medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2017, Number 3

<< Back Next >>

Acta Ortop Mex 2017; 31 (3)

A cadaveric study of a new capsulorrhaphy for the surgical treatment of hallux valgus

Orozco-Villaseñor SL, Monzó-Planella M, Martín-Oliva X, Vázquez-Escamilla J, Mayagoitia-Vázquez JJ, Frías-Chimal JE

Language: Spanish
References: 19
Page: 118-122
PDF size: 276.33 Kb.


ABSTRACT

Background: There are many surgical options for the treatment of hallux valgus in combination with capsular repairs for the correction of hallux valgus. Material and methods: This report corresponds to a descriptive study where a new capsulorrhaphy technique in hallux valgus is proposed. Six dissections were performed on cadavers with hallux valgus deformity using the following surgical technique: medial approach on the first toe longitudinally, dissecting by planes and locating the metatarsophalangeal joint capsule; it was incised longitudinally. The capsule was separated and an exostectomy of the first metatarsal head was done, the edges were regularized and a release of the abductor hallucis was performed. Later, the capsular remnant was resected and repaired. Results: Six cadaveric feet with hallux valgus were studied, five with mild deformity, one with moderate deformity, one foot with the 2nd finger on supraductus. Discussion: Many capsular repairs have been reported in the literature, including «L», triangular, «V-Y», rectangular, with satisfactory results, along with osteotomy of the first metatarsal. In this report, a new capsular repair was described. Conclusion: Applying this new capsular repair, we reduced the metatarsophalangeal and intermetatarsal angles and achieved a capsular closure with suitable tension; the metatarsophalangeal joint mobility was preserved.


REFERENCES

  1. Bai LB, Lee KB, Seo CY, Song EK, Yoon TR: Distal chevron osteotomy with distal soft tissue procedure for moderate to severe hallux valgus deformity. Foot Ankle Int. 2010; 31(8): 683-8.

  2. Öznur A, Kayikcioglu A: Technique tip: Z-plasty of medial capsule in hallux valgus surgery. Foot Ankle Int. 2002; 23(10): 949-51.

  3. Easley ME1, Trnka HJ: Current concepts review: hallux valgus part II: operative treatment. Foot Ankle Int. 2007; 28(6): 748-58.

  4. Ozkurt B, Aktekin CN, Altay M, Belhan O, Tabak Y: Range of motion of the first metatarsophalangeal joint after chevron procedure reinforced by a modified capsuloperiosteal flap. Foot Ankle Int. 2008; 29(9): 903-9.

  5. Nyska M, Howard CB, Eliashuv CO, Matan Y: Capsuloplasty in hallux valgus surgery. Foot Ankle Int. 2000; 21(7): 594-5.

  6. Borrelli AH, Schilling RA: The brevis buttress effect in hallux valgus surgery. J Foot Ankle Surg. 2005; 44(3): 246-8.

  7. Carranza-Bencano A, Maceira-Suárez E, Viladot-Pericé R, De Prado-Serrano M: Estado actual en la cirugía del hallux valgus. Madrid: Cursos de Actualización SECOT. 37 Congreso Nacional SECOT; 2000.

  8. Núñez-Samper M, Alcázar LF: Biomecánica, medicina y cirugía del pie. Madrid: Elsevier España; 2007.

  9. Viladot A, Viladot R: 20 lecciones sobre patología del pie (Cap. 19). Barcelona: Ed. Mayo; 2009: 105-8.

  10. Vázquez-Bayod R, Gómez-García EE, Sánchez-Cortez R: Cirugía ambulatoria bajo anestesia intraarticular en el manejo del hallux valgus: informe de 54 pacientes. Rev Mex Ortop Traumatol. 2001; 15(4): 133-9.

  11. Hetherington VJ: Austin procedures and modified Austin procedures. Hallux valgus and forefoot surgery. New York: Churcill Livingstone; 1994: 169-82.

  12. Izquierdo JO, Cases JO: Podología quirúrgica. España: Elsevier; 2006.

  13. Lelièvre J: Patología del pie. Barcelona: Toray-Masson; 1970.

  14. Kelikian H: Hallux valgus, allied deformities of the forefoot and metatarsalgia. Philadelphia: Saunders; 1965.

  15. Canale TS: Campbell cirugía ortopédica. 9.ª edición. Madrid: Harcourt; 1998.

  16. Gould JS, Ali S, Fowler R, Fleisig GS: Anchor enhanced capsulorraphy in bunionectomies using an L-shaped capsulotomy. Foot Ankle Int. 2003; 24(1): 61-6.

  17. Chang TJ: Técnicas en cirugía ortopédica: pie y tobillo. Madrid: Marbán; 2006.

  18. Ascacio-Solís DM, Cassis N: Resultados de la técnica de McBride en hallux valgus juvenil. Correlación clínica y radiográfica. Rev Mex Ortop Ped. 2005; 7(1): 19-23.

  19. Jones DH: Modern concepts in the treatment of hallux valgus. J Bone Joint Surg Br. 2006; 88(2): 276.




2020     |     www.medigraphic.com