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Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2014, Number S1

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Rev Invest Clin 2014; 66 (S1)

Dynamic plantar pressure distribution after percutaneous hallux valgus correction using the Reverdin-Isham osteotomy

Rodríguez-Reyes G, López-Gavito E, Pérez-Sanpablo AI, Duque-Gastelum CG, Álvarez-Camacho M, Mendoza-Cruz F, Parra-Téllez P, Vázquez-Escamilla J, Quiñones-Urióstegui I

Language: Spanish
References: 20
Page: 79-84
PDF size: 161.08 Kb.


ABSTRACT

Percutaneous surgical techniques are suitable for the correction of the hallux valgus deformity. Satisfactory aesthetic and functional results obtained with the Reverdin- Isham osteotomy have been reported. The aim of this study was to describe dynamic plantar pressure redistribution after the correction of the deformity using this technique. A sample of 20 feet with mild or moderate hallux valgus was conformed and surgically treated using the Reverdin-Isham osteotomy. Clinical, radiological, surface and pressure assessments were performed pre and postoperatively. Postoperative mean (± SD) values of the American Orthopaedic Foot and Ankle Society (AOFAS) score, metatarsophalangeal, first intermetatarsal and proximal articular sect angles were 95.7 (3.3), 15.5° (5.4), 9.5° (1.5) y 5.3° (3.0), respectively. A significant decrease was observed in surface values of both lateral (P = 0.003) and medial (P = 0.001) masks of the forefoot. Mean pressure values of the lateral forefoot region denoted a significant increase (P ‹ 0.001) while the medial forefoot region showed no change (P = 0.137). There is evidence that this particular surgical technique promotes a new plantar pressure pattern in the foot that might significantly favour the increase of the pressure observed under the lesser metatarsal heads and might not induce meaningful changes in the mean pressure registered under the first metatarsal head and hallux.


REFERENCES

  1. Roukis TS. Percutaneous and minimum incision metatarsal osteotomies: a systematic review. J Foot Ankle Surg 2009; 48(3): 380-7.

  2. Kayali C, Ozturk H, Agus H, Altay T, Hancerli O. The effectiveness of distal soft tissue procedures in hallux valgus. J Orthop Traumatol 2008; 9(3): 117-21.

  3. Cancilleri F, Marinozzi A, Martinelli N, Ippolito M, Spiezia F, Ronconi P, et al. Comparison of plantar pressure, clinical, and radiographic changes of the forefoot after biplanar Austin osteotomy and triplanar Boc osteotomy in patients with mild hallux valgus. Foot Ankle INT 2008; 29(8): 817-24.

  4. Isham SA. The Reverdin-Isham procedure for the correction of hallux abducto valgus. A distal metatarsal osteotomy procedure. Clin Podiatr Med Surg 1991; 8(1): 81-94.

  5. Waldecker U. Metatarsalgia in hallux valgus deformity: a pedographic analysis. J Foot Ankle Surg 2002; 41(5): 300-8.

  6. Bryant A, Tinley P, Singer K. Plantar pressure distribution in normal, hallux valgus and hallux limitus feet. The Foot 1999; 9(3): 115-9.

  7. Dhukaram V, Hullin MG, Senthil Kumar C. The Mitchell and Scarf osteotomies for hallux valgus correction: a retrospective, comparative analysis using plantar pressures. J Foot Ankle Surg 2006; 45(6): 400-9.

  8. González J, Rodríguez S, Cadena L. Functional, esthetic and radiographic results of treatment of hallux valgus with minimally invasive surgery. Acta Ortop Mex 2005; 19(Suppl. 1): S42-S46.

  9. Bauer T, de Lavigne C, Biau D, De Prado M, Isham S, Laffenetre O. Percutaneous hallux valgus surgery: a prospective multicenter study of 189 cases. Orthop Clin North Am [Comparative Study Multicenter Study] 2009; 40(4): 505-14, ix.

  10. Bauer T, Biau D, Lortat-Jacob A, Hardy P. Percutaneous hallux valgus correction using the Reverdin-Isham osteotomy. Orthopaedics & traumatology, surgery & research: OTSR 2010; 96(4): 407-16.

  11. Radwan YA, Mansour AM. Percutaneous distal metatarsal osteotomy versus distal chevron osteotomy for correction of mild-to-moderate hallux valgus deformity. Arch Orthop Trauma Surg 2012.

  12. Valles-Figueroa JF, Rodriguez-Resendiz F, Caleti-del Mazo E, Malacara-Becerra M, Suarez-Ahedo CE. Percutaneous distal metatarsal osteotomy for the correction of hallux valgus. Acta Ortop Mex 2010; 24(6): 385-9.

  13. Ray A, Crevoisier X, Assal M. What’s new in forefoot surgery. Revue medicale suisse 2010; 6(276): 2459-62.

  14. Maffulli N, Longo UG, Marinozzi A, Denaro V. Hallux valgus: effectiveness and safety of minimally invasive surgery. A systematic review. British medical bulletin [Review] 2011; 97: 149-67.

  15. Martinez-Nova A, Sanchez-Rodriguez R, Leal-Muro A, Pedrera- Zamorano JD. Dynamic plantar pressure analysis and midterm outcomes in percutaneous correction for mild hallux valgus. J Orthop Res 2011; 29(11): 1700-6.

  16. De Prado M, Ripoll PL, Golanó P. Hallux Valgus. In: Masson, ed. Cirugía Percutánea del Pie. Barcelona: Masson, S.A.; 2003, p. 57-94.

  17. De Prado M, Ripoll PL, Vaquero J, Golanó P. Percutaneous hallux valgus repair by multiple osteotomies. Rev Ortop Traumatol 2003; 47: 406-16.

  18. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle INT 1994; 15(7): 349-53.

  19. Schoenhaus HD, Cohen RS. Etiology of the bunion. J Foot Surg 1992; 31(1): 25-9.

  20. Roy KJ. Force, pressure, and motion measurements in the foot: current concepts. Clin Podiatr Med Surg 1988; 5(3): 491-508.




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