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A new minimally extended distal Chevron osteotomy (MEDCO) with percutaneous soft tissue release (PSTR) for treatment of moderate hallux valgus.
de Las Heras-Romero, J; Lledó-Alvarez, A M; Andrés-Grau, J; Picazo-Marín, F; Moreno-Sánchez, J F; Hernández-Torralba, M.
Afiliación
  • de Las Heras-Romero J; Department of Orthopaedics and Traumatology, Reina Sofía Hospital, Avda. Intendente Jorge Palacios 1, Murcia, 30003, Spain. Electronic address: jorgeheras@gmail.com.
  • Lledó-Alvarez AM; Regional Statistical Center, Avda. Teniente Flomesta, s/n, 3ª planta, Edif. Anexo, Murcia, 30001, Spain. Electronic address: analledo00@gmail.com.
  • Andrés-Grau J; Department of Orthopaedics and Traumatology, Los Arcos Hospital, Paraje Torre Octavio 54, Pozo Aledo, Murcia, 30739, Spain. Electronic address: josfain2@hotmail.com.
  • Picazo-Marín F; Department of Orthopaedics and Traumatology, Los Arcos Hospital, Paraje Torre Octavio 54, Pozo Aledo, Murcia, 30739, Spain. Electronic address: paco.picazo.marin@hotmail.com.
  • Moreno-Sánchez JF; Department of Orthopaedics and Traumatology, Reina Sofía Hospital, Avda. Intendente Jorge Palacios 1, Murcia, 30003, Spain. Electronic address: jfer9999@hotmail.com.
  • Hernández-Torralba M; Department of Orthopaedics and Traumatology, Santa Lucía Hospital, C/ Mezquita, s/n, Paraje Los Arcos, Santa Lucía, Cartagena, Murcia, 30202, Spain. Electronic address: mhtmrc8685@gmail.com.
Foot (Edinb) ; 40: 27-33, 2019 Sep.
Article en En | MEDLINE | ID: mdl-31055210
PURPOSE: Surgical treatment of moderate hallux valgus (HV) onwards by Chevron osteotomy and all variants described to date including the recent extended distal Chevron osteotomy (EDCO), yields improvable outcome but with recurrence rate. A new modification of this technique is needed to achieve better results. METHODS: 34 consecutive female patients suffering from moderate HV underwent a new minimally extended distal Chevron osteotomy (MEDCO) with percutaneous soft tissue release (PSTR). Outcome was assessed using pre-post operative VAS-Pain, AOFAS Hallux Score and radiological measurements. Mean age was 53.7 years, follow-up 2.7 years and satisfaction score 8. RESULTS: VAS improved from 7 to 1 (p < 0.001) and AOFAS score from 64 to 90.7 (p < 0.001). Comparing postoperative HV and intermetatarsal (IM) angles of previous studies (either employing a Chevron osteotomy alone or a double Chevron-Akin) with our results, an improvement from 15.6/14.8 to 9.1 and 8.2 /8.8 to 5.6 respectively (p < 0.05) was achieved. Complication and recurrence rates were both 5.8%, lower than the documented rates of other techniques. CONCLUSION: The modified technique in the present study was found to be a more effective and reliable method of correcting hallux valgus when compared to other previous procedures. It provides a higher level of satisfaction and excellent outcomes with low complication and recurrence rates. Furthermore, the percutaneous lateral incision improved the cosmetic results by avoiding formation of a dorsal first web space scar. Medial incision is also shorter than the one used for EDCO. LEVEL OF EVIDENCE: Level IV, case series.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía / Hallux Valgus Límite: Female / Humans / Middle aged Idioma: En Revista: Foot (Edinb) Asunto de la revista: ORTOPEDIA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía / Hallux Valgus Límite: Female / Humans / Middle aged Idioma: En Revista: Foot (Edinb) Asunto de la revista: ORTOPEDIA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido