Modified Technique of Distal Metatarsal Osteotomy for Hallux Valgus

Oh, In Suk; Kim, Myung Ku; Lim, Kwang Yul; Bae, Joo Han

doi:10.3113/fai.2007.0527

Cited by 5 publications

(15 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Numerous studies have been reported regarding different hallux valgus correction techniques, and a review of the literature reveals satisfaction with all the operations to be in the upper 80% level and higher [1,2,5,13,17,18]. However, there is scant information in the literature directly comparing different techniques.…”

Section: Discussionmentioning

confidence: 99%

“…The aim of surgical correction of hallux valgus is to rebalance the first ray and correct the various features of the deformity [9][10][11][12]. Despite the common occurrence of this condition, treatment remains controversial with more than 150 surgical procedures described [2,18,20]. Distal first metatarsal osteotomies traditionally have been indicated for correction of mild-to-moderate deformities with an intermetatarsal angle (IMA) as much as 20°and for correction of the distal metatarsal articular angle (DMAA) [18].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the common occurrence of this condition, treatment remains controversial with more than 150 surgical procedures described [2,18,20]. Distal first metatarsal osteotomies traditionally have been indicated for correction of mild-to-moderate deformities with an intermetatarsal angle (IMA) as much as 20°and for correction of the distal metatarsal articular angle (DMAA) [18]. The Scarf osteotomy is a distal first metatarsal osteotomy that is popular in Europe.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The SERI Distal Metatarsal Osteotomy and Scarf Osteotomy Provide Similar Correction of Hallux Valgus

Giannini

Cavallo

Faldini

et al. 2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Ideal surgical treatment for hallux valgus is still controversial. A traditional distal metatarsal osteotomy with rigid fixation (Scarf procedure) and a more minimally invasive approach to a distal metatarsal osteotomy, termed SERI (Simple, Effective, Rapid, Inexpensive), have proven successful with short-term followup. However, no data are available directly comparing the two procedures. Questions/Purposes We performed a prospective randomized trial to determine which technique (SERI or Scarf) was associated with (1) better functional outcomes, (2) better radiographic correction, and (3) fewer complications at 2 and 7 years followup. Methods Twenty patients, 53 ± 11 years of age, with bilateral hallux valgus, clinically and radiographically similar, underwent bilateral surgery with Scarf on one side and SERI on the other, at random. Clinical (AOFAS score) and radiographic assessments were considered before surgery, and at 7 years followup. Results SERI and Scarf techniques provided correction of the hallux valgus angle, intermetatarsal angle, and distal metatarsal angle in the range of normal. Both led to similar clinically important improvements in the AOFAS.No differences were observed between the groups. All osteotomies healed, and two patients who underwent the Scarf procedure required hardware removal. Reduction of ROM with respect to preoperative was observed in three patients for SERI and three patients for Scarf procedures. Conclusions Scarf and SERI techniques resulted in effective correction of hallux valgus with similar outcomes, however the SERI technique required a shorter skin incision, less surgical time, less expensive fixation device, and was without residual pain attributable to hardware.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The SERI Distal Metatarsal Osteotomy and Scarf Osteotomy Provide Similar Correction of Hallux Valgus

Giannini

Cavallo

Faldini

et al. 2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…12,14 Preoperative and postoperative lengths of the first metatarsal were also measured, and the difference between preoperative and postoperative lengths of the first metatarsal was assessed statistically. 12,14 Preoperative and postoperative lengths of the first metatarsal were also measured, and the difference between preoperative and postoperative lengths of the first metatarsal was assessed statistically.…”

Section: Radiographic Assessmentmentioning

confidence: 99%

“…Johnson et al 6 also reported excellent relief of pain and cosmetic correction with the modified chevron osteotomy technique in 26 feet (18 patients). 12 The purpose of this retrospective study was to evaluate the clinical and radiological results with our modified technique of osteotomy, with respect to maintenance of correction and subjective and objective evaluation of outcome. The osteotomy is combined with a release and balancing of soft-tissue structures on both sides.…”

Section: Introductionmentioning

confidence: 99%

Clinical and Radiological Results after Modified Distal Metatarsal Osteotomy for Hallux Valgus

Choi²,

Kim³

et al. 2008

Foot Ankle Int

Self Cite

View full text Add to dashboard Cite

show abstract

Minimally invasive vs open distal metatarsal osteotomy for hallux valgus - A systematic review and meta-analysis

Singh

Khurana²,

Kapoor

et al. 2020

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

Background: Numerous publications of the late 20th century have presented the radiological outcome of open technique for distal metatarsal osteotomy for mild to moderate hallux valgus and the clinical outcomes by means of well-established scoring systems which have been published and make these open techniques today's benchmark and gold standard. Minimally invasive procedures reduce surgical trauma because they are performed without large incisions, and injury to the soft tissues is limited. This has the theoretical advantages of improved recovery and decreased rehabilitation times. There is however limited literature to prove the same for minimally invasive surgery for hallux valgus. Our aim was thus to pool all available comparative literature on minimally invasive hallux valgus surgery done for mild to moderate hallux valgus versus open surgical approaches. Methods: A PubMed, Embase and Scopus search was performed using the keywords ('hallux valgus' OR bunion) AND ('minimally invasive' OR percutaneous) AND osteotomy. A total of 473 records were identified and out of which nine studies were included in the final review. Results: Most available studies are either randomized control trials, or prospective cohort studies providing good level of evidence. Radiological analysis showed similar correction with both MIS and open osteotomies. In functional analysis results were different with open techniques providing better results in terms of AOFAS score. (p < 0.0001). VAS score and complication rate were similar in both groups. Discussion/conclusion: We conclude that based on available literature MIS provides equivalent radiological outcomes with respect to open surgery but functionally despite the promising results (good to excellent in most series), the outcomes in terms of function are not as good as open surgery. MIS techniques provide satisfactory outcomes for mild-to-moderate severity of hallux valgus though not as good as open surgery. There is evolving literature for this relatively new procedure. Longer duration of follow up and bigger numbers would allow for more meaningful data analysis and conclusions to be drawn as more studies come forward.

show abstract

Modified Technique of Distal Metatarsal Osteotomy for Hallux Valgus

Cited by 5 publications

References 8 publications

The SERI Distal Metatarsal Osteotomy and Scarf Osteotomy Provide Similar Correction of Hallux Valgus

The SERI Distal Metatarsal Osteotomy and Scarf Osteotomy Provide Similar Correction of Hallux Valgus

Clinical and Radiological Results after Modified Distal Metatarsal Osteotomy for Hallux Valgus

Minimally invasive vs open distal metatarsal osteotomy for hallux valgus - A systematic review and meta-analysis

Contact Info

Product

Resources

About