Fixation of Mitchell’s osteotomy with bioabsorbable pins for treatment of hallux valgus deformity

Nikolaou, Vassilios S.; Korres, Demitrios; Xypnitos, F.N.; Lazarettos, J.; Lallos, Stergios N.; Sapkas, George; Efstathopoulos, Nicolas

doi:10.1007/s00264-008-0664-2

Cited by 15 publications

(8 citation statements)

References 21 publications

(28 reference statements)

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“…Troughing of the two diaphyseal fragments has often been suggested to be critical in Scarf osteotomy [5]. On the other hand this is a well known problem even in distal metatarsal osteotomies [15]. In two patients suffering from a distal fracture we were able to clearly illustrate the troughing effect on CT scans (Fig.…”

Section: Discussionmentioning

confidence: 48%

Mid-term results of Scarf osteotomy in hallux valgus

Fuhrmann

Zollinger-Kies

Kundert

2010

International Orthopaedics (SICOT)

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We performed a retrospective study on 178 Scarf osteotomies with a mean follow-up of 44.9 months (range 15-83 months). Clinical rating was based on the forefoot score of the American Orthopaedic Foot and Ankle Society (AOFAS). Weight bearing X-rays were used to perform angular measurements and assess the first metatarsophalangeal joint (MTP 1). At follow-up the mean AOFAS score had improved significantly (p<0.001), but only 55% of the feet showed a perfect realignment of the first ray. Patients with a hallux valgus angle exceeding 30°and preexisting degenerative changes at the MTP 1 joint displayed inferior clinical results (p<0.05). Nearly 20% of the patients suffered from pain at the MTP 1 joint. This was clearly attributed to an onset or worsening of distinct radiographic signs of arthritis (p<0.05) resulting in painfully decreased joint motion. Comparing radiographic appearance three months postoperatively and at follow-up, we found that radiographic criteria (hallux valgus, first intermetatarsal angle, hallux valgus interphalangeus, MTP 1 joint congruency, arthritic lesions at MTP 1) worsened with time.

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Section: Discussionmentioning

confidence: 48%

Mid-term results of Scarf osteotomy in hallux valgus

Fuhrmann

Zollinger-Kies

Kundert

2010

International Orthopaedics (SICOT)

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“…Over 130 different surgical techniques [1][2][3][4] to correct hallux valgus deformity have been proposed, although choosing the most appropriate treatment option continues to generate controversy [5][6][7][8][9][10][11]. The current trend is directed toward percutaneous procedures with the potential benefits of minimally invasive surgery [2], e.g.…”

Section: Introductionmentioning

confidence: 99%

Long-term results of the retrocapital metatarsal percutaneous osteotomy for hallux valgus

Faour-Martín

Martín-Ferrero

García

et al. 2013

International Orthopaedics (SICOT)

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Purpose The current trend in hallux valgus surgery is directed toward percutaneous procedures. However, no evidence that any of these methods of treatment are superior to the others has been described, excepting studies in the long term. The aim of this study was to analyse a series of patients who had undergone a percutaneous distal retrocapital osteotomy of the first metatarsal, and had been followed up for ten years. Methods We carried out a clinical and radiological evaluation of 115 feet ten years after surgery. Results The AOFAS scale results in the tenth postoperative year remained significantly favourable compared to their corresponding values in the preoperative period, yielding an improvement of 42.2 points overall on average. In relation to radiological findings, the mean hallux angle was maintained below 20°, with a mean intermetatarsal angle of 8.1°. Conclusion Percutaneous retrocapital metatarsal osteotomy for treatment of mild to moderate hallux valgus is effective in the long term, with the advantages of a minimally invasive procedure.

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“…The term hallux valgus refers to the combination of medial deviation of the first metatarsal associated with a medial bony and soft tissue prominence, and lateral deviation of the hallux [ 1 ]. It is a complex first ray deformity with presence of an imbalance of the adductor and abductor muscles, rotation of the hallux, anomalous foot mechanics that largely occurs in populations who wear shoes and that is rarely seen in populations that are mostly barefoot [ [1] , [2] , [3] ].…”

Section: Introductionmentioning

confidence: 99%

Modified Mitchell technique for treating hallux valgus: Retrospective case series on a Middle-Eastern population and literature review

Ayoubi

Darwish

Aouad

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction The hallux valgus deformity is a complex deformity of the first ray of the foot, with more than 100 procedures developed for its treatment. The aim of this retrospective study was to assess the clinical and radiographic outcomes of a modified Mitchell's technique. Methods Between 2007 and 2018, 75 patients underwent the procedure. Clinical results were assessed by the AOFAS score. Radiological studies were evaluated by measuring pre-operative and post-operative HVA and IMA angles as well as the relative shortening of the first metatarsal. Results Of the initial 75 patients, 42 patients remained eligible with a total of 67 feet. The mean age and follow-up were 47.8 and 5.2 years respectively. Global AOFAS score improved from 45.3 to 88.8 (p < 0.01). Mean HVA and IMA improved from 37.0 to 10.2 (p < 0,01) and 12.1 to 5.6 (p < 0.01), respectively. The mean metatarsal shortening was 3.0 mm (p < 0.01). The statistical analysis showed no significant correlation between preoperative HVA and IMA angles with postoperative shortening, metatarsalgia, AOFAS scores nor the difference between the preoperative and postoperative AOFAS scores. Conclusion Short- and long-term outcomes of this modified Mitchell's osteotomy have been reported. Compared to other studies, these modifications proved to result in very good clinical and radiological outcomes even in severe cases with HVA>40. It has shown to be reliable, reproducible, and cost-efficient with low complication rates. We would like to highlight the importance of proper patient selection, limited soft tissue stripping, and adherence to the proposed surgical steps to avoid unwanted complications.

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Fixation of Mitchell’s osteotomy with bioabsorbable pins for treatment of hallux valgus deformity

Abstract: We hypothesised that the use of bioabsorbable pins in Mitchell's osteotomy would improve the outcome of patients treated for hallux valgus deformity.

Cited by 15 publications

References 21 publications

Mid-term results of Scarf osteotomy in hallux valgus

Mid-term results of Scarf osteotomy in hallux valgus

Long-term results of the retrocapital metatarsal percutaneous osteotomy for hallux valgus

Modified Mitchell technique for treating hallux valgus: Retrospective case series on a Middle-Eastern population and literature review

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