Corrección del hallux valgus mediante técnica percutánea

Alberto Cuéllar Avaroma; Moisés King Hayata; María Cristina Martínez de Anda; Ana Cristina King Martínez; Florencio de la Concha Bermejillo; Alejandra Estévez Jaramillo; Moisés King Martínez

2011, Number 2

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Med Sur 2011; 18 (2)

***Corrección del hallux valgus mediante técnica percutánea***

Cuéllar AA, King HM, Martínez AMC, King MAC, de la Concha BF, Estévez JA, King MM

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Language: Spanish
References: 35
Page: 40-45
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ABSTRACT

Introduction. The hallux valgus is a complex deformity of the first finger of the foot that affects both the soft and bony structures. There have been multiple surgical techniques to correct this deformity. The minimal invasive surgery (MIS) have grown in popularity since the early 2000‘s for the correction of the hallux valgus. Materials and methods. In this article we describe a series of 37 feet to which a minimal invasive surgery was performed to correct the hallux valgus deformity. Results. In the series we found 88% of the patients satisfied, and with an angular correction of the deformity, which was statistically significant, after a year follow-up. There was an important decrease in pain after the MIS procedure. We found an 18% of minor complications due to the surgical technique. Conclusions. The MIS for the correction of the forefoot deformity is a very useful tool in the hands of a trained physician.

REFERENCES

Reverdin J. De la deviation en dehors du gros orteil et de son traitement chirurgical. Trans Internat Med Congress 1881; 2: 508-12.
Weber BG, Cech O. Pseudoartrosis. Editorial Científica Médica; 1986, 13-14.
Mann RA, Donatto KC. The chevron osteotomy: A clinical and radiographic analysis. J Foot Ankle Surg; 18(5): 255-61.
Mitchell L, Baxter DE. A chevron-akin double osteotomy for correction of hallux valgus. J Foot Ankle Surg; 12(1): 7-14.
Frey C, Jahss M, Kummer FJ. The Akin procedure: An analysis of results. J Foot Ankle Surg 1991; 12(1): 1-6.
Wanivenhaus A, Brettschneider W. Influence of metatarsal head displacement on metatarsal pressure distribution after hallux valgus surgery. J Foot Ankle Surg 1993; 14(2): 85-9.
Isham SA. The Reverdin-Isham procedure for the correction of hallux abducto valgus. A distal metatarsal osteotomy procedure. Clin Podiatr Med Surg 1991: 8(1): 81-94.
De Prado M, Golano P, Ripoli L. Cirugía percutanea del pie. Barcelona: Ed Masson; 2003, p. 57-94.
Likert R. A technique for the measurement of attitudes. Arch Psychol 1932; 140.
Hattrup SJ, Johnson KA. Chevron osteotomy: Analysis of factors in patients’ dissatisfaction. J Foot Ankle Surg 1985; 5(6): 327-32.
Tollison ME, Baxter DE. Combination chevron plus akin osteotomy for hallux valgus: Should age be a limiting factor? J Foot Ankle Surg 1997; 18(8): 477-81.
Easley ME, Kiebzak GM, et al. Prospective, randomized comparison of proximal crescentic and proximal chevron osteotomy for correction of hallux valgus deformity. Foot Ankle Int 1996; 17(6): 307-16.
Pelet D. Osteotomy and fixation for hallux valgus. Clin Orthop 1981; 157: 42-6.
Austin DW, Leventen EO. A new osteotomy for hallux valgus a horizontally directed “V” displacement osteotomy of the metatarsal head for hallux valgus and primus varus. Clin Orthop 1981; 157: 25-30.
De Prado M, Ripoll PL, Vaquero J, Golanó P. Tratamiento quirúrgico pecutáneo del hallux valgus mediante osteotomías múltiples. Rev Ortoped Traumatol 2003; 47(6): 406-16.
Donnelly R, Charles C, Saltzman L, Kile TA, Johnson K. Modified chevron osteotomy for hallux valgus. Foot Ankle Int 1994; 15(12): 642-5.
Klosok JK, Pring DJ, Jesop JH, Maffulli N. Chevron or Wilson metatarsal osteotomy for hallux valgus: A prospective randomized trial. J Bone Joint Surg Br 1993; 75(5): 825-9.
Crosby LA, Bozarth GR. Fixation comparision for chevron osteotomies. Foot Ankle Int 1998; 19(1): 41-3.
Wu KK. Modified Mitchell´s buinionectomy (Wu´s bunionectomy). Orthopedics 1997; 20(3): 253-7.
Kitaoka HB, Patzer GL. Salvage treatment of failed hallux valgus operations with proximal first metatarsal osteotomy and distal soft-tissue reconstruction. Foot Ankle Int 1998; 19(3): 127-31.
Trnka HJ, Zembsch A, et al. Modified Austin procedure for corrections of hallux valgus. Foot Ankle Int 1997; 18(3): 119-27.
Blum JL. The modified Mitchell osteotomy-buniectomy indications and technical considerations. Foot Ankle Int 1994; 15(3): 103-6.
Shereff MJ, Yang QM, et al. Extraosseus and intraosseus arterial supply to the first metatarsal and metatarsophalangeal joint. Foot and Ankle 1987; 8(2): 81-93.
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, Pezze L, Rossi N, et al. Percutaneous distal metatarsal osteotomy for correction of hallux valgus. J Bone Joint Surg Am 2005; 87(6): 1191-9.
Maffulli N, Oliva F, Coppola C, et al. Minimally invasive hallux valgus correction: a technical note and a feasibility study. J Surg Orthop Adv 2005; 14: 193-8.
Magnan B, Bortolazzi R, Samaila E, et al. Percutaneous distal metatarsal osteotomy for correction of hallux valgus. Surgical technique J Bone Joint Surg Am 2006; 88(Suppl. 1): 135-48.
Schneider W, Aigner N, Pinggera O, et al. Chevron osteotomy in hallux valgus: ten-year results of 112 cases. J Bone Joint Surg Br 2004; 86: 1016-20.
Strientra JJ, Lee JA, Nakadate DT. Large displacement distal chevron osteotomy for correction of hallux valgus deformity. J Foot Ankle Surg 2002; 41: 213-20.
Trnka HJ, Zembsch A, Easley ME, et al. The chevron osteotomy for corrections of hallux valgus. Camparison of findings after two and five years of follow-up. J Bone Joint Sur Am 2000; 82: 1373-8.
Kuo CH, Huang OJ, Cheng YM, et al. Modified Mitchell osteotomy for hallux valgus. Foot Ankle Int 1998; 19: 585-9.
Teli M, Grassi FA, Montoli C, et al. The Mitchell bunionectomy: a prospective study of 60 consecutive cases utilizing single Kwire fixation. J Foot Ankle Surg 2001; 40: 144-151.
Bauer T, De Lavigne C, Biau D, De Prado M, et al. Percutaneous hallux valgus surgery: A prospective multicenter study of 189 cases. Orthop Clin N Am 2009; 40: 505-14.
Chou LB, Mann RA, Casillas MM. Biplanar chevron osteotomy. Foot Ankle Int 1998; 19: 579-84.
Coughlin MJ, Carlson RE. Treatment of hallux valgus with increased distal metatarsal articular angle: evaluation of double and triple first ray osteotomies. Foot Ankle Int 1999; 20: 762-70.