Percutaneous forefoot surgery for treatment of hallux valgus deformity: an intermediate prospective study.

Musculoskelet Surg

Orthopaedic and Traumatology Unit, Hospital Mancha-Centro, Avenida de la Constitución s/n, Alcázar de San Juan, CP: 13600, Ciudad Real, Spain.

Published: August 2017

Background: This study aims to illustrate the results of percutaneous forefoot surgery (PFS) for correction of hallux valgus.

Materials And Methods: A prospective study of 108 patients, with hallux valgus deformity, who underwent PFS was conducted. The minimum clinical and radiological follow-up was two years (mean 57.3 months, range 22-112).

Results: Preoperative mean visual analog scale was 6.3 ± 1.5 points, and AOFAS scores were 50.6 ± 11 points. At the last follow-up, both scores improved to 1.9 ± 2.4 points and 85.9 ± 1.83 points, respectively. Mean hallux valgus angle changed from 34.3° ± 9.3° preoperatively to 22.5° ± 11.1° at follow-up. At follow-up, 76.5% of the subjects were satisfied or very satisfied. Recurrence of medial 1st MT head pain happened in 22 cases (16.7%).

Conclusions: PFS, in our study, does not improve the radiological and patient satisfaction rate results compared with conventional procedures. The main advantage is a low postoperative pain level, but with an insufficient HVA correction.

Level Of Evidence: II, prospective study.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12306-017-0464-1DOI Listing

Publication Analysis

Top Keywords

hallux valgus
12
prospective study
12
percutaneous forefoot
8
forefoot surgery
8
valgus deformity
8
study
5
surgery treatment
4
hallux
4
treatment hallux
4
deformity intermediate
4

Similar Publications

Background: Scarf osteotomy is a well-established procedure for hallux valgus, yet recurrence rates range from 3.6% to 10%. Pes planus, which often coexisting with hallux valgus, is a risk factor for recurrence.

View Article and Find Full Text PDF

Background: This study aimed to investigate the safety and reliability of using bioabsorbable screws for the fixation of chevron osteotomy in the treatment of hallux valgus (HV) deformity.

Methods: Clinical cases of chevron osteotomy in the treatment of HV deformities in our hospital between December 2018 and August 2022 were retrospectively summarised to compare preoperative imaging indices with those at the final follow-up session, including the hallux valgus angle (HVA), intermetatarsal angle (IMA) and tibial sesamoid position (TSP). The American Orthopaedic Foot and Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal scale, short-form health survey questionnaire (SF-36) and European Foot and Ankle Society (EFAS) scale were used to assess therapeutic efficacy.

View Article and Find Full Text PDF

Researchers have modified PLA materials to enhance their mechanical properties and meet the clinical requirements. However, the strength and stiffness of PLA are still significantly lower than those of metals. Building on the established chevron clinical procedure and considering the mechanical characteristics of PLA screws, we devised a modified chevron osteotomy (MCO) based on a load-reducing structure with the aim of reducing the load on the screws.

View Article and Find Full Text PDF

An alternative fixation for all mild and moderate hallux valgus cases enabling intraoperative readjustment.

J Orthop Surg Res

January 2025

Department of Orthopaedics and Traumatology, Adana City Training and Research Hospital, University of Health Sciences, Adana, Turkey.

Background: The development of a cost-effective and easily applicable fixation method to address all components of hallux valgus (HV) surgery is of great importance to the field. This study aims to assess the clinical efficacy of an  alternative fixation method that combines the advantages aspects of commonly used distal osteotomy techniques and evaluate its level of applicability in the treatment of mild and moderate HV cases.

Methods: The retrospectively designed study was conducted at Adana City Training and Research Hospital, Adana, Türkiye.

View Article and Find Full Text PDF

Joint replacement for rheumatoid arthritis: When, why, and how! Insights from an orthopedic surgeon.

Best Pract Res Clin Rheumatol

January 2025

Department of Arthritis Clinic and Research Center, Peking University People's Hospital, Beijing, 100044, China. Electronic address:

The past several decades have seen significant advancements in joint replacement surgery for rheumatoid arthritis (RA). Joint replacement procedures have become vital options for patients with severe joint damage and functional impairment. There has been an increased emphasis on personalized surgical strategies that tailor joint replacement decisions based on a patient's unique clinical characteristics and the extent of joint damage.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!