Risk of Damaging Anatomical Structures During Minimally Invasive Hallux Valgus Correction (Bösch Technique): An Anatomical Study

Kaipel, Martin; Reissig, Lukas F.; Albrecht, Lukas; Quadlbauer, S.; Klikovics, Joachim; Weninger, Wolfgang J.

doi:10.1177/1071100718786883

Cited by 15 publications

(11 citation statements)

References 11 publications

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“…Recently, 3 systematic reviews concluded that MIS is safe and reliable for hallux valgus surgery. 4,9,31 Four cadaveric studies deemed percutaneous forefoot surgery a safe technique when it is performed by experienced surgeons, 13,21,43,48 which agrees with clinical studies.…”

supporting

confidence: 70%

“…3,4,7,18,31,38 This especially is a concern when these procedures are performed by unexperienced surgeons. 21,44…”

Section: Discussionmentioning

confidence: 99%

“…3,4,7,18,31,38 This especially is a concern when these procedures are performed by unexperienced surgeons. 21,44 The DMDN and dorsomedial digital nerve (DLDN) 13,48 are at risk during percutaneous forefoot surgery. Although nerve injury may not produce representative symptoms, neuroma generation may have a higher impact on patient satisfaction and may require revision procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the distance between P2 (portal for osteosynthesis) and the DMDN showed the lowest average distance, 4.1 mm. Recently, in a cadaveric study that was divided into 2 surgical groups (experienced surgeons and untrained residents at 10% to 40%, respectively), Kaipel et al 21 found a 20% instance of traumatic nerve lesions when performing a percutaneous Bosch osteotomy; this seems to be considerably higher than that of open surgeries and PeICO. However, the authors did not relate this complication to the location of the K-wire.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Percutaneous, Intra-articular, Chevron Osteotomy (PeICO) for the Treatment of Hallux Valgus: A Cadaveric Study

Vecchio

Ghioldi

Uzair³

et al. 2019

Foot Ankle Int.

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Background: Percutaneous surgery is experiencing sustained growth based on third-generation techniques. This cadaveric study was designed with the main goal of exploring the risk of iatrogenic tendon and neurovascular lesions and defining the safe zones in a percutaneous, intra-articular, chevron osteotomy (PeICO) procedure, as well as assessing the accuracy of the osteotomy itself. Methods: Eight feet from below-knee fresh-frozen specimens were selected. After the procedure, the specimens were dissected, and structures were inspected for damage. Results: The results of the safety measurements were as follows: (1) distance between portal 1 (P1) and the lateral border of the extensor hallucis longus (EHL) tendon: average 17.6 mm (range 12.7-21.3); (2) distance between P1 and the dorsomedial digital nerve (DMDN): average 7.2 mm (range 1.6-10.4); (3) distance between P1 and the metatarsophalangeal joint: average 15.7 mm (range 9.4-20.5); distance between portal 2 (P2), or the osteosynthesis portal, and the metatarsophalangeal joint: average 25.5 mm (range 22-30.4); distance between P2 and the lateral border of the EHL tendon: average 12.7 mm (range 8-16.7); and distance between P2 and the DMDN: average 4.1 mm (range 1.7-8.2). There were no iatrogenic injuries. The osteotomy angulation in the sagittal plane (reproducibility) average was 85.6 degrees. Conclusion: There were no iatrogenic injuries on this cadaveric study of PeICO. Clinical Relevance: This study will help orthopedic surgeons understand the risks of performing percutaneous surgery by mimicking an accepted open technique (chevron).

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supporting

confidence: 70%

“…3,4,7,18,31,38 This especially is a concern when these procedures are performed by unexperienced surgeons. 21,44…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous, Intra-articular, Chevron Osteotomy (PeICO) for the Treatment of Hallux Valgus: A Cadaveric Study

Vecchio

Ghioldi

Uzair³

et al. 2019

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

“…Some of them may be related to studies that have measured the distance between minimally invasive surgery (MIS) portals and anatomical structures. 2,4,5,9 Thus, surgeons can more accurately assess the risk of injury, especially in small neurologic structures.…”

mentioning

confidence: 99%

Letter Regarding: Minimally Invasive Dorsal Cheilectomy of the First Metatarsal: A Cadaveric Study / Clinical Outcomes Following Minimally Invasive Dorsal Cheilectomy for Hallux Rigidus

Vecchio¹,

Laffenêtre²,

Dealbera³

et al. 2019

Foot Ankle Int.

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Bösch osteotomy for hallux valgus correction: results at a mean 10-year follow-up

Bernasconi

Rizzo

Izzo

et al. 2021

Arch Orthop Trauma Surg

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Risk of Damaging Anatomical Structures During Minimally Invasive Hallux Valgus Correction (Bösch Technique): An Anatomical Study

Cited by 15 publications

References 11 publications

Percutaneous, Intra-articular, Chevron Osteotomy (PeICO) for the Treatment of Hallux Valgus: A Cadaveric Study

Percutaneous, Intra-articular, Chevron Osteotomy (PeICO) for the Treatment of Hallux Valgus: A Cadaveric Study

Letter Regarding: Minimally Invasive Dorsal Cheilectomy of the First Metatarsal: A Cadaveric Study / Clinical Outcomes Following Minimally Invasive Dorsal Cheilectomy for Hallux Rigidus

Bösch osteotomy for hallux valgus correction: results at a mean 10-year follow-up

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