Proximal opening-wedge osteotomy of the first metatarsal for moderate and severe hallux valgus using low profile plates

Nery, Caio; Réssio, Cibele; Cruz, Gerson de Azevedo Santa; Oliveira, Rafael Silva Remor de; Chertman, Carla

doi:10.1016/j.fas.2013.07.002

Cited by 16 publications

(19 citation statements)

References 20 publications

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“…Radiologically, the total HVA correction in this study was comparable to other hallux valgus correcting studies using similar operation methods [7,13,18,19]. In these studies, the preoperative HVA was only ranging from 7 to 320 resulting in a final HVA considerably lower postoperatively compared to our study.…”

Section: Discussionsupporting

confidence: 78%

“…A significant improvement was seen comparing pre-and postoperative (4 and 12 months) VAS and AOFAS score for both groups, but there was not a significant difference between the two groups (Tables 3 and 4). The improvements in AOFAS-and VAS-scores were found to be comparable to other studies [17][18][19]21]. The AOFAS score improvement in our study was slightly inferior to some of the other studies referred to.…”

Section: Discussioncontrasting

confidence: 44%

See 1 more Smart Citation

Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity – A prospective comparative study

Wester

Hamborg-Petersen

Herold

et al. 2016

Foot and Ankle Surgery

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Section: Discussionsupporting

confidence: 78%

Section: Discussioncontrasting

confidence: 44%

Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity – A prospective comparative study

Wester

Hamborg-Petersen

Herold

et al. 2016

Foot and Ankle Surgery

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“…10 A distal first metatarsal osteotomy can be used to correct for an increased DMAA, and the reported incidence of this associated procedure has varied between 17% and 92% among patients undergoing a PMOW. 1,11,12,21 In our series, none of the patients underwent a distal first metatarsal osteotomy. The HVA and IMA at final follow-up in our study were comparable to other studies in which none of the patients underwent a distal first metatarsal osteotomy to correct the DMAA.…”

Section: Discussionmentioning

confidence: 77%

High Rate of Recurrence Following Proximal Medial Opening Wedge Osteotomy for Correction of Moderate Hallux Valgus

et al. 2015

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“…The relationship among the IMA, HVA values and tibial sesamoid displacement was then used to classify the deformities into three groups according to the presence of one of these Mann and Coughlin parameters [1, 28, 29, 33, 34]:Mild HV was defined as an IMA ≤11° and HVA <20° and less than 50% subluxation of the medial sesamoid (grade 1).Moderate HV was an IMA >11 but <16° and HVA of 20° to 40°, with 50 to 75% subluxation of tibial sesamoid (grade 2).Severe HV was an IMA ≥16° and HVA of >40° and more than 75% subluxation of tibial sesamoid (grade 3). …”

Section: Methodsmentioning

confidence: 99%

Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and Akin percutaneous osteotomies: a longitudinal prospective study with a 48-month follow-up

et al. 2016

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BackgroundMinimally invasive surgery (MIS) represents one of the most innovative surgical treatments of hallux valgus (HV). However, long-term outcomes still remain a matter of discussion within the orthopaedic community. The purpose of this longitudinal prospective study was to evaluate radiographic and functional outcomes in patients with mild-to-severe HV who underwent Reverdin-Isham and Akin percutaneous osteotomy, following exostosectomy and lateral release.MethodsEighty patients with mild-to-severe symptomatic HV were treated by MIS. Clinical evaluation was assessed preoperatively, as well as at 3 and 12 months after surgery and at final follow-up of 48 months, using the American Orthopaedic Foot and Ankle Society (AOFAS) hallux grading system. Patient satisfaction and complications were recorded. Computer-assisted measurement of antero-posterior radiographs was taken preoperatively, as well as at 3 and 12 months after surgery and at 48-month follow-up, analysing the intermetatarsal angle (IMA), the hallux valgus angle (HVA), the distal metatarsal articular angle (DMAA) and the tibial sesamoid position. Also, the bridging bone/callus formation was evaluated at the different radiographic follow-ups, while the articular surface congruency and the metatarsal index were calculated only preoperatively and at the last follow-up. Patient satisfaction was assessed using the visual analogue score (VAS). Statistical analysis was carried out using the paired t test. Statistical significance was set at p < 0.05.ResultsThe mean AOFAS score was 87.15 points at the final follow-up of 48 months, and the VAS score was 8.35/10. The post-operative radiographic assessments showed a statistically significant improvement compared with preoperative values. The mean corrections of each angular value at the last follow-up were as follows: IMA 3.90°, HVA 12.50°, DMAA 4.72° and a tibial sesamoid position of 1.10. The articular surface was congruent in 77 (96.25%) cases and incongruent only in 3 (3.75%). The complete healing of the osteotomies was achieved in all series at 3-month follow-up. However, the results obtained in the correction of the severe HV deformities were less encouraging.ConclusionsMinimally invasive surgery with Reverdin-Isham and Akin percutaneous osteotomy, in combination with previous exostosectomy and subsequent lateral soft-tissue release, is a safe, effective and reliable procedure for correction of mild-to-moderate HV. However, it requires a long learning curve because of the inherent difficulty of the mixed different surgical procedures.Trial registrationClinicalTrials.gov PRS Protocol Registration and Results System: NCT02886221

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Proximal opening-wedge osteotomy of the first metatarsal for moderate and severe hallux valgus using low profile plates

Cited by 16 publications

References 20 publications

Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity – A prospective comparative study

Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity – A prospective comparative study

High Rate of Recurrence Following Proximal Medial Opening Wedge Osteotomy for Correction of Moderate Hallux Valgus

Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and Akin percutaneous osteotomies: a longitudinal prospective study with a 48-month follow-up

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