Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series

Autor: Jorge Javier Del Vecchio, Julieta Brue, Mauricio Esteban Ghioldi, Miki Dalmau-Pastor, Eric Daniel Dealbera, Lucas Nicolás Chemes
Rok vydání: 2021
Předmět:
Zdroj: International Orthopaedics. 45:2251-2260
ISSN: 1432-5195
0341-2695
DOI: 10.1007/s00264-021-05111-4
Popis: Treatment for hallux valgus (HV) remains challenging. Third-generation percutaneous procedures try to reproduce chevron-type osteotomies to replicate their benefits, such as intrinsic stability and reproducibility. We report the first results using a percutaneous, intra-articular, chevron osteotomy (PeICO) technique that mimics the classic intra-articular open chevron procedure, associated with a percutaneous adductor tendon release (PATR) for the treatment of mild-to-moderate HV. From May 2015 to October 2018, a total of consecutive 114 feet (74 patients) were included. Primary outcome measures included radiographic (hallux valgus and intermetatarsal angles) and clinical parameters such as visual analog scale (VAS), FAAM Activities of Daily Living (ADL), and FAAM Sport, AOFAS Score, and MOXFQ, preoperatively and at final follow-up (Minimum 18 months). A patient satisfaction survey was also performed. Pronation and length of the first metatarsal were also assessed. Secondary outcomes included fluoroscopic time, length of surgery, complications, recurrence, and re-operation rates. At 24.09 months on average, the AOFAS score improved from 52.1 points preoperatively to 91.1 (p
Databáze: OpenAIRE
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