Original Guide for Minimally Invasive Distal Osteotomy of the First Metatarsal Bone in the Treatment of Hallux Valgus
Background. Minimally invasive surgical interventions are widely used in trauma and orthopedic surgery. Both the surgical technique and the instruments applied are being improved, which contributes to better functional results of patients’ treatment. Aim of the study — to present a new guide tool...
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2023-09-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
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| Online Access: | https://journal.rniito.org/jour/article/viewFile/8427/pdf |
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| author | Aleksey V. Oleinik Igor G. Belenkiy Gennadiy D. Sergeev Aleksander Yu. Kochish Kseniya V. Razumova Artur E. Binazarov Boris A. Maiorov |
| author_facet | Aleksey V. Oleinik Igor G. Belenkiy Gennadiy D. Sergeev Aleksander Yu. Kochish Kseniya V. Razumova Artur E. Binazarov Boris A. Maiorov |
| author_sort | Aleksey V. Oleinik |
| collection | DOAJ |
| description | Background. Minimally invasive surgical interventions are widely used in trauma and orthopedic surgery. Both the surgical technique and the instruments applied are being improved, which contributes to better functional results of patients’ treatment.
Aim of the study — to present a new guide tool for minimally invasive surgical correction of acquired hallux valgus.
Guide description. A guide tool intended to be used in minimally invasive surgical interventions for hallux valgus (HV) correction has been developed. It consists of several interconnecting components: the distal bar, the intramedullary guide, the proximal bar, and the wire guide. These components are fixed to each other. At the same time, the distal bar, the proximal bar, and the wire guide are connected with the possibility of adjusting their mutual positioning. The design of the proposed device enables to guide the first guiding wire and to place the cannulated screw in an optimal position. The presented clinical case illustrates the successful application of the described device. The patient underwent minimally invasive distal corrective osteotomy for hallux valgus of medium severity. According to the preoperative X-rays, the first intermetatarsal angle and the first toe deviation angle were 13.5° and 25°, respectively. Six months after the surgery, they were 3° and 7°, respectively. The result of the corrective surgery was considered excellent.
Conclusion. Application of the proposed guide tool decreases surgery duration, reduces soft tissue damage and minimizes radiation exposure of the surgeon and the patient. |
| first_indexed | 2024-04-24T23:41:31Z |
| format | Article |
| id | doaj.art-a5b7d8005e5546d2b61c38060b724a3f |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-04-24T23:41:31Z |
| publishDate | 2023-09-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-a5b7d8005e5546d2b61c38060b724a3f2024-03-15T11:44:04ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332023-09-01293657210.17816/2311-2905-84271281Original Guide for Minimally Invasive Distal Osteotomy of the First Metatarsal Bone in the Treatment of Hallux ValgusAleksey V. Oleinik0https://orcid.org/0000-0003-2748-0588Igor G. Belenkiy1https://orcid.org/0000-0001-9951-5183Gennadiy D. Sergeev2https://orcid.org/0000-0002-8898-503XAleksander Yu. Kochish3https://orcid.org/0000-0002-2466-7120Kseniya V. Razumova4https://orcid.org/0009-0004-4436-4356Artur E. Binazarov5https://orcid.org/0009-0006-3690-672XBoris A. Maiorov6https://orcid.org/0000-0003-1559-1571Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineSaint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineSaint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineVreden National Medical Research Center of Traumatology and OrthopedicsSaint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineSaint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineSaint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineBackground. Minimally invasive surgical interventions are widely used in trauma and orthopedic surgery. Both the surgical technique and the instruments applied are being improved, which contributes to better functional results of patients’ treatment. Aim of the study — to present a new guide tool for minimally invasive surgical correction of acquired hallux valgus. Guide description. A guide tool intended to be used in minimally invasive surgical interventions for hallux valgus (HV) correction has been developed. It consists of several interconnecting components: the distal bar, the intramedullary guide, the proximal bar, and the wire guide. These components are fixed to each other. At the same time, the distal bar, the proximal bar, and the wire guide are connected with the possibility of adjusting their mutual positioning. The design of the proposed device enables to guide the first guiding wire and to place the cannulated screw in an optimal position. The presented clinical case illustrates the successful application of the described device. The patient underwent minimally invasive distal corrective osteotomy for hallux valgus of medium severity. According to the preoperative X-rays, the first intermetatarsal angle and the first toe deviation angle were 13.5° and 25°, respectively. Six months after the surgery, they were 3° and 7°, respectively. The result of the corrective surgery was considered excellent. Conclusion. Application of the proposed guide tool decreases surgery duration, reduces soft tissue damage and minimizes radiation exposure of the surgeon and the patient.https://journal.rniito.org/jour/article/viewFile/8427/pdfminimally invasive surgeryvalgus deformity of the first toehallux valguscorrecting osteotomyguide tool |
| spellingShingle | Aleksey V. Oleinik Igor G. Belenkiy Gennadiy D. Sergeev Aleksander Yu. Kochish Kseniya V. Razumova Artur E. Binazarov Boris A. Maiorov Original Guide for Minimally Invasive Distal Osteotomy of the First Metatarsal Bone in the Treatment of Hallux Valgus Travmatologiâ i Ortopediâ Rossii minimally invasive surgery valgus deformity of the first toe hallux valgus correcting osteotomy guide tool |
| title | Original Guide for Minimally Invasive Distal Osteotomy of the First Metatarsal Bone in the Treatment of Hallux Valgus |
| title_full | Original Guide for Minimally Invasive Distal Osteotomy of the First Metatarsal Bone in the Treatment of Hallux Valgus |
| title_fullStr | Original Guide for Minimally Invasive Distal Osteotomy of the First Metatarsal Bone in the Treatment of Hallux Valgus |
| title_full_unstemmed | Original Guide for Minimally Invasive Distal Osteotomy of the First Metatarsal Bone in the Treatment of Hallux Valgus |
| title_short | Original Guide for Minimally Invasive Distal Osteotomy of the First Metatarsal Bone in the Treatment of Hallux Valgus |
| title_sort | original guide for minimally invasive distal osteotomy of the first metatarsal bone in the treatment of hallux valgus |
| topic | minimally invasive surgery valgus deformity of the first toe hallux valgus correcting osteotomy guide tool |
| url | https://journal.rniito.org/jour/article/viewFile/8427/pdf |
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