Comparison of postoperative costs of two surgical techniques for hallux valgus (Kramer vs. scarf)

Poggio, Daniel; Melo, Rodrigo Henrique Mello Varela Ayres de; Botello, Julio; Polo, C. Sánchez; Retana, Pablo Fernández de; Asunción, Jordi

doi:10.1016/j.fas.2014.09.004

Cited by 16 publications

(14 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…General postoperative problems such as pain, nausea and circulatory dysregulation were documented once in both groups. In a recent study, the Chevron procedure showed better clinical and radiological results when compared to scarf osteotomy [15]. In the present study, the radiological results were superior for the Kramer procedure compared to Chevron osteotomy.…”

Section: Discussionsupporting

confidence: 51%

Kramer and Chevron Osteotomy for Hallux Valgus Deformity – Retrospective Comparison of Functional and Radiological Results

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 51%

Kramer and Chevron Osteotomy for Hallux Valgus Deformity – Retrospective Comparison of Functional and Radiological Results

et al. 2018

View full text Add to dashboard Cite

show abstract

“…A comparison study of overall costs between scarf with 2-screw fixation and subcapital first metatarsal osteotomy with Kirschner wire (K-wire) stabilization revealed that scarf was a cheaper procedure. 23 Although screws are more expensive than K-wires, there are fewer postoperative follow-up visits in the outpatient department and lower infection and other complication rates. Elimination of screw fixation has an additional economic advantage also connected with avoidance of potential screw removal.…”

Section: Discussionmentioning

confidence: 99%

Results of Scarf Osteotomy Without Implant Fixation in the Treatment of Hallux Valgus

Liszka

Gądek

2018

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

“…No randomized studies in this field have been reported [ 15 ]. Past studies underreported rates of complications (malunion, nonunion, and osteonecrosis) and recurrence, and the overall cost-effectiveness is unclear [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Geometric analysis of indications for minimally invasive distal metatarsal osteotomy in treatment of hallux valgus

Mavčič¹

2015

J Orthop Surg Res

View full text Add to dashboard Cite

BackgroundMinimally invasive distal metatarsal osteotomy (MIDMO) is to be indicated for all patients with angles of IMA <20° and HV <40°, but many authors doubt whether this procedure is capable of correcting all types of hallux valgus deformities. The aims of this study were to perform a geometric analysis of MIDMO indications and to show which preoperative radiological parameters are necessary to achieve sufficient contact between bone fragments and sufficient correction with this operative technique.MethodsA geometric mathematical model in AP and lateral radiographic plane was created based on preoperative measurements of the intermetatarsal angle (IMA), subcapital metatarsal width, medial bunion eminence, and metatarsal length. MIDMO was simulated with possible dorsal/plantar fragment displacement in order to assess postoperative contact between fragments (either 4–5 mm or half of the metatarsal width) and sufficient correction (postoperative IMA 8°).ResultsThe metatarsal neck should be at least 8 mm wider from the bunion eminence to achieve the minimally required contact between fragments. For sufficient correction, the metatarsal head translation should be at least 0.018 of the metatarsal length for every degree of IMA reduction. The medial bunion eminence, in comparison with metatarsal width/length size, determines whether MIDMO is a suitable procedure for a given patient.ConclusionsMIDMO cannot sufficiently correct all deformations within the boundaries of IMA angle <20° and HV angle <40°. In patients with large eminences and narrow metatarsals, complications related to insufficient postoperative fragment contact can be expected, while sufficient hallux valgus correction in patients with small eminences and long metatarsals is questionable.Electronic supplementary materialThe online version of this article (doi:10.1186/s13018-015-0304-7) contains supplementary material, which is available to authorized users.

show abstract

Comparison of postoperative costs of two surgical techniques for hallux valgus (Kramer vs. scarf)

Cited by 16 publications

References 15 publications

Kramer and Chevron Osteotomy for Hallux Valgus Deformity – Retrospective Comparison of Functional and Radiological Results

Kramer and Chevron Osteotomy for Hallux Valgus Deformity – Retrospective Comparison of Functional and Radiological Results

Results of Scarf Osteotomy Without Implant Fixation in the Treatment of Hallux Valgus

Geometric analysis of indications for minimally invasive distal metatarsal osteotomy in treatment of hallux valgus

Contact Info

Product

Resources

About