Minimally invasive technique with intramedullary nail for treatment of severe hallux valgus
Objective: The purpose of the study was to evaluate early clinical and radiological results with a novel minimally invasive surgery (MIS) technique for Lapidus arthrodesis using intramedullary nail. Methods: Retrospective review of patients with hallux valgus surgery during an 18-month period. Patie...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2020-04-01
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| Series: | Journal of the Foot & Ankle |
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| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1158 |
| _version_ | 1819237894336806912 |
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| author | Felipe Chaparro Pablo Andrés Cárdenas Ana Butteri Manuel J Pellegrini Giovanni Carcuro Cristian Ortiz |
| author_facet | Felipe Chaparro Pablo Andrés Cárdenas Ana Butteri Manuel J Pellegrini Giovanni Carcuro Cristian Ortiz |
| author_sort | Felipe Chaparro |
| collection | DOAJ |
| description | Objective: The purpose of the study was to evaluate early clinical and radiological results with a novel minimally invasive surgery (MIS) technique for Lapidus arthrodesis using intramedullary nail. Methods: Retrospective review of patients with hallux valgus surgery during an 18-month period. Patients with a procedure other than MIS Lapidus nail fixation were excluded. We describe surgical technique with a percutaneous joint preparation and fixation with an intramedullary nail through a MIS approach. Demographic variables, early complications and radiographic parameters were measured. Results: Ten feet in 8 patients with severe HV underwent a Lapidus procedure performed with a minimal invasive technique using intramedullary nail for fixation. No soft tissue complications and 1 patient required screw removal after bone healing. Mean HVA decreased from 31,4 degrees (range 17 to 47) SD (±9,3) to 10,3 degrees (range, -8,8 to 31,5) SD (±8,4), mean IMA decreased from 17,91 degrees (range, -17 to 20) SD (±0,9) to 5,46 degrees (range, –7,3 to 15.3) SD (±2,9) and mean DMAA decreased from 20,36 (range, 10-40) SD (±8,4) to 7,67 (range, -5 to 30) SD (±8,0). Conclusion: Intramedullary nail for Lapidus arthrodesis with minimally invasive technique showed satisfactory radiographic correction and minimal complications, but further follow up is needed to analyze clinical-radiographic results. Level of Evidence IV; Therapeutic Study; Case Series. |
| first_indexed | 2024-12-23T13:27:35Z |
| format | Article |
| id | doaj.art-4177494537ff409ebc51c6093b591248 |
| institution | Directory Open Access Journal |
| issn | 2675-2980 |
| language | English |
| last_indexed | 2024-12-23T13:27:35Z |
| publishDate | 2020-04-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj.art-4177494537ff409ebc51c6093b5912482022-12-21T17:45:15ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802020-04-0114110.30795/jfootankle.2020.v14.11581158Minimally invasive technique with intramedullary nail for treatment of severe hallux valgusFelipe ChaparroPablo Andrés Cárdenas0Ana Butteri1Manuel J Pellegrini2Giovanni Carcuro3Cristian Ortiz4Universidad de los Andes, Las Condes, Santiago, ChileUniversidad de los Andes, Las Condes, Santiago, ChileUniversidad de los Andes, Las Condes, Santiago, ChileUniversidad de los Andes, Las Condes, Santiago, ChileUniversidad de los Andes, Las Condes, Santiago, ChileObjective: The purpose of the study was to evaluate early clinical and radiological results with a novel minimally invasive surgery (MIS) technique for Lapidus arthrodesis using intramedullary nail. Methods: Retrospective review of patients with hallux valgus surgery during an 18-month period. Patients with a procedure other than MIS Lapidus nail fixation were excluded. We describe surgical technique with a percutaneous joint preparation and fixation with an intramedullary nail through a MIS approach. Demographic variables, early complications and radiographic parameters were measured. Results: Ten feet in 8 patients with severe HV underwent a Lapidus procedure performed with a minimal invasive technique using intramedullary nail for fixation. No soft tissue complications and 1 patient required screw removal after bone healing. Mean HVA decreased from 31,4 degrees (range 17 to 47) SD (±9,3) to 10,3 degrees (range, -8,8 to 31,5) SD (±8,4), mean IMA decreased from 17,91 degrees (range, -17 to 20) SD (±0,9) to 5,46 degrees (range, –7,3 to 15.3) SD (±2,9) and mean DMAA decreased from 20,36 (range, 10-40) SD (±8,4) to 7,67 (range, -5 to 30) SD (±8,0). Conclusion: Intramedullary nail for Lapidus arthrodesis with minimally invasive technique showed satisfactory radiographic correction and minimal complications, but further follow up is needed to analyze clinical-radiographic results. Level of Evidence IV; Therapeutic Study; Case Series.https://jfootankle.com/JournalFootAnkle/article/view/1158Hallux valgus/surgeryOsteotomy/methodsMinimally invasive surgical proceduresFracture fixation, intramedullaryTreatment outcome |
| spellingShingle | Felipe Chaparro Pablo Andrés Cárdenas Ana Butteri Manuel J Pellegrini Giovanni Carcuro Cristian Ortiz Minimally invasive technique with intramedullary nail for treatment of severe hallux valgus Journal of the Foot & Ankle Hallux valgus/surgery Osteotomy/methods Minimally invasive surgical procedures Fracture fixation, intramedullary Treatment outcome |
| title | Minimally invasive technique with intramedullary nail for treatment of severe hallux valgus |
| title_full | Minimally invasive technique with intramedullary nail for treatment of severe hallux valgus |
| title_fullStr | Minimally invasive technique with intramedullary nail for treatment of severe hallux valgus |
| title_full_unstemmed | Minimally invasive technique with intramedullary nail for treatment of severe hallux valgus |
| title_short | Minimally invasive technique with intramedullary nail for treatment of severe hallux valgus |
| title_sort | minimally invasive technique with intramedullary nail for treatment of severe hallux valgus |
| topic | Hallux valgus/surgery Osteotomy/methods Minimally invasive surgical procedures Fracture fixation, intramedullary Treatment outcome |
| url | https://jfootankle.com/JournalFootAnkle/article/view/1158 |
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