2010, Number 6
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Acta Ortop Mex 2010; 24 (6)
Percutaneous distal metatarsal osteotomy for the correction of hallux valgus
Valles-Figueroa JFJ, Rodríguez-Reséndiz F, Caleti-del Mazo E, Malacara-Becerra M, Suárez-Ahedo CE
Language: Spanish
References: 18
Page: 385-389
PDF size: 48.80 Kb.
ABSTRACT
Objective: To evaluate the experience acquired in hallux valgus correction with percutaneous distal metatarsal osteotomy.
Material and methods: Retrospective study including patients who underwent percutaneous distal metatarsal osteotomy between May 2005 and May 2007. The age, sex, and number of feet operated on were recorded. The clinical evaluation of results 6 months after surgery using the AOFAS scale, the intermetatarsal angle and the hallux valgus angle were also recorded.
Results: A total of 40 patients were included; 38 females and 2 males; mean age was 49 years (28-73 years). Fifty-eight osteotomies were performed. According to the AOFAS scale, 28 patients (41/58 feet) had no pain. The mean functional capacity score was 41 points, and an excellent alignment was achieved in 74% of cases. The mean intermetatarsal angle was 7.5º. Complications occurred in 2 patients (2 feet).
Conclusions: The appropriate treatment for the correction of hallux valgus consists of minimally invasive procedures, except for the cases in which the metatarsophalangeal joint shows signs of arthrosis.
REFERENCES
Robinson AH, Limbers JP: Modern concepts in the treatment of hallux valgus. J Bone Joint Surg Br 2005; 87: 1038-45.
Waldecker U: Metatarsalgia in hallux valgus deformity: a pedographic analysis. J Foot Ankle Surg 2002; 41: 300-8.
Schuh R, Hofstaetter SG, Adams SB, Pichjer F, Kristen KH, Trnka HJ: Rehabilitation after hallux valgus surgery: Importance of physical therapy to restore weight bearing of the first ray during the stance phase. Phys Ther 2009; 89: 934-45.
Jacob HAC: Forces acting in the forefoot during normal gait: an estimate. Clin Biomech 2001; 16: 783-92.
Portaluri M: Hallux valgus correction by the method of Bösch: A clinical evaluation. Foot Ankle Clin 2000; 5: 499-511.
Magnan B, Pezzé L, Rossi N, Bartolozzi P: Percutaneous distal metatarsal osteotomy for correction of hallux valgus. J Bone Joint Surg 2005; 87: 1191-9.
Sammarco VAJ: Stability and fixation techniques in first metatarsal osteotomies. Foot Ankle Clin 2001; 6: 409-32.
Zembsch A, Trnka HJ, Ritsch P: Correction of hallux valgus. Metatarsal osteotomy versus excision arthroplasty. Clin Orthopaedics Rel Res 2000; 376: 183-94.
Homman G: Symtomatische oder physiologische behandlung des hallux valgus. Munch Med Wschr 1921; 68: 1042-5.
Bösch P, Wanke S, Legenstein R: Hallux valgus correction by the method of Bösch: A new technique with a seven-to-ten year follow-up. Foot Ankle Clin 2000; 5: 485-98.
Magnan B, Samaila E, Viola G, Bartolozzi P: Minimally invasive retrocapital osteotomy of the first metatarsal in hallux valgus deformity. Oper Orthop Traumatol 2008; 20: 89-96.
Migues A, Slullitel G, Vescovo A: Peripheral foot blockade versus popliteal fossa nerve block: A prospective randomized clinical trial in 51 patients. J Foot Ankle Surg 2005; 44: 354-7.
U.S. Health Insurance Portability and Accountability Act (HIPAA). En: http//www.hippa.org/.
Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M: Clinical rating systems for the ankle-hindfoot, midfoot, hallux and lesser toes. Foot Ankle Int 1994; 15: 349-53.
Thrordarsoon D, Ebramzadeh E, Rudicel SA, Baxter A: Age-adjusted baseline data for women with hallux valgus undergoing corrective surgery. J Bone Joint Surg 2005; 87: 66-75.
Mann RA, Rudicel S, Graves SC: Repair of hallux valgus with a distal soft-tissue procedure and proximal metatarsal osteotomy. A long-term follow-up. J Bone Joint Surg Am 1992; 74: 124-9.
González-López JJ, Rodríguez-Rodríguez S, Cadena-Méndez L: Resultado funcional, estético y radiográfico del tratamiento quirúrgico del hallux valgus con cirugía mínima invasiva. Acta Ortop Mex 2004; 18: 185-90.
Barragán-Hervella R, Morales-Flores F, Arratia-Ríos M, Buzo-Garcidueñas A, Nesme-Ávila W, García-Villaseñor A: Resultados clínicos de la cirugía de mínima invasión de hallux valgus. Acta Ortop Mex 2008; 22:150-6.