Percutaneous surgery of the forefoot compared with open technique — Functional results, complications and patient satisfaction

Yassin, Mustafa; Bowirat, Abdallah; Robinson, Dror

doi:10.1016/j.fas.2019.01.006

Cited by 18 publications

(7 citation statements)

References 14 publications

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“…21,22 The clinical and radiologic *results of minimally invasive percutaneous surgery have not been shown to be inferior to open surgery, with fewer complications. 6,8,23,24,36 Furthermore, the use of wide-awake local anesthesia as used in this series has been shown to be well accepted by patients, as well as effective in reducing postoperative pain and anxiety in foot surgery. 5,25,29,35 It is more compatible with an earlier return to ambulatory care than general anesthesia or sciatic nerve block.…”

Section: Discussionmentioning

confidence: 85%

Management of Anxiety for Ambulatory Hallux Valgus Surgery With a Virtual Reality Hypnosis Mask: Randomized Controlled Trial

et al. 2023

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Background: The purpose of this study was to evaluate the impact of using virtual reality masks for the management of preoperative anxiety and its impact on postoperative and predischarge anxiety as well as postoperative analgesia during outpatient hallux valgus surgery. Methods: From June 2020 to September 2021, preoperative anxiety of patients scheduled for a percutaneous hallux valgus surgery were analyzed using the State Trait Anxiety Inventory (STAI) questionnaire completed during the consultation. All patients with major anxiety, defined as a STAI score above 40, were included in a randomized prospective comparative single-center study. Sixty patients were included in the study and randomized into 2 arms of 30 patients according to whether or not they underwent a preoperative hypnosis session with a virtual reality mask before surgery. Results: There was an improvement in the postoperative (42.5 vs 45.2, P < .04) and predischarge (25.3 vs 30.2 P < .03) anxiety scores in the group that used the mask before the procedure. There was a notable decrease in immediate higher-level postoperative analgesics such as morphine or ketamine (3.3% vs 26.6%, P < .03) in the arm using the mask. Conclusion: In this study cohort undergoing percutaneous hallux valgus surgery, we found that use of a virtual reality hypnosis mask before surgery modestly reduced postoperative and predischarge anxiety as well as early postoperative consumption of higher-level analgesics in adults with significant preoperative anxiety. Level of Evidence: Level II, prospective cohort study.

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Section: Discussionmentioning

confidence: 85%

Management of Anxiety for Ambulatory Hallux Valgus Surgery With a Virtual Reality Hypnosis Mask: Randomized Controlled Trial

et al. 2023

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“…Only three articles referred to the use of the AOFAS scale to control improvement: Nieto-García et al ( 17 ) who showed 95.7 points of recovery at the 12-month follow-up, and Yassin ( 34 ) who demonstrated 70 points at the 6-month follow-up. Jacobs and Vandeputte ( 3 ) refer to an improvement in the AOFAS scale but do not specify the points of recovery.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of minimally invasive surgery using incomplete phalangeal osteotomy for symptomatic curly toe of adults with a trapezoidal phalanx: An observational study

Ramírez-Andrés

Nieto-García²,

Nieto-González³

et al. 2022

Front. Surg.

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Background and aimsDigital deformity in flexion, varismus (external rotation), and adduction with the toe in both supraduction and infraduction are called clinocampodactyly or curly toe. All adult patients with symptoms and a diagnosis of semirigid/rigid curly toes underwent radiological examination to verify the presence of a trapezoidal phalanx. The purpose of this study was to quantitatively determine the degrees of improvement of a dysmetric phalanx after incomplete phalangeal osteotomy using minimally invasive surgery. The points of improvement were determined using the American Orthopedic Foot and Ankle Society (AOFAS) scale score.MethodsBetween May 2021 and June 2022, 30 patients diagnosed with curly toes underwent unicortical osteotomy of the affected phalanx. The convergence angle was measured and the AOFAS scale scores were compared.ResultsA total of 33 toes underwent surgery. The average reduction of the convergence angle was 9°. The average improvement in the AOFAS scale score was 53 points at 6 months and reached almost 90 points (89.9 ± 6.1 points).ConclusionsIncomplete phalangeal osteotomy performed with minimally invasive surgery of the trapezoidal phalanges of curly toes of adults can improve alignment and AOFAS scale scores.

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“…14 The wound complication and infection rate may be significantly lower, possibly due to smaller incisions and less soft tissue stripping. 15…”

Section: Complicationsmentioning

confidence: 99%

“…In general, the risks of MIS bunion surgery are similar to those of open surgery 14 . The wound complication and infection rate may be significantly lower, possibly due to smaller incisions and less soft tissue stripping 15 …”

Section: Additional Bone Removalmentioning

confidence: 99%

Fourth Generation Hallux Valgus Correction

Acevedo,

Garcia,

Queen

et al. 2023

Techniques in Foot &Amp; Ankle Surgery

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The surgical method described in this paper has shown numerous benefits when compared with traditional minimally invasive surgery (MIS) techniques for the correction of hallux valgus. Although modern, third-generation MIS techniques have been widely adopted for this purpose due to perceived improvements in patient outcomes, those can be largely attributed to the incorporation of a novel system of rigid internal fixation allowing for a reduced risk of surgical complications. By incorporating the second-generation MIS technique of transverse osteotomy with third-generation fixation techniques, the authors have been able to devise a hybrid, fourth-generation MIS technique that shows improvements both in terms of patient recovery and ease of surgical operation. Level of Evidence: The mechanism-based reasoning used in this study classifies it as diagnostic level V in accordance with the OCEBM 2011 Levels of Evidence. For a complete description of levels of evidence, see Instructions for Authors.

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Percutaneous surgery of the forefoot compared with open technique — Functional results, complications and patient satisfaction

Cited by 18 publications

References 14 publications

Management of Anxiety for Ambulatory Hallux Valgus Surgery With a Virtual Reality Hypnosis Mask: Randomized Controlled Trial

Management of Anxiety for Ambulatory Hallux Valgus Surgery With a Virtual Reality Hypnosis Mask: Randomized Controlled Trial

Effectiveness of minimally invasive surgery using incomplete phalangeal osteotomy for symptomatic curly toe of adults with a trapezoidal phalanx: An observational study

Fourth Generation Hallux Valgus Correction

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