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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2021, Number 4

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Acta Ortop Mex 2021; 35 (4)

Hallux valgus mild and moderate; treatment by minimally invasive surgery and its follow-up to 2 years

King-Martínez A, Estevez-Jaramillo M, King-Hayata M, Martínez-de AM, Cuellar-Avaroma A

Language: Spanish
References: 17
Page: 305-310
PDF size: 211.82 Kb.


ABSTRACT

Introduction: The hallux valgus is a very frequent and complex orthopedic pathology. It involves the bone and soft tissue structures of the first toe. There are multiple techniques described for the alignment of the first toe. All technics aim to restore the normal angulation of the toe while using a stable osteotomy through a painless surgical procedure. The minimal invasive techniques have been growing in acceptance since the year 2000, as a viable surgical alternative to treat this pathology. Material and methods: We included patients with a diagnostic of mild or moderate hallux valgus on whom a minimal invasive procedure was performed to correct the deformity of the first toe. We performed a distal Reverdin/Isham osteotomy on the first metatarsal and an akin osteotomy in the proximal phalanx, a lateral capsular release and a abductor tenotomy. These patients were followed for 24 months after their surgery. Results: Our patients had an adequate correction angular correction, for a distal osteotomy. They had a good pain control, with an adequate mobility in the postoperative period. The patients presented an adequate personal satisfaction, 87% of them had good results. We found an important and statistically significant improvement in the Kitaoka scale. Conclusion: The minimal invasive technics for the correction of mild or moderated hallux valgus are a good alternative. Our patients are satisfied with the functional, and cosmetic results.


REFERENCES

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EVIDENCE LEVEL

IV




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