Percutaneous Hallux Valgus Surgery Without Distal Metatarsal Articular Angle Correction

Romero, Eusebio Crespo; Ordoño, Alvaro Arcas; Candel, Raquel Peñuela; Gómez, Silvia Gómez; Arias, Ángel; González, Jaime Gálvez; Romero, R. Crespo

doi:10.1177/1938640016685147

Cited by 5 publications

(6 citation statements)

References 37 publications

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“…Three of the analyzed Reverdin-Isham studies reported a total correction of 3˚ for IMA (30)(31)(32), while the other three studies even less than 3˚ (31,36,42). Insufficient radiographic correction following the MIS Reverdin-Isham osteotomy has been already described (47). Nevertheless, this procedure was meant to be a valid procedure for correcting a hallux valgus deformity and is still a frequently used minimally invasive technique for hallux valgus correction (47).…”

Section: Discussionmentioning

confidence: 99%

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Midterm Results Following Minimally Invasive Distal Chevron Osteotomy: Comparison With the Minimally Invasive Reverdin-Isham Osteotomy by Means of Meta-analysis

Kaufmann¹,

Weiskopf

Liebensteiner

et al. 2021

In Vivo

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Background/Aim: To date, multiple different surgical techniques have been established for hallux valgus surgery, with each technique having its unique advantages and limitations. The open distal chevron osteotomy is widely accepted, but increasing patient demands have led several minimally invasive (MIS) techniques to be described in recent years. The aim of this study was to compare outcomes after minimally invasive (MIS) distal chevron osteotomy and the minimally invasive Reverdin-Isham method. Patients and Methods: We assessed clinical and radiographic outcomes after MIS chevron osteotomy in 57 feet of 49 consecutive patients with a mean follow-up of 58.9 (range=39.0-85.4) months. Outcomes after MIS Reverdin-Isham osteotomy were analyzed by means of a systematic literature review with a minimum follow-up of 6 months. Results: Radiographic outcomes were significantly better in the MIS chevron cohort for intermetatarsal angle (p<0.001), hallux valgus angle and distal metacarpal articular angle (p<0.05). Concerning clinical outcomes, both methods provided comparable improvement. Conclusion: MIS distal chevron osteotomy in mild to moderate hallux valgus deformity correction results in superior radiographic outcomes compared to the MIS Reverdin-Isham osteotomy. Sufficient correction of IMA cannot be achieved with the MIS Reverdin-Isham osteotomy.

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Section: Discussionmentioning

confidence: 99%

“…Insufficient radiographic correction following the MIS Reverdin-Isham osteotomy has been already described (47). Nevertheless, this procedure was meant to be a valid procedure for correcting a hallux valgus deformity and is still a frequently used minimally invasive technique for hallux valgus correction (47).…”

Section: Discussionmentioning

confidence: 99%

Midterm Results Following Minimally Invasive Distal Chevron Osteotomy: Comparison With the Minimally Invasive Reverdin-Isham Osteotomy by Means of Meta-analysis

Kaufmann¹,

Weiskopf

Liebensteiner

et al. 2021

In Vivo

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“…Scarf osteotomy is a technically challenging procedure with a potential ability to provide 3-plane correction of the hallux valgus deformity. 5 Scarf osteotomy allows for shortening or lengthening, rotation, horizontal displacement, depression, or elevation of the first metatarsal head. 4 The main correction of the deformity is achieved by lateral translation of the distal fragment, which allows for substantial reduction of IMA.…”

Section: Discussionmentioning

confidence: 99%

“…Uncorrected distal metatarsal articular angle (DMAA) is one of the risk factors for recurrence of the deformity. 4,5,10,11,21 If necessary, a shorter osteotomy with a greater rotational effect is created, to ensure proximal translation and correction of the DMAA and to avoid impingement with the second metatarsal. 6,15 Once impaction is achieved, the excessive medial overhanging cortical-cancellous triangular bony fragment is resected, preserved, turned upside down, and impacted into the proximal plantar medullary canal.…”

Section: Discussionmentioning

confidence: 99%

Results of Scarf Osteotomy Without Implant Fixation in the Treatment of Hallux Valgus

Liszka

Gądek

2018

Foot Ankle Int.

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“…Additionally, which structures must be detached remains unclear. 5 , 10 , 26 , 36 These data, among other reasons, may explain the persistent high overall recurrence rate of HV deformity (2.7% to 73%). 2 , 4 , 9 , 31 , 33 …”

Section: Introductionmentioning

confidence: 99%

A Radiologic Triangle Sign for Percutaneous Adductor Tendon Release (PATR): Cadaveric Study and Case Series

Del Vecchio,

Dealbera,

Chemes

et al. 2024

Foot & Ankle Orthopaedics

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Background: Combining osteotomies and soft tissue procedures is believed to reduce sesamoids in their anatomical position and maintain long-term correction when treating hallux valgus deformity. This study determines if a radiologic association exists between a radiolucent sign and a full percutaneous adductor tendon release (PATR), including a cadaveric study and a consecutive case series. Another aim was to determine the intra- and interobserver reliability of these observations. Methods: A prospective observational study was made between 2018 and 2019. First, a PATR was done on cadaveric specimens and, after the procedures, dissected to correlate what was seen fluoroscopically. The clinical group included 39 feet that presented mild-to-moderate HV deformity and were treated with percutaneous osteotomies associated with PATR. Results: Observers 1 and 2 saw a radioscopic radiolucent sign in 100% of cadavers and the patient population. They also observed a triangle-shaped image with an incidence of 75%, which we have named the “triangle sign.” Conclusion: The triangle sign may be helpful in the intraoperative confirmation of PATR and latero-plantar capsule release using this percutaneous technique. Level of Evidence: Level II, development of diagnostic criteria.

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Percutaneous Hallux Valgus Surgery Without Distal Metatarsal Articular Angle Correction

Abstract: Level II: Prospective study.

Cited by 5 publications

References 37 publications

Midterm Results Following Minimally Invasive Distal Chevron Osteotomy: Comparison With the Minimally Invasive Reverdin-Isham Osteotomy by Means of Meta-analysis

Midterm Results Following Minimally Invasive Distal Chevron Osteotomy: Comparison With the Minimally Invasive Reverdin-Isham Osteotomy by Means of Meta-analysis

Results of Scarf Osteotomy Without Implant Fixation in the Treatment of Hallux Valgus

A Radiologic Triangle Sign for Percutaneous Adductor Tendon Release (PATR): Cadaveric Study and Case Series

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