Hallux valgus percutaneous surgical technique: A case series
DOI:
https://doi.org/10.1016/S0120-8845(13)70010-5Keywords:
hallux valgus/surgery, metatarsal bones/surgery, osteotomy, surgical proceduresminimally invasive, evidence level: IVAbstract
Introduction: This research study presents the results of implementing a minimally invasive percutaneous technique in the surgical treatment of forefoot disorders.
Materials and methods: The study included 104 patients who met the inclusion criteria of having a bilateral Hallux Valgus procedure, between 1998 and 2010. Each patient had pre- and post-surgical treatment assessment of their quality of life, using the American Orthopedic Foot and Ankle Society (AOFAS) rating scale. Statistical analysis was performed measuring pre- and post-surgical variables by applying univariate analysis and paired multivariate hypothesis testing.
Results: The univariate analysis performed before and after surgery showed a statistically significant difference in the quality of life parameter for the right foot (P=001). Similar results were found for the left foot (P=001). When comparing the before and after surgery variables, the last post-surgery control showed that the surgical procedure had a significantly positive effect on the quality of life of patients.
Discussion: This technique is safe and reliable, and must be performed by qualified personnel that have experience in both traditional and minimally invasive surgery. This allows efficient use of time by experts during the procedure and assures a permanent functional and aesthetic correction, which improves the quality of life and self-esteem of patients.
Downloads
References
Mann RA, DuVries HL. Surgery of the foot. 4. a ed. St. Louis: Mosby; 1978. p. 242-4.
Cintado A, Bernáldez P, Muñoz M, Carrasco J, Fernández G, Prieto A, et al. Cirugía percut ánea del pie: instrument al y técnica quirúrgica del hallux valgus y metatarsalgias. Rev S And Traum y Ort. 2003;23:22-9.
Kelikian H. Hallux valgus, allied deformities of the forefoot and metatarsalgia. Londres: W. B. Saunders; 1965. https://doi.org/10.1097/00000441-196601000-00019
Kelikian AS. Hallux valgus and metatarsus primus varus. En: Kelikian AS. Operative treatment of the foot and ankle. 1. a ed. México: McGraw Hill Interamericana; 1999. p. 59-92.
De Prado M, Ripoll P, Golano P. Cirugía percut ánea del pie. Técnicas quirúrgicas, indicaciones, bases anatómicas. Barcelona: Elsevier Masson; 2009.
Jahss M. Disorders of the foot. FiladelÞ a: W. B. Saunders; 1982.
Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Mayerson MS, Sanders M. Clinical rating systems for hindfoot, midfoot, hallux and lesser toes. Foot Ankle Int. 1997;15:349-53. https://doi.org/10.1177/107110079401500701
Mifsut D, Franco E, Turowicz M, Subias A, Cutillas B. Osteotomía de Weil percutánea en el tratamiento de las metatarsalgias. Correlación clínico-radiológica. Rev Esp Cir Osteoart. 2009;44:30-5.
Bauer T, De Lavigne C, Biau D, De Prado M, Isham S, Laffenétre O. Percut aneous hallux valgus surger y: a prospect ive multicenter study of 189 cases. Orthop Clin Am. 2009;40:505-14. https://doi.org/10.1016/j.ocl.2009.05.002
Weinberger BH, Fulp JM, Falst rom P, Anavian RR, Gore AI, Bazak I. Ret rospect ive evaluat ion of percut aneous bunionect omies and dist al ost eot omies wit hout int ernal Þ xation. A Clin Podiatr Med Surg 1991;44:111-36. https://doi.org/10.1016/S0891-8422(23)00422-6
Carranza B, Maceira S, Viladot P, Serrano M. Estado actual de la cirugía del hallux valgus. Cursos de actualización. Congreso Nacional SECOT. Madrid; 2000.
De Lavigne C, Rasmont Q, Hoang B. Percut aneous double metatarsal osteotomy for correction of severe hallux valgus deformity. Acta Orthop Belgic. 2011;77:516-21.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Colombiana de ortopedia y traumatología
This work is licensed under a Creative Commons Attribution 3.0 Unported License.
