Percutaneous, Intra-articular, Chevron Osteotomy (PeICO) for the Treatment of Hallux Valgus: A Cadaveric Study
| Autor: | Lucas Nicolás Chemes, Maria Cristina Manzanares-Céspedes, Mauricio Esteban Ghioldi, Miki Dalmau-Pastor, Eric Daniel Dealbera, Anuar Emanuel Uzair, Jorge Javier Del Vecchio |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Chevron osteotomy Iatrogenic Disease Percutaneous surgery 03 medical and health sciences Young Adult 0302 clinical medicine Intra articular Peripheral Nerve Injuries Tendon Injuries Chevron (anatomy) Cadaver Medicine Humans Orthopedics and Sports Medicine Hallux Valgus 030222 orthopedics biology business.industry Sustained growth 030229 sport sciences Middle Aged biology.organism_classification Surgery Osteotomy Valgus Female Clinical Competence business Cadaveric spasm |
| Zdroj: | Footankle international. 40(5) |
| ISSN: | 1944-7876 |
| Popis: | Background: Percutaneous surgery is experiencing sustained growth based on third-generation techniques. This cadaveric study was designed with the main goal of exploring the risk of iatrogenic tendon and neurovascular lesions and defining the safe zones in a percutaneous, intra-articular, chevron osteotomy (PeICO) procedure, as well as assessing the accuracy of the osteotomy itself. Methods: Eight feet from below-knee fresh-frozen specimens were selected. After the procedure, the specimens were dissected, and structures were inspected for damage. Results: The results of the safety measurements were as follows: (1) distance between portal 1 (P1) and the lateral border of the extensor hallucis longus (EHL) tendon: average 17.6 mm (range 12.7-21.3); (2) distance between P1 and the dorsomedial digital nerve (DMDN): average 7.2 mm (range 1.6-10.4); (3) distance between P1 and the metatarsophalangeal joint: average 15.7 mm (range 9.4-20.5); distance between portal 2 (P2), or the osteosynthesis portal, and the metatarsophalangeal joint: average 25.5 mm (range 22-30.4); distance between P2 and the lateral border of the EHL tendon: average 12.7 mm (range 8-16.7); and distance between P2 and the DMDN: average 4.1 mm (range 1.7-8.2). There were no iatrogenic injuries. The osteotomy angulation in the sagittal plane (reproducibility) average was 85.6 degrees. Conclusion: There were no iatrogenic injuries on this cadaveric study of PeICO. Clinical Relevance: This study will help orthopedic surgeons understand the risks of performing percutaneous surgery by mimicking an accepted open technique (chevron). |
| Databáze: | OpenAIRE |
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