Foot & ankle specialist · 2017
Percutaneous Hallux Valgus Surgery Without Distal Metatarsal Articular Angle Correction.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Crespo Romero Eusebio, Arcas Ordoño Alvaro, Peñuela Candel Raquel, Gómez Gómez Silvia, Arias Arias Angel, Gálvez González Jaime, Crespo Romero Ricardo
Аннотация
BACKGROUND: Many factors are considered predictors of recurrence after hallux valgus (HV) surgery, including preoperative distal metatarsal articular angle (DMAA). The restoration of the bone and joint alignment would be more important than realigning the cartilaginous surface of the metatarsal head. Therefore, is DMAA correction essential for a good clinical and radiological results after HV surgery? This study aims to illustrate the results of percutaneous forefoot surgery (PFS) for correction of HV deformity without DMAA correction.
MATERIAL AND METHODS: A prospective single-center study of 74 patients (89 feet), with mild-to-moderate hallux valgus deformity, who underwent PFS. The mean latest follow-up was 57.3 months.
RESULTS: Preoperative median visual analog scale was 7 points and AOFAS scores were 52 points. At the mean latest follow up both scores improved to 0 points and 90 points, respectively. Median HV angle and intermetatarsal angle changed from 30° and 12° preoperatively, to 21° and 11° at mean latest follow-up. Overall, 80% of the patients were satisfied or very satisfied. Recurrence of medial first metatarsal head pain occurred in 12 cases (13.5%).
CONCLUSIONS: PFS, without DMAA correction, is a valid procedure for surgical correction in patients with HV, despite the slightly worse radiographic results in our study.
LEVELS OF EVIDENCE: Level II: Prospective study.
MATERIAL AND METHODS: A prospective single-center study of 74 patients (89 feet), with mild-to-moderate hallux valgus deformity, who underwent PFS. The mean latest follow-up was 57.3 months.
RESULTS: Preoperative median visual analog scale was 7 points and AOFAS scores were 52 points. At the mean latest follow up both scores improved to 0 points and 90 points, respectively. Median HV angle and intermetatarsal angle changed from 30° and 12° preoperatively, to 21° and 11° at mean latest follow-up. Overall, 80% of the patients were satisfied or very satisfied. Recurrence of medial first metatarsal head pain occurred in 12 cases (13.5%).
CONCLUSIONS: PFS, without DMAA correction, is a valid procedure for surgical correction in patients with HV, despite the slightly worse radiographic results in our study.
LEVELS OF EVIDENCE: Level II: Prospective study.
Предметные рубрики MeSH
AdultAgedBone MalalignmentCohort StudiesFemaleFollow-Up StudiesHallux ValgusHumansMaleMetatarsal BonesMetatarsophalangeal JointMiddle AgedMinimally Invasive Surgical ProceduresOsteotomyPatient SafetyPatient SatisfactionRadiographyRecurrenceRetrospective StudiesRisk AssessmentSeverity of Illness IndexStatistics, NonparametricTreatment Outcome