The Minimally Invasive Osteotomy “S.E.R.I.” (Simple, Effective, Rapid, Inexpensive) for Correction of Bunionette Deformity

Giannini, Sandro; Faldini, Cesare; Vannini, Francesca; Digennaro, Vitantonio; Bevoni, Roberto; Luciani, Deianira

doi:10.3113/fai.2008.0282

Cited by 81 publications

(53 citation statements)

References 21 publications

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“…Different types of percutaneous techniques stabilized with a temporary K wire have been described in the literature, but concerns regarding these techniques may exist as the correction is performed blindly and use of a fluoroscope is required [17]. The SERI technique is performed through a 1-cm medial incision that permits direct control of the osteotomy and of the displacement and stabilization and is capable of overcoming the expressed concerns [3,[9][10][11][12]20].…”

Section: Discussionmentioning

confidence: 99%

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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

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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.

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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].…”

Section: Introductionmentioning

confidence: 99%

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

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“…Despite the good results obtained with this technique, considering the need to correct the increased DMAA, several authors have proposed new techniques, such as bi-planar chevron osteotomy or tri-planar distal metatarsal osteotomy with different results [22-24, 26, 33, 36]. A minimally invasive distal metatarsal osteotomy for correction of hallux valgus, whose characteristics have been summarised in the acronym SERI (simple, effective, rapid and inexpensive) [29,50,51,58] has been designed, and we have prospectively followed up for at least five years the first 1,000 consecutive cases treated by this technique to evaluate (1) whether it was effective for the treatment of symptomatic hallux valgus, (2) whether its efficacy was maintained over time, and (3) to evaluate the complication rates related to this technique.…”

Section: Discussionmentioning

confidence: 99%

“…Most surgical techniques are associated with more than 80 % good outcomes, but none is considered as entirely satisfactory or superior to the others [24,36,49]. In 1998, the senior author (SG) designed a minimally invasive technique for hallux valgus correction whose characteristics were summarised in the acronym SERI: simple, effective, rapid and inexpensive [29,50,51]. The SERI technique was not a completely new technique, since it consisted of a linear osteotomy at the metatarsal neck level as described by Hohmann [15], Wilson [41] and Magerl [35].…”

Section: Introductionmentioning

confidence: 99%

A minimally invasive technique for surgical treatment of hallux valgus: simple, effective, rapid, inexpensive (SERI)

Giannini

Faldini

Nanni³

et al. 2013

International Orthopaedics (SICOT)

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Purpose Several bony and soft tissue procedures have been described for the treatment of hallux valgus, and currently mini-invasive surgical techniques are preferred in order to reduce surgical trauma, complications, time of surgery and to allow an earlier recovery. The aim of this study is to analyse a series of 1,000 consecutive cases of hallux valgus, surgically treated by the minimally invasive SERI technique, reporting results at mid-term follow-up. Methods We prospectively studied 641 patients (1,000 feet) with symptomatic hallux valgus surgically treated by SERI osteotomy. Inclusion criteria were: age between 20 and 65 years, reducible mild or moderate hallux valgus, HVA≤40°, IMA≤20°, and arthritis of the first metatarsophalangeal joint up to grade 2 according to the Regnauld classification. Results The American Orthopaedic Foot and Ankle Society (AOFAS) score rose from 46.8±16.7 preoperatively to 89±10.3 at last follow-up. Radiographic control at follow-up showed a complete healing of the osteotomy and remodelling of the metatarsal bone. Low rate of complication has been reported.Conclusions This study demonstrated that the SERI technique is effective in treating mild to moderate hallux valgus in terms of relief from symptoms and functional improvement. This technique allowed correction of the main parameters of the deformity, with durable clinical and radiographic results at a mid-term follow-up.

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“…The S.E.R.I. (simple, effective, rapid, inexpensive) osteotomy 10 was done for correction of bunionette in two cases (10%). Finally, the Kidner technique combined with Strayer procedure was employed to remove the accessory navicular bone and reattach the posterior tibial tendon in one case (5%) ( Table 1).…”

Section: Patient Selectionmentioning

confidence: 99%

Surgical correction of hallux valgus complicated with adult-type pes plano-valgus

Choi¹,

Yoon

Suh

et al. 2017

J Orthop Surg (Hong Kong)

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The Minimally Invasive Osteotomy “S.E.R.I.” (Simple, Effective, Rapid, Inexpensive) for Correction of Bunionette Deformity

Abstract: The minimally invasive osteotomy is an effective and reliable technique for the treatment of painful bunionette, and it achieved more than 90% excellent and good results with reduced surgical time and complications.

Cited by 81 publications

References 21 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

A minimally invasive technique for surgical treatment of hallux valgus: simple, effective, rapid, inexpensive (SERI)

Surgical correction of hallux valgus complicated with adult-type pes plano-valgus

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