The Reverdin-Isham Procedure for the Correction of Hallux valgus

Isham, Stephen A.; Nunez, Orlando E.

doi:10.1007/978-1-84996-417-3_7

Cited by 6 publications

(12 citation statements)

References 4 publications

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“…In symptomatic cases, surgical treatment is recommended, aiming to correct the alignment of the first radius. Recent studies have demonstrated that minimally invasive techniques present similar results to open surgery techniques, with less aggression to soft tissues (1)(2)(3) . The Reverdin-Isham (RI) percutaneous surgical technique for correcting the hallux valgus deformity was developed by Stephen Isham (3) , modifying the osteotomy performed in the first metatarsal (M1) proposed by Louis Reverdin (4) .…”

Section: Introductionmentioning

confidence: 99%

“…Recent studies have demonstrated that minimally invasive techniques present similar results to open surgery techniques, with less aggression to soft tissues (1)(2)(3) . The Reverdin-Isham (RI) percutaneous surgical technique for correcting the hallux valgus deformity was developed by Stephen Isham (3) , modifying the osteotomy performed in the first metatarsal (M1) proposed by Louis Reverdin (4) . The RI technique is performed through incisions of less than a centimeter (5) , following a series of surgical gestures for correcting the deformities: exostectomy, M1 osteotomy, lateral capsulotomy, adductor tenotomy, and wedge osteotomy of the base of the proximal phalanx (Akin osteotomy).…”

Section: Introductionmentioning

confidence: 99%

“…By analyzing these cases, we decided to change the way the M1 osteotomy was performed (6) , seeking better stability. Other instances of the original technique were maintained as proposed by Isham (3) .…”

Section: Introductionmentioning

confidence: 99%

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Surgical treatment of hallux valgus using a modified Reverdin-Isham technique

et al. 2021

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Objective: To evaluate the postoperative results of patients who underwent surgical treatment of hallux valgus with a modified Reverdin-Isham (RI) technique and to compare the achieved correction with that reported by studies using the original technique. Methods: This is a retrospective study with patients with mild to moderate hallux valgus who underwent surgery from June 2010 to July 2019. All patients were operated using the modified RI technique. Data were collected through the American Orthopaedic Foot and Ankle Society (AOFAS) questionnaire, in addition to pre and postoperative radiographic studies of the intermetatarsal angle (IMA), the hallux valgus angle (HVA), and the distal metatarsal articular angle (DMAA). Results: The mean postoperative follow-up was 30.1 months, and the mean age of patients was 56.4 years. The median AOFAS score in the postoperative period was increased by 56 points. The mean HVA was reduced in 16.5°, the mean IMA was reduced in 4.3°, and the mean DMAA was reduced in 10°. There were no cases of displacement or deviation of the first metatarsal head during the postoperative follow-up. Conclusion: The modified RI technique provided considerable stability to the osteotomy, in addition to a significant correction of the measured angles and an improvement in AOFAS scores, demonstrating itself as an effective technique for correcting mild to moderate hallux valgus. Level of Evidence IV, Therapeutic Studies, Case Series.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical treatment of hallux valgus using a modified Reverdin-Isham technique

et al. 2021

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“…Later New and Isham in 1991 [21], proposed a MIS Reverdin-type osteotomy, with resection of a bony wedge at the medial aspect of the head of the first metatarsal combined with an Akin type osteotomy of the proximal phalanx and a percutaneous lateral release. This techniques has been adopted by some members of the European School in the late 1990s, especially by French and Spanish surgeons [23,24].…”

Section: Mis For Forefootmentioning

confidence: 99%

“…The development of MIS of the forefoot has been carried on by two major schools, the North American podiatry school, led by New and Isham [20][21][22], and the European orthopaedic school.…”

Section: Mis For Forefootmentioning

confidence: 99%

Minimally Invasive Surgery of the Forefoot: Current Concept Review

Magnan¹,

Bondi²,

Mezzari³

et al. 2013

IJCM

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A minimally invasive surgical technique (MIS) is any procedure that could be less invasive than open surgery used for the same purpose. Though MIS often involves small incisions or percutaneous approaches, its main goal is to achieve good therapeutic results with the least damage to functional anatomic structures. Minimal invasiveness in orthopaedic forefoot surgery, including first ray and lesser toes, with its growth over the last two decade, showed many advantages and good outcomes with the aim to obtain fewer complications due to a contained approach, shorter surgical time and

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Radiological and functional outcomes of Reverdin Isham osteotomy in moderate Hallux Valgus: a systematic review and meta-analysis

Sanchís-Soria,

Nieto-González,

Nieto-García

et al. 2024

Sci Rep

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This systematic review and meta-analysis addresses the effects of minimally invasive surgical techniques, specifically the Reverdin Isham osteotomy, on functional and radiological outcomes in patients with moderate Hallux Valgus, a common foot deformity. The review included randomized and non-randomized controlled trials, as well as case reports, assessing the osteotomy in adults with moderate to severe Hallux Valgus. Searches were conducted in electronic databases such as MEDLINE and Web of Science up until July 2023, and the Joanna Briggs Institute’s critical appraisal tool was used to assess the risk of bias. Meta-analytical analyses employed a random-effects model with small-sample correction, presenting results as standardized mean differences and mean differences with 95% confidence intervals. Seven studies involving 554 patients and 643 operated feet were included, showing significant improvements in AOFAS scores (an average improvement of 36 points from 28.61 to 45.16) and reductions in radiological angles such as the distal metatarsal angle and hallux valgus angle post-surgery (IMA improved by − 3.07° from − 4.68 to − 1.46, DMAA by − 6.12° from − 9.52 to − 2.71, and HVangle by − 15.27° from − 17.98 to − 12.57). Despite these positive outcomes, most studies exhibited risks of bias and other methodological limitations, impacting the generalizability of the results. Overall, the findings highlight the efficacy of the Reverdin Isham osteotomy in improving both functional and radiological parameters in patients with moderate Hallux Valgus, although further research is warranted to solidify these results. No specific funding was received for this study, and the protocol was registered on PROSPERO with the number CRD-42023445886.

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The Reverdin-Isham Procedure for the Correction of Hallux valgus

Cited by 6 publications

References 4 publications

Surgical treatment of hallux valgus using a modified Reverdin-Isham technique

Surgical treatment of hallux valgus using a modified Reverdin-Isham technique

Minimally Invasive Surgery of the Forefoot: Current Concept Review

Radiological and functional outcomes of Reverdin Isham osteotomy in moderate Hallux Valgus: a systematic review and meta-analysis

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