Treatment of moderate and severe hallux valgus by performing percutaneous double osteotomy of the first metatarsal bone

Fernández, Rodrigo Díaz

doi:10.1016/j.recote.2014.11.005

Cited by 8 publications

(9 citation statements)

References 20 publications

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“…The mean CMS score was calculated for the 18 studies included in the present systematic review. Most studies had some methodologic limitations with an average CMS score of 43.8 (range 17 to 62; Table 4) (3, [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35].…”

Section: Resultsmentioning

confidence: 99%

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Percutaneous Osteotomies in Hallux Valgus: A Systematic Review

Bia

Guerra-Pinto

Pereira³

et al. 2018

The Journal of Foot and Ankle Surgery

111

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Percutaneous and minimally invasive surgery is one of the greatest advances in the operating field of orthopedic since the late 1990s. The potential advantages include a shorter operative time, quicker recovery, and reduced hospital stay compared with traditional open surgery. However, scientific validation of the safety and efficacy of hallux valgus (HV) percutaneous surgery remains inconclusive. The objective of the present study was to systematically review the published data and clinical evidence for percutaneous HV surgery, evaluate the scientific method of the reports, and clarify the indications, safety, efficacy, and potential risks of these surgical techniques. Two reviewers independently identified the studies using a PubMed search, with the keywords "hallux valgus," "osteotomy," "minimally invasive," and "percutaneous." Quality assessment was performed using the Coleman methodology scale, and each study was assigned a level of evidence and grade of recommendation. Eighteen studies were included and reported a total of 1534 procedures for percutaneous HV surgery on 1397 patients. Of the 18 studies, 14 (77.8%) were level IV, 2 (11.1%) were level III, and 2 (11.1%) were level II. Overall, the average angle correction of the HV deformity improved postoperatively. Regarding the complications, although some investigators revealed no major complications, others described deformity recurrence in 7.8%, stiffness of the first metatarsophalangeal joint in 9.8%, malunion in 4% to 8.7%, and infection rates ranging from 1.9% to 14.3%. The main indication for percutaneous HV surgery is the correction of mild deformities. The complication rate was elevated even in experienced surgeons. In conclusion, future research in percutaneous techniques should include adequately sized randomized control trials, standardization of treatment protocols, and the use of validated tools for the measurement of clinical outcomes.

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Section: Resultsmentioning

confidence: 99%

“…Distal metatarsal osteotomies are indicated, in particular, for correction of mild to moderate HV (36). To correct severe deformities, it is necessary to double the osteotomy (base and distal) and to use hardware to fix the osteotomies, with the resulting risk of recurrence and infection (30).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Osteotomies in Hallux Valgus: A Systematic Review

Bia

Guerra-Pinto

Pereira³

et al. 2018

The Journal of Foot and Ankle Surgery

111

View full text Add to dashboard Cite

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“…Percutaneous distal osteotomy of the first metatarsal when performed as an isolated procedure. The results are not as good if applied for severe hallux valgus [18].…”

Section: Discussionmentioning

confidence: 86%

“…Trnka et al [18] performed chevron osteotomy in sixty-six feet. Forty-three patients (fifty-seven feet) were available for follow-up.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Mild to Moderate Hallux Valgus, Percutaneous Osteotomy versus Distal Chevron Osteotomy

Othman¹,

Hegazy²

2016

OJO

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Objective: The aim of this study was to compare two different surgical techniques for treating mild to moderate cases of hallux valgus. Methods: Forty-one patients (58 feet) with mild to moderate hallux valgus were treated by either percutaneous technique (n = 24) patients (33 feet) or by distal chevron osteotomy (n = 17) (25 feet). Results: In the percutaneous group, after a mean follow up of 49.36 months, the mean correction of hallux valgus angle (HV) was 26.69˚; in the intermetatarsal angle, average correction was 9.45˚. The mean improvement of American Orthopedic Foot and Ankle Score (AOFAS) was 46.45 points. In the chevron osteotomy group, the mean follow up of 51.56 months, the mean correction of hallux valgus angle was 26.78˚; in the intermetatarsal angle, average correction was 9˚. The mean improvement of AOFAS was 44.76 points. Conclusion: Both techniques gave satisfactory results. However, the percutaneous technique is safer than the distal chevron osteotomy.

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“…7 Cerrahi tedavi yöntemlerinin enfeksiyon, cilt problemleri, kaynamama, yanlış kaynama, halluks valgus ve kompleks bölgesel ağrı sendromu gibi olası komplikasyonları nedeni ile konservatif tedavi yöntemleri de tedavi seçenekleri arasında yer almaktadır. [8][9][10][11][12] Silikon seperatör, gece ateli ve tabanlık konservatif tedavi yöntemleri arasındadır. Son yıllarda, dinamik tedavi yöntemleri olarak, aktif ve pasif germe egzersizlerine ek olarak, bantlama teknikleri geliştirilmiştir.…”

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