatment was superior to the others, except for studies in the long term. The aim of our study was to analyse a series of patients who had undergone a percutaneous distal retrocapital osteotomy of the first metatarsal and had been followed up for ten years.…”

Section: Introductionmentioning

confidence: 99%

Long-term results of the retrocapital metatarsal percutaneous osteotomy for hallux valgus

Faour-Martín

Martín-Ferrero

García

et al. 2013

International Orthopaedics (SICOT)

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Purpose The current trend in hallux valgus surgery is directed toward percutaneous procedures. However, no evidence that any of these methods of treatment are superior to the others has been described, excepting studies in the long term. The aim of this study was to analyse a series of patients who had undergone a percutaneous distal retrocapital osteotomy of the first metatarsal, and had been followed up for ten years. Methods We carried out a clinical and radiological evaluation of 115 feet ten years after surgery. Results The AOFAS scale results in the tenth postoperative year remained significantly favourable compared to their corresponding values in the preoperative period, yielding an improvement of 42.2 points overall on average. In relation to radiological findings, the mean hallux angle was maintained below 20°, with a mean intermetatarsal angle of 8.1°. Conclusion Percutaneous retrocapital metatarsal osteotomy for treatment of mild to moderate hallux valgus is effective in the long term, with the advantages of a minimally invasive procedure.

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Section: Introductionmentioning

confidence: 99%

Long-term results of the retrocapital metatarsal percutaneous osteotomy for hallux valgus

Faour-Martín

Martín-Ferrero

García

et al. 2013

International Orthopaedics (SICOT)

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“…No sólo se realizan osteotomías para la corrección del HAV, también se pueden realizar artrodesis de la AMTF o de la articulación metatarsocuneana 21,45 . Las DMO generalmente son más usadas para la corrección de las deformidades leves y moderadas del HAV, ya que reducen el ángulo IMA y restablecen la realineación anatómica de la primera AMTF 17,18,24,25,28,31,32 . Dentro de este grupo una de las más usadas es la osteotomía de Chevron 28,[31][32][33][34] , que ya se ha explicado anteriormente en que consiste.…”

Section: Discussionunclassified

“…En cuanto al tratamiento quirúrgico, ha demostrado ser un tratamiento más eficaz, en comparación con el tratamiento conservador 16 . Universalmente se considera que la gravedad de la deformidad del HAV, generalmente dicta el tipo de procedimiento que se debe elegir para corregirlo 17 .…”

Section: Introductionunclassified

Osteotomías en el tratamiento quirúrgico del hallux abductus valgus

Saavedra¹

2017

Rev. Int. Cienc. Podol.

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Resumen. La elección de una técnica ideal para la cirugía del hallux abductus valgus ha sido un tema que los cirujanos han intentado resolver durante muchos años sin demasiado éxito. Las osteotomías son consideradas una de las técnicas de elección para el tratamiento de la deformidad. Se pueden localizar en el aspecto proximal, diafisario o distal del primer metatarsiano. La pregunta que se ha intentado responder es si existe algún lugar del metatarsiano más indicado para realizar las osteotomías. También se ha intentado averiguar cuál de las osteotomías descritas aportaba mayor grado de corrección angular con el menor número de complicaciones. Palabras clave: hallux valgus; cirugía; osteotomía; DMO; PMO.[en] Osteotomies in the surgical treatment of hallux valgus Abstract. Choosing the perfect for abductus hallux valgus surgery technique has been an issue that surgeons have grappled for years with little success. Osteotomies are considered one of the techniques of choice for the treatment of deformity. Can be localized proximal, diaphyseal or distal of the first metatarsal. The question that has tried to answer, is whether there somewhere more appropriate to perform metatarsal osteotomies. It has also been tried to determine which of the osteotomies described brought greater angular correction with fewer complications. Key words: hallux valgus; surgery; osteotomy; DMO; PMO.El autor declara no tener ningún tipo de interés económico o comercial. Sumario

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“…Außerdem wurde nachgewiesen, dass die Anwendung der Pelotte keinen Effekt auf die Verhinderung der Entstehung eines Hallux valgus hat [5].…”

Section: Vor-und Nachteile Der Pelotteunclassified