Technique Tip: Medial prominence bone spur resection in the third-generation percutaneous Chevron-Akin Osteotomy Technique (PECA) for hallux valgus correction.

Autor: Ferreira GF; Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, Brazil; Minimally Invasive Foot Ankle Society (MIFAS by GRECMIP), Brazil., Nunes GA; Department of Orthopaedics and Traumatology, Hospital Santa Luzia Rede D´Or, Brasília, Brazil; Minimally Invasive Foot Ankle Society (MIFAS by GRECMIP), Brazil., Mattos E Dinato MC; Department of Orthopaedics and Traumatology Unit, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil; Instituto Vita, São Paulo, Brazil., Pedroso JP; Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, Brazil., Lewis TL; Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom., Lam P; Orthopaedic and Arthritis Specialist Centre, Chatswood, Sydney, Australia., Filho MVP; Head of Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, Brazil; Instituto Vita, São Paulo, Brazil. Electronic address: miguel.viana.filho@gmail.com.
Jazyk: angličtina
Zdroj: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2022 Jun; Vol. 28 (4), pp. 460-463. Date of Electronic Publication: 2021 Nov 21.
DOI: 10.1016/j.fas.2021.11.004
Abstrakt: The third-generation percutaneous chevron and Akin osteotomy (PECA) technique for surgical management of hallux valgus has shown improvement in clinical and radiographic outcomes. During this procedure, lateral translation and fixation of the first metatarsal head results in the formation of a bony prominence on the medial side of the distal aspect of the first metatarsal which can cause pain and discomfort to the patient. We describe two techniques to address this bony prominence; either i) excision osteotomy and removal of the fragment or ii) a dorsal closing wedge osteotomy retaining the bony fragment. LEVEL OF EVIDENCE: Level V, expert opinion.
Competing Interests: Declaration of Competing Interest Peter Lam: Novastep, Consultant/Speaker. The other authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. ICMJE forms for all authors are available online.
(Copyright © 2021 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: