González UJ, Parals GF, Conesa MX, Novell AJ

Language: Spanish
References: 10
Page: 105-111
PDF size: 124.90 Kb.

ABSTRACT

Introduction: modified chevron osteotomy has been present in numerous articles dealing with the treatment of moderate and severe Hallux valgus. Our experience with percutaneous surgery is presented here.
Objective: show the effectiveness of modified chevron osteotomy with percutaneous surgery in the treatment of moderate and severe Hallux valgus.
Methods: a retrospective study was conducted on 28 patients undergoing moderate and severe Hallux valgus from April to December 2013, with an average age of 59 years. Minimum follow-up period was 1 year of evolution. Hallux valgus angle, intermetatarsal and distal metatarsal joint angle were evaluated and sesamoid position was determined. Chevron osteotomy was fixed with a cannulated double threaded screw also percutaneously.
Results: Hallux valgus angle increased from 34.96 ± 9.8° preoperatively to 12.6° ± 5.2 postoperatively. The intermetatarsal angle of 15.56° ± 3.2 preoperatively decreased to 10.44 ± 3.1° postoperatively. The distal metatarsal articular angle increased from 21.20° ± 6.0 preoperatively to 6.5 ± 9.36° postoperatively.
Conclusions: percutaneous modified chevron osteotomy has similar results to those of open surgery, with the great advantage of not making incisions in the foot, reducing common complications such as infection. Learning curve is important since it is not free of complications.

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