Hallux Valgus Multiplanar Correction Surgery Through a Minimally Invasive Technique: Our First 100 Patients Experience
Autor: | Pablo E. Mocoçain Mac-iver MD, Stephane Elgueta MD, Andres Keller Díaz MD, Ruben D. Radkievich MD, Carlos Valderrama MD |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Foot & Ankle Orthopaedics, Vol 7 (2022) |
Druh dokumentu: | article |
ISSN: | 2473-0114 24730114 |
DOI: | 10.1177/2473011421S00817 |
Popis: | Category: Midfoot/Forefoot; Bunion Introduction/Purpose: Recently, minimally invasive surgery for hallux valgus correction has regained popularity. The minimally invasive Chevron and Akin (MICA), has been proved to be as satisfactory for patients as conventional open techniques. However, due to its design, it is difficult to correct the coronal plane malalignment, which could lead to the recurrence of the deformity. Instead, a Bösch-type osteotomy allows multiplanar correction, and with an upgrade in its fixation we can create a stable third- generation percutaneous osteotomy. We report our first 100 patients results using the minimally invasive Bösch and Akin osteotomy (MIBA). Methods: This was a prospective case series of our first 100 patients (137 feet) undergoing MIBA procedure. Outcome measures included the Manchester-Oxford Foot Questionnaire (MOXFQ), the AOFAS Forefoot Score, and the visual analog scale (VAS) for pain assessment. There was also a significant improvement in all radiographic parameters (p < 0.05). Mean HVA decreased from 30.5° to 7.8°, mean IMA decreased from 13° to 4.5°, and the mean DMAA decreased from 13.8° to 4.0° (p |
Databáze: | Directory of Open Access Journals |
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