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A Refined Minimally Invasive Distal First Metatarsal Osteotomy for Moderate Hallux Valgus Treatment: The BC Procedure.
Slullitel, Gastón; López, Valeria; Álvarez, Victoria; Gaitán, Laura; Calvi, Juan P.
Afiliação
  • Slullitel G; Institute of Orthopedics "Dr. Jaime Slullitel", Santa Fe, Argentina.
  • López V; Institute of Orthopedics "Dr. Jaime Slullitel", Santa Fe, Argentina. Electronic address: vlastegiano@gmail.com.
  • Álvarez V; Institute of Orthopedics "Dr. Jaime Slullitel", Santa Fe, Argentina.
  • Gaitán L; Institute of Orthopedics "Dr. Jaime Slullitel", Santa Fe, Argentina.
  • Calvi JP; Institute of Orthopedics "Dr. Jaime Slullitel", Santa Fe, Argentina.
J Foot Ankle Surg ; 61(5): 1052-1055, 2022.
Article em En | MEDLINE | ID: mdl-35283035
During the last 2 decades, there was an increasing interest in mini-invasive procedures for hallux valgus correction. In this scenario the Bösch technique appears to be a reproducible distal metatarsal osteotomy (DMO) to achieve a proper correction. Our DMO variant, called BC, was planned to combine the stability and predictability of the chevron osteotomy, with the power of correction, low surgical time and mini-invasive approach of the Bösch-SERI technique. The purpose of this investigation is to describe the surgical technique and report the results of this modified procedure at a minimum 2-year follow-up. Sixty-three patients who underwent the BC technique for mild and moderate hallux valgus were prospectively evaluated. Mean follow-up was 36.5 (range 23.4-59.8) months, the mean American Orthopedic Foot and Ankle Society score improved from a median of 47.4 points preoperatively to a median of 88 points postoperatively (p < .05). First MTPJ ROM did not change from preoperative period (mean 32.5°) to the postoperative period (mean 31.8°) (p > .65). All osteotomies went on to bony healing in the 6-week follow-up visit. Fifty-two (82%) of patients were either very satisfied or satisfied with the procedure (p < .05). With our numbers, BC osteotomy is shown to be a technique that can treat both mild and moderate deformities, achieving correction that is maintained over the follow-up evaluated, with a 24 relatively simple procedure and short operative time.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ossos do Metatarso / Hallux Valgus / Joanete Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Revista: J Foot Ankle Surg Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ossos do Metatarso / Hallux Valgus / Joanete Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Revista: J Foot Ankle Surg Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos