The Reverdin-Isham Procedure for the Correction of Hallux Valgus: A Distal Metatarsal Osteotomy Procedure Using Minimal Invasive Technique

Isham, Stephen A.; Nunez, Orlando E.

doi:10.1007/978-1-4471-4489-2_4

Cited by 52 publications

(77 citation statements)

References 4 publications

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“…The Reverdin-Isham percutaneous osteotomy was described as a novel intra-articular medial closing wedge osteotomy of the distal metatarsal, in combination with an Akin osteotomy, both performed without fixation, to align the first ray by medial rotation of the first metatarsal head and distal metatarsal articular angle (DMAA) correction [15, 19–26]. Reverdin-Isham is not a complete osteotomy, as the MTT-1 lateral cortex is preserved; the closing wedge ensures contact of the metatarsal head with the metaphysis, and a special bandage is applied after surgery.…”

Section: Introductionmentioning

confidence: 99%

Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and Akin percutaneous osteotomies: a longitudinal prospective study with a 48-month follow-up

et al. 2016

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BackgroundMinimally invasive surgery (MIS) represents one of the most innovative surgical treatments of hallux valgus (HV). However, long-term outcomes still remain a matter of discussion within the orthopaedic community. The purpose of this longitudinal prospective study was to evaluate radiographic and functional outcomes in patients with mild-to-severe HV who underwent Reverdin-Isham and Akin percutaneous osteotomy, following exostosectomy and lateral release.MethodsEighty patients with mild-to-severe symptomatic HV were treated by MIS. Clinical evaluation was assessed preoperatively, as well as at 3 and 12 months after surgery and at final follow-up of 48 months, using the American Orthopaedic Foot and Ankle Society (AOFAS) hallux grading system. Patient satisfaction and complications were recorded. Computer-assisted measurement of antero-posterior radiographs was taken preoperatively, as well as at 3 and 12 months after surgery and at 48-month follow-up, analysing the intermetatarsal angle (IMA), the hallux valgus angle (HVA), the distal metatarsal articular angle (DMAA) and the tibial sesamoid position. Also, the bridging bone/callus formation was evaluated at the different radiographic follow-ups, while the articular surface congruency and the metatarsal index were calculated only preoperatively and at the last follow-up. Patient satisfaction was assessed using the visual analogue score (VAS). Statistical analysis was carried out using the paired t test. Statistical significance was set at p < 0.05.ResultsThe mean AOFAS score was 87.15 points at the final follow-up of 48 months, and the VAS score was 8.35/10. The post-operative radiographic assessments showed a statistically significant improvement compared with preoperative values. The mean corrections of each angular value at the last follow-up were as follows: IMA 3.90°, HVA 12.50°, DMAA 4.72° and a tibial sesamoid position of 1.10. The articular surface was congruent in 77 (96.25%) cases and incongruent only in 3 (3.75%). The complete healing of the osteotomies was achieved in all series at 3-month follow-up. However, the results obtained in the correction of the severe HV deformities were less encouraging.ConclusionsMinimally invasive surgery with Reverdin-Isham and Akin percutaneous osteotomy, in combination with previous exostosectomy and subsequent lateral soft-tissue release, is a safe, effective and reliable procedure for correction of mild-to-moderate HV. However, it requires a long learning curve because of the inherent difficulty of the mixed different surgical procedures.Trial registrationClinicalTrials.gov PRS Protocol Registration and Results System: NCT02886221

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Section: Introductionmentioning

confidence: 99%

Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and Akin percutaneous osteotomies: a longitudinal prospective study with a 48-month follow-up

et al. 2016

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“…Bauer et al ne retrouvent pas de telles complications mais insistent sur le fait que ces techniques nécessitent une courbe d'apprentissage non négligeable afin de réaliser des gestes reproductibles sans traumatisme des parties molles ainsi que sur l'importance du protocole des pansements postopératoires [13]. Par ailleurs, cette étude révèle que la technique percutanée par ostéotomie de Reverdin-Isham [28] s'accompagne d'un enraidissement de l'articulation métatarsophalangienne identique aux autres interventions percutanées ou à ciel ouvert [7,9] ; de plus, en cas de geste sur les autres métatarsiens, les contraintes sont augmentées sur cette ostéotomie non ostéosynthésée, compromettant alors sa stabilité.…”

Section: Discussionunclassified

Hybrid surgical treatment of hallux valgus: preliminary results of a prospective study

et al. 2011

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“…Операция позво-ляла восстановить ось первой плюсневой кости, но не влияла на величину межплюсневого угла [12]. Оригинальность и простота предлагаемой методики была оценена коллегами и легла в основу множества модификаций, остающихся актуальными [24,28,45].…”

Section: анализ хирургических методов лечения Hallux Valgusunclassified

Problems of Diagnosis and Surgical Treatment of Hallux Valgus (Literature Review)

Usoltsev¹,

Leonova²

2017

Acta Biomedica Scientifica

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PROBLEMS OF DIAGNOSIS AND SURGICAL TREATMENT OF HALLUX VALGUS (LITERATURE REVIEW)Usoltsev I.V., Leonova S.N. Irkutsk Scientific Centre of Surgery and Traumatology (ul. Bortsov Revolyutsii 1, Irkutsk 664003, Russian Federation) Treatment of valgus deformity of the first toe is today one of the intensively developing areas of modern orthopedics. The complexity of treatment of this pathology is predetermined, first of all, by its multicomponent nature. Forefoot deformities are often the main cause of a decreased quality of life, which makes the patient irritable, inactive, and also makes it impossible to use standard footwear, and sometimes even orthopedic one. The purpose of our study was the analysis of scientific literature devoted to the problems of diagnosis and surgical treatment of valgus deviation of the 1st toe (hallux valgus

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The Reverdin-Isham Procedure for the Correction of Hallux Valgus: A Distal Metatarsal Osteotomy Procedure Using Minimal Invasive Technique

Cited by 52 publications

References 4 publications

Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and Akin percutaneous osteotomies: a longitudinal prospective study with a 48-month follow-up

Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and Akin percutaneous osteotomies: a longitudinal prospective study with a 48-month follow-up

Hybrid surgical treatment of hallux valgus: preliminary results of a prospective study

Problems of Diagnosis and Surgical Treatment of Hallux Valgus (Literature Review)

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