Minimally invasive bunionette treatment

Autor: Alexander Felipe de Vete Lima, Tiago Soares Baumfeld, Bruno Maciel Maciel, Daniel Soares Baumfeld, Guillaume Cordier, Gustavo Araújo Nunes
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of the Foot & Ankle, Vol 14, Iss 2 (2020)
Druh dokumentu: article
ISSN: 2675-2980
DOI: 10.30795/jfootankle.2020.v14.1160
Popis: Objective: To report the clinical and radiographic results of surgical treatment of bunionette deformity with a minimally invasive technique without the use of hardware. Methods: This is a case series of 13 patients (14 feet) with a diagnosis of bunionette surgically treated with a minimally invasive osteotomy of the fifth metatarsal. All patients completed the American Orthopedic Foot and Ankle Society (AOFAS) score and a visual analog scale (VAS) for pain preoperatively and in the last follow-up visit. Radiographic measurements included the fourth-fifth intermetatarsal angle (4-5 IMA) and the fifth metatarsophalangeal (MTP-5) angle. Complications and level of patient satisfaction were also documented. Results: Mean follow-up was 12.3 months. The mean AOFAS score increased from 51.3 to 94.0, and the VAS score decrease from 7.5 to 1.1. The MTP-5 angle decreased from 11.5º to 2.3º, and the 4-5 IMA decreased from 9.8º to 3.6º. These outcomes showed a statistically significant difference (p
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