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Clinical and radiological outcome of surgical hallux valgus correction: open versus minimally invasive.
Pappas, Andreas; Hönning, Alexander; Schmittner, Marc D; Ekkernkamp, Axel; Gümbel, Denis.
Afiliación
  • Pappas A; Department of Orthopaedics and Trauma Surgery, Havelland Clinic Nauen, Ketzinerstr. 21, 14641, Nauen, Germany.
  • Hönning A; Centre for Clinical Research, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Berlin, Germany.
  • Schmittner MD; Department of Anaesthesiology, Intensive Care and Pain Medicine, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str. 7, 12683, Berlin, Germany.
  • Ekkernkamp A; Medical Faculty Mannheim of Heidelberg University, Ruprecht-Karls-University Heidelberg, Ludolf-Krehl-Straße 13-17, 68167, Mannheim, Germany.
  • Gümbel D; Department of Trauma and Orthopaedic Surgery, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str. 7, 12683, Berlin, Germany.
Eur J Orthop Surg Traumatol ; 34(6): 3329-3337, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39162733
ABSTRACT

INTRODUCTION:

Hallux valgus (HV) is the most common forefoot deformity. Surgical correction of HV aims to reduce pain, preserve joints, and re-establish foot function while restoring the hallux valgus angle (HVA) and intermetatarsal angle (IMA). Many surgical procedures have been proposed, including open and minimally invasive (MI) techniques. This study aimed to compare the midterm outcomes of open vs. MI procedures and their impact on the duration of surgery, hospital stay, HVA, and IMA post-operatively. MATERIALS AND

METHODS:

One hundred and twenty HV patients operated by open or MI surgery between October 2019 and October 2022 were included. One hundred three patients met the inclusion criteria and consented to the study. Patients were prospectively surveyed for foot functionality, post-operative pain, and complications using the AOFAS score. Radiographic measurements of HV angles, length of hospital stay, and surgery duration were analysed.

RESULTS:

MI surgery patients had significantly better AOFAS scores (p < 0.001) 12 months post-operatively compared to open surgery. Complication rates were lower in the MI group (3.8% vs. 33.3%, p < 0.001). MI surgery patients also had shorter hospital stays (0.9 ± 0.3 days vs. 2.0 ± 0.0 days) and surgery duration (19.7 ± 2.3 min vs. 80.7 ± 6.8 min). MI surgery was more effective in correcting the IMA but equally effective as open surgery for HVA correction.

CONCLUSION:

MI surgery resulted in better patient satisfaction, fewer complications, and more precise correction of IMA values. Moreover, the duration of surgery and hospital stay were significantly lower in patients undergoing MI surgery. Further research is needed to validate these findings in controlled, prospective randomised trials.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hallux Valgus / Procedimientos Quirúrgicos Mínimamente Invasivos / Tiempo de Internación Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Francia
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: Hallux Valgus / Procedimientos Quirúrgicos Mínimamente Invasivos / Tiempo de Internación Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Francia