dc.contributor |
Universitat de Barcelona |
dc.contributor.author |
Biz, Carlo |
dc.contributor.author |
Fosser, Michele |
dc.contributor.author |
Dalmau-Pastor, Miki |
dc.contributor.author |
Corradin, Marco |
dc.contributor.author |
Grazia Rodà, Maria |
dc.contributor.author |
Aldegheri, Roberto |
dc.contributor.author |
Ruggieri, Pietro |
dc.date |
2017-03-10T15:22:45Z |
dc.date |
2017-03-10T15:22:45Z |
dc.date |
2016-12-05 |
dc.date |
2017-03-10T15:22:45Z |
dc.identifier.citation |
1749-799X |
dc.identifier.citation |
668143 |
dc.identifier.uri |
http://hdl.handle.net/2445/108262 |
dc.format |
13 p. |
dc.format |
application/pdf |
dc.language.iso |
eng |
dc.publisher |
BioMed Central |
dc.relation |
Reproducció del document publicat a: https://doi.org/10.1186/s13018-016-0491-x |
dc.relation |
Journal Of Orthopaedic Surgery And Research, 2016, vol. 11, num. 157, p. 1-13 |
dc.relation |
https://doi.org/10.1186/s13018-016-0491-x |
dc.rights |
cc-by (c) Biz, Carlo et al., 2016 |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.rights |
http://creativecommons.org/licenses/by/3.0/es |
dc.subject |
Cirurgia ortopèdica |
dc.subject |
Podologia |
dc.subject |
Radiologia mèdica |
dc.subject |
Malformacions del peu |
dc.subject |
Osteotomia |
dc.subject |
Orthopedic surgery |
dc.subject |
Podiatry |
dc.subject |
Medical radiology |
dc.subject |
Foot abnormalities |
dc.subject |
Osteotomy |
dc.title |
Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and Akin percutaneous osteotomies: a longitudinal prospective study with a 48-month follow-up |
dc.type |
info:eu-repo/semantics/article |
dc.type |
info:eu-repo/semantics/publishedVersion |
dc.description.abstract |
Background: Minimally invasive surgery (MIS) represents one of the most innovative surgical treatments of hallux valgus (HV). However, long-term outcomes still remain a matter of discussion within the orthopaedic community. The purpose of this longitudinal prospective study was to evaluate radiographic and functional outcomes in patients with mild-to-severe HV who underwent Reverdin-Isham and Akin percutaneous osteotomy, following exostosectomy and lateral release. Methods: Eighty patients with mild-to-severe symptomatic HV were treated by MIS. Clinical evaluation was assessed preoperatively, as well as at 3 and 12 months after surgery and at final follow-up of 48 months, using the American Orthopaedic Foot and Ankle Society (AOFAS) hallux grading system. Patient satisfaction and complications were recorded. Computer-assisted measurement of antero-poster ior radiographs was taken preoperatively, as well as at 3 and 12 months after surgery and at 48-month follow-up, a nalysing the intermetatarsal angle (IMA), the hallux valgus angle (HVA), the distal metatarsal articular angle (DMAA) and the tibial sesamoid position. Also, the bridging bone/callus formation was evaluated at the different radiographic follow-ups, while the articular surface congruency and the metatarsal index were calculated only preoperatively and at the last follow-up. Patient satisfaction was assessed using the visual analogue score (VAS). Statistical analysis was carried out using the paired t test. Statistical significance was set at p< 0.05. Results: The mean AOFAS score was 87.15 points at the final follow-up of 48 months, and the VAS score was 8.35/10. The post-operative radiographic assessments showed a statist ically significant improvement compared with preoperative values. The mean corrections of each angular value at the last follow-up were as follows: IMA 3.90°, HVA 12.50°, DMAA 4.72° and a tibial sesamoid position of 1.10. The articular surface was congruent in 77 (96.25%) cases and incongruent only in 3 (3.75%). The complete healing of the osteotomies was achieved in all series at 3-month follow-up. However, the results obtained in the correction of the severe HV deformities were less encouraging. Conclusions: Minimally invasive surgery with Reverdin-Isham and Akin percutaneous osteotomy, in combination with previous exostosectomy and subsequent lateral soft-tissue release, is a safe, effective and reliable procedure for correction of mild-to-moderate HV. However, it requires a long learning curve because of the inherent difficulty of the mixed different surgical procedures. |