Pseudarthrosis After Percutaneous Distal Osteotomy in Hallux Valgus Surgery

Martinelli, Nicolò; Cancilleri, Francesco; Marineo, Gianluca; Marinozzi, Andrea; Longo, Umile Giuseppe; Denaro, Vincenzo

doi:10.7547/1020078

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…The removal of the exostosis makes it necessary for the axis correction with a lower head translation, which ensures more stability. Moreover, the osteotomy is performed intracapsular and safely regarding bone consolidation[ 44 , 45 ]. The Bosch and SERI techniques needed a greater translation of the head, which is not modular.…”

Section: Discussionmentioning

confidence: 99%

Role of lateral soft tissues release in percutaneous hallux valgus correction: A medium term retrospective study

Zanchini,

Catani,

Sergio

et al. 2023

World J Orthop

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BACKGROUND In the field of minimally invasive surgery (MIS) for the treatment of hallux valgus (HV), different techniques have begun to emerge in the literature concerning the distal osteotomy of the first metatarsal bone, the synthesis or not of the metatarsal head, the possible association with lateral soft tissues release (LSTR) and osteotomy of the base of the first phalanx. AIM To evaluate the role of LSTR on percutaneous HV correction, evaluating functional and radiographical results. METHODS From January 2012 to May 2016 a total of 396 patients with mild to moderate symptomatic HV treated with the MIS technique were included in this retrospective study. The technique provides no internal fixation (WOS). Patients were divided into the LSTR group and no LSTR group (LSTR N). This surgical procedure (LSTR) was reserved for insufficient HV angle (HVA) correction during fluoroscopic control. Patients were evaluated at each follow-up by two other authors after appropriate training by senior authors (first practitioners). Clinical evaluation was performed before surgery, 6 mo after surgery, and 48 mo follow-up. American Orthopaedic Foot and Ankle Society (AOFAS) and visual analog scale (VAS) score was used to evaluate pain and function, and complications were recorded. In addition, the incidence of relapses and the degree of joint range of motion (ROM) with the association with the LSTR (capsule, adductor tendon, phalanx-sesamoid ligament, and the deep transverse metatarsal ligament) were evaluated. Radiological parameters included HVA and intermetatarsal angle (IMA). Patient satisfaction was assessed. Student t -test and Fisher exact test were used to assess statistical analysis. RESULTS From our study it is clear that no differences in term of HVA, VAS, IMA correction, rate of complications, and AOFAS score were found between groups, while a significant improvement of the same variables was found in each group between pre and postoperative values. A significant improvement in ROM at 6 mo (P = 0.018) and 48 mo (P = 0.02) of follow-up was found in LSTR N group. Complications were rare in both groups. CONCLUSION LSTR procedure on percutaneous HV correction seems to increase postoperative joint stiffness with a comparable incidence of relapse and a low incidence of complications.

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Section: Discussionmentioning

confidence: 99%

Role of lateral soft tissues release in percutaneous hallux valgus correction: A medium term retrospective study

Zanchini,

Catani,

Sergio

et al. 2023

World J Orthop

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“…The characteristics of PEMFs in the treatment of foot and ankle nonunion have been confirmed by other authors not only in the field of fractures. Martinelli et al [51] reported the case of a 42-year-old woman affected by a nonunion of the first metatarsal bone after percutaneous distal osteotomy for hallux valgus deformity. The patient was surgically treated with debridement of the fibrous nonunion with plating followed by the application of PEMFs, and achieved bone consolidation within 3 months.…”

Section: Nonunionsmentioning

confidence: 99%

Applications and Future Perspective of Pulsed Electromagnetic Fields in Foot and Ankle Sport-Related Injuries

Mazzotti,

Langone,

Artioli

et al. 2023

Applied Sciences

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Foot and ankle injuries are common in many sports. One of the main athletes issues is the time for sport resumption after trauma. Recently, extensive efforts have been made to speed up the athletes’ return-to-sport and to prevent joint degeneration. Among the conservative treatment options, biophysical stimulation with pulsed electromagnetic fields (PEMFs) is listed. This narrative review aims to outline current applications of PEMFs in main foot and ankle sport-related injuries, in particular in the treatment of bone marrow edema, osteochondral defects, fractures, and nonunions. Despite further high-quality studies on foot and ankle injuries are needed, PEMFs seem to be a valid aid to enhance the endogenous osteogenesis, to resolve the bone marrow edema, to inhibit the joint inflammation, preserving articular cartilage degeneration, and to relieve pain.

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Epidemiology of hallux valgus surgery in Italy: a nationwide study from 2001 to 2016

Longo

Papalia

Mazzola

et al. 2023

Preprint

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This study intended to estimate the annual number of hallux valgus surgical procedures in Italy and the patients’ epidemiological features. A secondary goal was to compare the demographic differences in access to hallux valgus surgery amongst three Italian macroregions. The analysis was conducted by using the National Hospital Discharge Records (NHDR) database provided by the Italian Ministry of Health. 721,514 surgical procedures for Acquired Hallux valgus were performed. The cumulative incidence was 88.2 procedures for every 100,000 Italian residents. The highest number of procedures was found in the 60–64 age class. The 91.2% of patients were females. The mean length of hospitalization was 2.1 ± 2.2 days. Patients aged 95 to 99 had more days of hospitalization on average. The 51.9% of procedures were performed in the North, 25.7% in the Center and 22.4% in the South. The 98.5% of patients from the North received the surgical treatment in the same macro region of domicile; 90% in the Center; 78.5% in the South. The main primary procedure was: Bunionectomy With Soft Tissue Correction And Osteotomy Of The First Metatarsal (79.9%, 77.51 ICD-9-CM code). The socioeconomic burden of hallux valgus surgery in Italy is relevant. The incidence of hallux valgus surgery has progressively increased between 2001 and 2012 and decreased from 2012 to 2016. A geographical inequal distribution of procedures between the three Italian macroregions was pointed out. Migratory flows of patients from the South to the North for undergoing the procedure were observed.

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Pseudarthrosis After Percutaneous Distal Osteotomy in Hallux Valgus Surgery

Cited by 3 publications

References 7 publications

Role of lateral soft tissues release in percutaneous hallux valgus correction: A medium term retrospective study

Role of lateral soft tissues release in percutaneous hallux valgus correction: A medium term retrospective study

Applications and Future Perspective of Pulsed Electromagnetic Fields in Foot and Ankle Sport-Related Injuries

Epidemiology of hallux valgus surgery in Italy: a nationwide study from 2001 to 2016

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