Intraoperative imaging in hallux valgus surgery
| Autor: | Sarah L. Whitehouse, Terry S. Saxby, Robin R. Elliot |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Metatarsophalangeal Joint
medicine.medical_specialty medicine.disease_cause Weight-bearing Akin osteotomy Monitoring Intraoperative Humans Medicine Fluoroscopy Orthopedic Procedures Orthopedics and Sports Medicine Prospective Studies Hallux Valgus Prospective cohort study Intraoperative imaging biology medicine.diagnostic_test business.industry Reproducibility of Results biology.organism_classification Surgery Valgus Radiology business Soft tissue repair Follow-Up Studies |
| Zdroj: | Foot and Ankle Surgery. 18:19-21 |
| ISSN: | 1268-7731 |
| DOI: | 10.1016/j.fas.2011.01.006 |
| Popis: | Background This prospective study investigates the use of intraoperative fluoroscopy in hallux valgus surgery. To our knowledge there have been no studies questioning the benefit and reliability of intraoperative fluoroscopy in hallux valgus surgery. Methods We performed a prospective investigation of 28 consecutive cases undergoing hallux valgus surgery. Fluoroscopic images were examined intraoperatively and any significant findings documented. A comparison was made between these images and weight bearing films 6 weeks postoperatively to examine their reliability. We excluded those patients that went on to have an Akin osteotomy. Results There were no unforseen intraoperative events that were revealed by the use of fluoroscopy and no surgical modifications were made as a result of the intraoperative images. The intraoperative films were found to be a reliable representation of the postoperative weight bearing films but a small increase in the hallux valgus angle was noted at 6 weeks and this is thought to be due to stretching of the medial soft tissue repair. Conclusions Intraoperative fluoroscopy is a reliable technique. This study was performed at a centre which performs approximately 100 hallux valgus operations per year and that should be taken into consideration when reviewing our findings. We conclude that there may be a role for fluoroscopy for surgeons in the early stages of the surgical learning curve and for those that infrequently perform hallux valgus surgery. We cannot, however, recommend that fluoroscopy be used routinely in hallux valgus surgery. |
| Databáze: | OpenAIRE |
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