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01-08-2017 | Original Article

Percutaneous forefoot surgery for treatment of hallux valgus deformity: an intermediate prospective study

Authors: E. Crespo Romero, R. Peñuela Candel, S. Gómez Gómez, A. Arias Arias, A. Arcas Ordoño, J. Gálvez González, R. Crespo Romero

Published in: MUSCULOSKELETAL SURGERY | Issue 2/2017

Abstract

Background

This study aims to illustrate the results of percutaneous forefoot surgery (PFS) for correction of hallux valgus.

Materials and methods

A prospective study of 108 patients, with hallux valgus deformity, who underwent PFS was conducted. The minimum clinical and radiological follow-up was two years (mean 57.3 months, range 22–112).

Results

Preoperative mean visual analog scale was 6.3 ± 1.5 points, and AOFAS scores were 50.6 ± 11 points. At the last follow-up, both scores improved to 1.9 ± 2.4 points and 85.9 ± 1.83 points, respectively. Mean hallux valgus angle changed from 34.3° ± 9.3° preoperatively to 22.5° ± 11.1° at follow-up. At follow-up, 76.5% of the subjects were satisfied or very satisfied. Recurrence of medial 1st MT head pain happened in 22 cases (16.7%).

Conclusions

PFS, in our study, does not improve the radiological and patient satisfaction rate results compared with conventional procedures. The main advantage is a low postoperative pain level, but with an insufficient HVA correction.

Level of evidence

II, prospective study.

De Prado M, Ripio PL, Golano P (2003) Hallux valgus. In: Cirugía percutánea del antepie. Barcelona: Masson SA, pp 57–94

Isham SA (1991) The Reverdin-Isham procedure for the correction of hallux abducto valgus. A distal metatarsal osteotomy procedure. Clin Podiatr Med Surg 8(1):81–94PubMed

De Lavigne C, de Prado M, Sugar G, Determe P (2007) Hallux valgus and forefoot surgery: mini-invasive or open? In: Symposium 41. 8th EFORT congress, May 13, 2007, Florence Italy. http://www.efort.org/_documents%5CJunior%20Reports%5C3.rapor.pdf. Accessed 10 Oct 2008

Roukis TS (2009) Percutaneous and minimum incisión metatarsal osteotomies: a systematic review. J Foot Ankle Surg 48(3):380–387CrossRefPubMed

Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Meyerson MS, Sanders M (1999) Clinical rating systems for the ankle-hindfoot, midfoot, hallux and lesser toes. Foot Ankle Int 15(7):349–353CrossRef

Ibrahim T, Beiri A, Azzabi M, Best AJ, Taylos GJ, Menon DK (2007) Reliability and validity of the subjective component of the American Orthopaedic Foot and Ankle Society clinical rating scales. J Foot Ankle Surg 46(2):65–74CrossRefPubMed

Coughlin MJ, Saltzman CL, Nunley JAI (2002) Angular measurements in the evaluation of hallux valgus deformities: a report of the ad hoc committee of the American Orthopaedic Foot and Ankle Society on angular measurements. Foot Ankle Int 23:68–74CrossRefPubMed

Pigott H (1960) The natural history of hallux valgus in adolescent and early adult life. J Bone Joint Surg Am 42:749–760

Kadakia AR, Smerek JP, Myerson MS (2007) Radiographic results after percutaneous distal metatarsal osteotomy for correction of hallux valgus deformity. Foot Ankle Int 28:355–360CrossRefPubMed

10.

Price DD, McGrath PA, Rafii A, Buckingham B (1983) The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 17(1):45–56CrossRefPubMed

11.

Jensen MP, Karoly P, Braver S (1986) The measurement of clinical pain intensity: a comparison of six methods. Pain 27(1):117–126CrossRefPubMed

12.

Lee JS, Hobden E, Stiell IG, Wells GA (2003) Clinically important change in the visual analog scale after adequate pain control. Acad Emerg Med 10(10):1128–1130CrossRefPubMed

13.

Nikolaou VS, Korres D, Xypnitos F, Lazarettos J, Lallos S, Sapkas G, Efstathopoulos N (2009) Fixation of Mitchell’s osteotomy with bioabsorbable pins for treatment of hallux valgus deformity. Int Orthop 33(3):701–706CrossRefPubMed

14.

Deveci A, Firat A, Yilmaz S, Oken OF, Yildirim AO, Ucaner A, Bozkurt M (2013) Short-term clinical and radiologic results of the scarf osteotomy: what factors contribute to recurrence? J Foot Ankle Surg 52(6):771–775CrossRefPubMed

15.

Aminian A, Kelikian A, Moen T (2006) Scarf osteotomy for hallux valgus deformity: an intermediate follow-up of clinical and radiographic outcomes. Foot Ankle Int 27:883–886CrossRefPubMed

16.

Lee KB, Cho NY, Park HW, Seon JK, Lee SH (2015) A comparison of proximal and distal Chevron osteotomy, both with lateral soft-tissue release, for moderate to severe hallux valgus in patients undergoing simultaneous bilateral correction. Bone Jt J 97B:202–207CrossRef

17.

Schneider W, Aigner N, Pinggera O, Knahr K (2004) Chevron osteotomy in hallux valgus: ten-year results of 112 cases. J Bone Jt Surg Br 86:1016–1020CrossRef

18.

Giannini S, Cavallo M, Faldini C, Luciani D, Vannini F (2013) The SERI distal metatarsal osteotomy and Scarf osteotomy provide similar correction of hallux valgus. Clin Orthop Relat Res 471:2305–2311CrossRefPubMedPubMedCentral

19.

Frelson M, Gayet LE, Bouche G, Hamcha H, Nebout J, Pries P (2005) Ostetomie Scarf dans le traitement de l’hallux valgus. A propos de 123 cas avec un recul moyen de 4,8 ans. Rev Chir Orthop 91:257–266

20.

Crevoiser X, Mouhsine E, Ortolano V, Udin B, Dutoit M (2001) The Scarf osteotomy for the treatment of hallux valgus deformity: a review of 84 cases. Foot Ankle Int 22:970–976CrossRef

21.

Bock P, Kluger R, Kirsten K, Mittlbock M, Schuh R, Trnka H (2015) The Scarf osteotomy with minimally invasive lateral release for treatment of hallux valgus deformity. J Bone Jt Surg Am 97:1238–1245CrossRef

22.

Fakoor M, Sarafan N, Mohammadhoseini P, Khorami M, Arti H, Mosavi S, Aghaeeaghdam A (2014) Comparison of clinical outcomes of Scarf and Chevron osteotomies and the McBride procedure in the treatment of hallux valgus deformity. Arch Bone Jt Surg 2(1):31–36PubMedPubMedCentral

23.

Bauer T, Lavigne C, Biau D, De Prado M, Isham S, Laffenetre O (2009) Percutaneous hallux valgus surgery: a prospective multicenter study of 189 cases. Orthop Clin N Am 40:505–514CrossRef

24.

Bauer T, Biau D, Lortat-Jacob A, Ardí P (2010) Percutaneous hallux valgus correction using the Reverdin-Isham osteotomy. Orthop Traumatol Surg Res 96(4):407–416CrossRefPubMed

25.

Lee KB, Hur CI, Chung JY, Juns ST (2009) Outcome of unilateral versus simultaneous correction for hallux valgus. Foot Ankle Int 30(2):120–123CrossRefPubMed

26.

Jones S, Al Hussainy HA, Ali F, Betts RP, Flowers MJ (2004) Scarf osteotomy for hallux valgus. A prospective clinical and pedobarographic study. J Bone Joint Surg Br 86:830–836CrossRefPubMed

27.

Bonnel F, Canovas F, Poiree G, Dusserre F, Vergnes C (1999) Èvaluation de l’ostéotomie Scarf pour hallux valgus en function de l’angle articulaire distal métarsien: etude prospective sur 79 cas operas. Rev Chir Orthop 85:381–386PubMed

28.

Easley ME, Trnka HJ (2007) Current concepts review: hallux valgus part II: operative treatment. Foot Ankle Int 28(6):748–758CrossRefPubMed

29.

Trnka HJ, Zembsch A, Easeley ME, Salzer M, Ritschl P, Myerson MS (2000) The chevron osteotomy for correction of hallux valgus. Comparison of findings after two and five years of follow-up. J Bone Jt Surg Am 82:1373–1378CrossRef

30.

Kilmartin TE, O’Kane C (2010) Combined rotation scarf and Akin osteotomies for hallux valgus: a patient focussed 9 year follow up for 50 patients. J Foot Ankle Res 3:2. doi:10.1186/1757-1146-3-2 CrossRefPubMedPubMedCentral

31.

Okuda R, Kinoshita M, Yasuda T, Jotoku T, Shima H, Takamura M (2011) Hallux valgus angle as a predictor of recurrence following proximal metatarsal ostoeotomy. J Orthop Sci 16(6):760–764CrossRefPubMed

32.

Lehman DE (2003) Salvage of complications of hallux valgus surgery. Foot Ankle Clin 8(1):15–35CrossRefPubMed

33.

Robison AH, Limbers JP (2005) Modern concepts in the treatment of hallux valgus. J Bone Jt Surg Br 87(8):1038–1045CrossRef

34.

Torkki M, Seitsalo S, Paavolainen P (2001) Chevron osteotomy for correction of hallux valgus: a long-term follow-up study. Foot 11:91–93CrossRef

35.

Raikin SM, Miller AG, Daniel J (2014) Recurrence of hallux valgus. A review. Foot Ankle Clin N Am 19:259–274CrossRef

36.

García-Fernández D, Gil-Garay E, Lora-Pablos D, De la Cruz Bértolo J, Llanos-Alcázar LF (2011) Comparative study of the Weil osteotomy with and without fixation. Foot Ankle Surg 17:103–107CrossRefPubMed

37.

Henry J, Besse JL, Fessy AFCP (2011) Distal osteotomy of the lateral metatarsals: a series of 72 cases comparing the Weil osteotomy and the DMMO percutaneous osteotomy. Orthop Traumatol Surg Res 97S:S57–S65CrossRef

38.

Bauer T (2014) Percutaneous forefoot surgery. Orthop Traumatol Surg Res 100:S191–S204CrossRefPubMed

39.

Thordason D, Ebramzadeh E, Moorthy M, Lee J, Rudicel S (2005) Correlation of hallux valgus surgical outcome with AOFAS forefoot score and radiological parameters. Foot Ankle Int 26(2):122–127CrossRef

Title: Percutaneous forefoot surgery for treatment of hallux valgus deformity: an intermediate prospective study
Authors: E. Crespo Romero
R. Peñuela Candel
S. Gómez Gómez
A. Arias Arias
A. Arcas Ordoño
J. Gálvez González
R. Crespo Romero
Publication date: 01-08-2017
Publisher: Springer Milan
Published in: MUSCULOSKELETAL SURGERY / Issue 2/2017
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-017-0464-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous forefoot surgery for treatment of hallux valgus deformity: an intermediate prospective study

Abstract

Background

Materials and methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusions

Level of evidence

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