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Background: Hallux valgus (lateral angulation of the great toe towards the lesser toes, commonly known as bunions) presents in 23% to 35% of the population. This condition leads to poor balance and increases the risk of falling, adding to the difficulty in fitting into shoes and pain. Conservative (non-surgical) interventions treating pain rather than curing deformity are usually first-line treatments.

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Bernese Periacetabular Osteotomy: A Comparative Study of Four Types of Incisions.

J Am Acad Orthop Surg Glob Res Rev

December 2022

From Clínica MEDS (Dr. Lara and Dr. del Río), Instituto Traumatológico (Dr. Garín), Hospital Clínico Mutual de Seguridad CChC (Dr. Cancino and Dr. del Río), Hospital Padre Hurtado (Dr. Neumann and Dr. Villegas), Clínica Alemana de Santiago (Dr. Herrera, Dr. Neumann and Dr. Besomi), Clínica RedSalud Providencia (Dr. Tobar and Dr. Villegas), Hospital Clínico San Borja Arriarán (Dr. Herrera and Dr. Besomi), Clínica RedSalud Santiago (Dr. Garín), Santiago, Chile; and Hospital DIPRECA, Las Condes, Chile (Dr. Abara).

Bernese periacetabular osteotomy has diverse complications associated with incisions, such as dehiscence, hypertrophy, depression, and hyperpigmentation on scars, which affect patient satisfaction. The objective was to evaluate aesthetics and satisfaction outcomes in four different incisions. We evaluated 176 incisions in 148 patients.

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Introduction: Surgery of the midface for non-syndromic patients with maxillo-malar hypoplasia exclusively has had many breakthroughs lately. The surgical techniques for midface surgery are varied and must be selected according to the patient's problem.

Purpose: The technique is a modification of the Z Osteotomy, the Modified Anterior Z Le Fort III Osteotomy (MAZLFIIIO), is used to correct posteroanterior midface deficiency of 6 mm at most.

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A novel biplanar medial opening-wedge high tibial osteotomy: the Z-shaped technique. A case series at 7.2 years follow-up.

J Orthop Traumatol

December 2021

Department of Life, Health and Environmental Sciences, Unit of Orthopaedics and Traumatology, University of L'Aquila, Piazzale Salvatore Tommasi 1, Blocco 11, 67100, L'Aquila (AQ), Italy.

Article Synopsis
  • The study introduces a new modified biplanar medial opening-wedge high tibial osteotomy (HTO) technique performed in a Z-shaped pattern, aimed at treating medial knee osteoarthritis and varus malalignment.
  • In a case series of 75 patients followed for an average of 7.2 years, the procedure demonstrated a high survival rate of 95% with no major complications and marked improvement in clinical outcomes and patient satisfaction.
  • Radiological assessments revealed significant changes in knee alignment metrics, indicating effective correction, while the mean healing time for the bone was approximately 12 weeks.
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