Distal Chevron Osteotomy vs The Simple, Effective, Rapid, Inexpensive Technique (SERI) for Mild to Moderate Isolated Hallux Valgus: A Randomized Controlled Study

Palmanovich, Ezequiel; Ohana, Nissim; Segal, David; Small, Ilan; Hetsroni, Iftach; Amar, Eyal; Sharfman, Zachary T.; Segal, David; Atzmon, Ran

doi:10.1007/s43465-020-00209-0

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…Among the included studies, 8 studies ( 15 , 17 , 24 , 26 , 28 , 29 , 31 , 35 ) were RCTs, 2 studies ( 4 , 14 ) were prospective comparative studies, and 12 studies ( 5 , 13 , 16 , 18 , 22 , 23 , 25 , 27 , 30 , 32 – 34 ) were retrospective comparative studies. A total of 10 studies ( 13 , 17 , 22 – 28 , 32 ) reported on the 2G percutaneous hallux valgus surgery, in which 7 studies ( 13 , 22 – 25 , 28 ) involved Bösch osteotomy and 3 studies ( 17 , 26 , 27 ) involved a simple, an effective, a rapid, and an inexpensive (SERI) technique. Roth et al ( 22 ) conducted a retrospective comparative study to compare between Bösch and Kramer osteotomies.…”

Section: Resultsmentioning

confidence: 99%

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Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis

Wang

Ding

et al. 2022

Front. Surg.

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PurposeIn recent years, minimally invasive surgery (MIS) for hallux valgus has emerged and gained popularity. To date, evidence on the benefits of MIS for hallux valgus is still controversial. This updated meta-analysis aimed to comprehensively evaluate the efficiency of MIS vs. open surgery for hallux valgus.MethodsA systematic literature search of PubMed, Embase, and the Cochrane Library was performed. Two independent reviewers conducted data extraction and analyzed data with R software. Data were presented with risk ratio (RR) and standardized mean difference (SMD) along with 95% confidence interval (CI).ResultsA total of 22 studies in which there were 790 ft treated with the MIS procedure and 838 ft treated with an open procedure were included. The correction of sesamoid position was better in the MIS group. The post-operative distal metatarsal articular angle (DMAA) of the MIS group was lower. There was less pain at the early phase in the MIS group. The MIS group had a shorter surgery time and shorter hospitalization time compared with the open group. Our meta-analysis revealed no statistically significant difference in hallux valgus angle (HVA), first intermetatarsal angle (IMA), the first metatarsal shortening, the American Orthopedic Foot and Ankle Society (AOFAS) score, visual analog scale (VAS) score at the final follow-up or complication rate (when all studies were considered). When taking into consideration only randomized controlled trial (RCT), the AOFAS score was higher in the MIS group while HVA, IMA, DMAA, and complication rate remained no significance. Post-operative IMA of the MIS group was significantly lower when only studies reporting the second-generation (2G) MIS were included. When just studies adopting the third-generation (3G) MIS were included, the HVA and DMAA were lower in the MIS group.ConclusionThe MIS procedures were more effective than open surgeries in the treatment of hallux valgus. Moreover, the MIS group achieved better radiologic and clinical outcomes compared with the open group.

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Section: Resultsmentioning

confidence: 99%

“…Choi et al ( 13 ) performed a retrospective comparison between the Bösch technique and Chevron surgery. Palmanovich et al ( 17 ) conducted a RCT to compare between the SERI and Chevron technique. Siddiqui et al ( 32 ) performed a retrospective comparison between Bösch and Chevron surgery.…”

Section: Resultsmentioning

confidence: 99%

Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis

Wang

Ding

et al. 2022

Front. Surg.

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“…Risk factors for HV include gender, connective tissue disorders, pes planus and hypermobility of the rst ray (14). A higher prevalence of HV is seen in women, which may indicate that the habit of wearing constricting shoes is an additional risk factor (7).…”

Section: Discussionmentioning

confidence: 99%

The effect of a modified chevron osteotomy for hallux valgus patients: A five-year follow-up study

Zhang

Xue

Chen

et al. 2021

Preprint

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Purpose This study aimed to detect the effect of a modified chevron osteotomy on hallux valgus (HV) deformity at five-year follow up. Methods Twenty patients with symptomatic HV who underwent modified chevron osteotomy between June 2014 and January 2016 were included in the present study. The follow-up duration was more than five years. Each patient was evaluated preoperatively, six weeks postoperatively and five years postoperatively using the visual analog scale (VAS) pain score, the American Orthopaedic Foot & Ankle Society (AOFAS) score and cosmetic and radiological outcomes. Results The AOFAS score improved from 54.40 (± 4.58) preoperatively to 94.30 (± 2.15) six weeks postoperatively (p < 0.001) and 96.95 (± 1.54) five years postoperatively (p < 0.001). The VAS scores decreased from 6.30 (± 1.17)preoperatively to 0.15 (± 0.37) five years postoperatively (p < 0.001). The mean intermetatarsal angle improved from 16.00° (± 2.20°) preoperatively to 4.15° (± 1.22°) six weeks postoperatively (p < 0.001) and 4.40° (± 1.39°) five years postoperatively (p < 0.001). The mean HV angle also improved, from 32.70° (± 5.34°) preoperatively to 4.80° (± 1.40°) six weeks postoperatively (p < 0.001) and 5.20° (± 1.32°) five years postoperatively (p < 0.001). The cosmetic results were either excellent or good in 19 patients (95%). There was no recurrence in this study during the five postoperative years. Conclusion A modified chevron osteotomy can achieve successful correction of moderate-to-severe HV, with excellent outcomes at five-year follow up.

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“…Eight studies, consisting of seven randomized controlled studies and one prospective comparative study, were identified and met the inclusion criteria. A study with a high risk of bias and inconsistent data reporting was excluded from our analysis [39]. Seven studies were included in the qualitative and quantitative data synthesis [10-12, 23, 25, 42, 52].…”

Section: Methodsmentioning

confidence: 99%

“…The evaluation of the individual domains for each study is visualized by a risk of bias graph and a risk of bias summary figure that was generated using robvis [33]. We found that three studies [11, 23, 25] had low risks of bias, four [10, 12, 42, 52] had an intermediate risk, and one [39] had a high risk (Fig. 2).…”

Section: Methodsmentioning

confidence: 99%

Does Minimally Invasive Surgery Provide Better Clinical or Radiographic Outcomes Than Open Surgery in the Treatment of Hallux Valgus Deformity? A Systematic Review and Meta-analysis

Polzer

Ocokoljic

Ray

et al. 2022

Clin Orthop Relat Res

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BackgroundHallux valgus is the most common foot deformity and affects 23% to 35% of the general population. More than 150 different techniques have been described for surgical correction. Recently, there has been increasing interest in the use of minimally invasive surgery to correct hallux valgus deformities. A variety of studies have been published with differing outcomes regarding minimally invasive surgery. However, most studies lack sufficient power and are small, making it difficult to draw adequate conclusions. A meta-analysis can therefore be helpful to evaluate and compare minimally invasive and open surgery.Questions/purposesWe performed a systematic review and meta-analysis of randomized controlled trials and prospective controlled studies to answer the following question: Compared with open surgery, does minimally invasive surgery for hallux valgus result in (1) improved American Orthopaedic Foot and Ankle Society (AOFAS) scores and VAS scores for pain, (2) improved radiologic outcomes, (3) fewer complications, or (4) a shorter duration of surgery?MethodsThe systematic review and meta-analysis was conducted according to the guidelines of the Cochrane Handbook for Systematic Reviews of Intervention and the Preferred Reporting Items for Systematic Reviews and Meta-analyses. A search was performed in the PubMed, Embase, Scopus, CINAHL, and CENTRAL databases on May 3, 2022. Studies were eligible if they were randomized controlled or prospective controlled studies that compared minimally invasive surgery and open surgery to treat patients with hallux valgus. We defined minimally invasive surgery as surgery performed through the smallest incision required to perform the procedure accurately, with an incision length of approximately 2 cm at maximum. Open surgery, on the other hand, involves a larger incision and direct visualization of deeper structures. Seven studies (395 feet), consisting of six randomized controlled studies and one prospective comparative study, were included in the qualitative and quantitative data synthesis. There were no differences between the minimally invasive and open surgery groups regarding age, gender, or severity of hallux valgus deformity. Each included study was assessed for the risk of bias using the second version of the Cochrane tool for assessing the risk of bias in randomized trials or by using the Newcastle-Ottawa Scale for comparative studies. Most of the included studies had intermediate quality regarding the risk of bias. We excluded one study from our analysis because of its high risk of bias to avoid serious distortions in the meta-analysis. We performed a sensitivity analysis to confirm that our meta-analysis was robust by including only studies with a low risk of bias. The analyzed endpoints included the AOFAS score (range 0 to 100), where higher scores represent less pain and better function; the minimum clinically important difference on this scale was 29 points. In addition, the VAS score was analyzed, which is based on a pain rating scale (range 0 to 1...

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Distal Chevron Osteotomy vs The Simple, Effective, Rapid, Inexpensive Technique (SERI) for Mild to Moderate Isolated Hallux Valgus: A Randomized Controlled Study

Cited by 5 publications

References 12 publications

Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis

Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis

The effect of a modified chevron osteotomy for hallux valgus patients: A five-year follow-up study

Does Minimally Invasive Surgery Provide Better Clinical or Radiographic Outcomes Than Open Surgery in the Treatment of Hallux Valgus Deformity? A Systematic Review and Meta-analysis

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