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2017, Number 1

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Invest Medicoquir 2017; 9 (1)

Alternative of the surgical correction of Hallux Valgus in the adolescence and early adulthood

Lorie AD,J, Lorie RR, Balmaseda MR, Insua R, Lorie CD

Language: Spanish
References: 13
Page: 39-50
PDF size: 586.07 Kb.


ABSTRACT

The surgical correction of the Hallux Valgus in the adolescenceis not as frequent in Cuba, as in other countries, including Great Britain, where more than 2000 feet are operated annually. Methods. Double osteotomy and intramedullary longitudinal fixation with smooth pin of the first ray were performed in 16 feet of 8 adolescents (7 females and 1 male)for the correction of Hallux Valgus, which among other advantages, provides a precise and desired correction and stable fixation with a low rate of recurrence of deformity. Results. No patient had pain and the aesthetic appearance was very good. All osteotomies were consolidated in about 11 weeks.There was no sepsis of the wounds or the path of the pin, nor avascular necrosis of the head of the metatarsal or problems with the bone consolidation, and the recurrence rate of the deformity was low. Conclusions. The procedure is nottechnically complex, the correction is optimal and the recurrence rate of the deformity is low.


REFERENCES

  1. Kraus T, Singer G, Svehlík M, Kaltenbach J, Eberl R, Linhart W. Long-term outcome of chevron-osteotomy in juvenile hallux valgus. Acta Orthop Belg. 2013;79(5):552-8.

  2. Shibuya, Naohiro Thorud, Jakob C ,Martin, Lanster R.,Plemmons, Britton S. Jupiter, Daniel C. Original Research: Evaluation of Hallux Valgus Correction With Versus Without Akin Proximal Phalanx Osteotomy. The Journal of Foot and Ankle Surgery. 2016:55(5):910-914

  3. De Prado M, Ripoll PL, Vaquero J, Golanó P: Tratamiento quirúrgico percutáneo del hallux valgus mediante osteotomías múltiples. Rev Esp Cir Ortop Traumatol. 2003;47(6):406-416.

  4. Wülker N, Mittag F. The Treatment of Hallux Valgus. Dtsch Arztebl Int. 2012 Dec; 109(49): 857–868. Disponible en:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528062

  5. John S, Weil L, Jr, Weil LS, Sr, Chase K. Scarf osteotomy for the correction of adolescent hallux valgus. Foot Ankle Spec. 2010:3(1):10–14.

  6. Bordelon RL. Evaluation and operative procedures for hallux valgus deformity Orthopedics. 1987;10(1):81–96.

  7. Peterson HA, Newman SR. Adolescent bunion deformity treated with double osteotomy and longitudinal pin fixation of first ray. J Pediatr Orthop.1993;13(1):80-4.

  8. Diaz R. Treatment of moderate and severe hallux valgus by performing percutaneous double osteotomy of the first metatarsal bone. Rev Esp Cir Ortop Traumatol. 2015;59(1):52-8.

  9. Vega E. Tratamiento quirúrgico del Hallux Valgus moderado y severo: osteotomía metatarsiana proximal y liberación distal de partes blandas. Rev Cubana Ortop Traumatol. 2015;29(1):40-49.

  10. Wester JU, Hamborg-Petersen E, Herold N, Hansen PB, Froekjaer J. Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity – A prospective comparative study. Foot Ankle Surg. 2015; 21(1): 1-15. Disponible en: http://dx.doi.org/10.1016/j.fas.2015.04.006

  11. Maffulli N, Longo UG, Marinozzi A, Denaro V. Hallux valgus: effectiveness and safety of minimally invasive surgery. A systematic review. Br Med Bull. 2011;97(1):149-67.

  12. Giannini S, Cavallo M Faldini C, Luciani D, Vannini F. The SERI distal metatarsal osteotomy and Scarf osteotomy provide similar correction of hallux valgus. Clin Orthop Relat.Res.2013:471(7):2305-11. Disponible en: http://link.springer.com/article/10.1007/s11999-013-2912-z/fulltext.html

  13. Aronson J, Nguyen LL, Aronson EA. Early results of the modified Peterson bunion procedure for adolescent hallux val J Pediatr Orthop. 2001;21(1):65-9.




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