Abstract:
BACKGROUND:Minimally invasive distal metatarsal osteotomy (MIDMO) is a common technique used to correct the hallux valgus deformity, but controversy remains regarding the expected outcomes of this surgery. METHODS:Seventy-two patients (85 feet) suffering from hallux valgus underwent MIDMO with a modified Bösch technique. Patients were prospectively evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) hallux score, and the AOFAS recovery rate was calculated. Before surgery and at follow-up, the hallux valgus (HVA), intermetatarsal (IMA), and distal metatarsal articular (DMAA) angles were measured, and the severity of disease was categorized according to the preoperative HVA. The tibial sesamoid position and articular congruence were evaluated. Postoperative complications were noted. RESULTS:After an average follow-up of 73.3 ± 38.1 months, the total AOFAS score improved from 47.6 ± 13.3 to 87.3 ± 11.5 (P < .001). The HVA decreased from 34.7 ± 8.2 to 14.8 ± 7.8 degrees, the IMA from 14.7 ± 4 to 6.6 ± 3.6 degrees, and the DMAA from 20.9 ± 9.8 to 9 ± 6.6 degrees (P < .001 for all). Postoperative improvement in AOFAS was inversely related to the preoperative severity of disease (P < .001, β = -.378). Sixteen (18.8%) deformity recurrences were noted, 9 of which were observed in patients with preoperative HVA more than 40 degrees. Worse preoperative congruence of the metatarsophalangeal joint and tibial sesamoid position correlated with a higher rate of recurrence of the disease after surgery (P = .001, β = -.353 and P < .001, β = .427, respectively). CONCLUSIONS:Satisfactory clinical and radiological results can be expected after MIDMO, but caution should be exercised when using this technique because of the likelihood of possible complications (29.4% overall complication rate). Predictors of surgical outcomes can be used to select the best candidates for this surgery. LEVEL OF EVIDENCE:Level IV, case series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Iannò B,Familiari F,De Gori M,Galasso O,Ranuccio F,Gasparini Gdoi
10.1177/1071100713481453subject
Has Abstractpub_date
2013-07-01 00:00:00pages
969-77issue
7eissn
1071-1007issn
1944-7876pii
1071100713481453journal_volume
34pub_type
杂志文章abstract::The results following revision tarsal tunnel release in 12 patients (13 feet), including three men and nine women aged 28 to 66 years, are presented. The indication for surgery was incapacitating focal pain, associated with paresthesias and hyperesthesias, refractory to nonoperative treatment modalities. Electrodiagno...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500703
更新日期:1994-07-01 00:00:00
abstract::Two commonly used techniques for tibiotalar fusion were quantitatively compared using instrumented testing of the strength of the construct. The tibiae and tali from 10 pairs of fresh-frozen cadaveric limbs were used. One joint of each pair was fused using two 6.5-mm crossed cancellous screws from proximal to distal w...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500604
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000606
更新日期:1999-06-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110070002101013
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to review the results of arthrodesis of the Charcot hindfoot when an implantable bone growth stimulator was added to the procedure. Arthrodesis of the Charcot hindfoot has a high nonunion and complication rate. METHODS:Ten patients (ages 50 to 69 years) with Charcot neuroarthro...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0971
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abstract::The purpose of this study was to evaluate the biomechanical properties of commonly used autogenous transplants for the surgical stabilization of chronic lateral ankle instability. We dissected the transplants (peroneus longus, peroneus brevis, Achilles and plantaris tendon, periosteal flap, fascia, corium) and the ant...
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doi:10.1177/107110070202300714
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journal_title:Foot & ankle international
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abstract:BACKGROUND:In Chopart-level amputations the heel often deviates into equinus and varus when, due to the lack of healthy anterior soft tissue, rebalancing tendon transfers to the talar head are not possible. Consequently, anterior and lateral wound dehiscence and ulceration may occur requiring higher-level amputation to...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:The aims of this study were to determine the severity of metatarsalgia of the second through fifth rays after shortening of the first ray for correction of hallux valgus deformity and patient satisfaction of the cosmetic results. METHODS:Two hundred and forty metatarsal osteotomies (Wilson osteotomy as modi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0011
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Patients with arthritis or severe dysfunction involving both the ankle and subtalar joints can benefit from tibiotalocalcaneal (TTC) arthrodesis or total ankle replacement and subtalar fusion. TTC fusion is considered by many as a salvage operation resulting in a stiff ankle and hindfoot, considerably limiti...
journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700306
更新日期:2006-03-01 00:00:00
abstract::Sixty-one patients underwent a primary ankle lateral ligament reconstruction for chronic instability between 1989 and 1996. In addition to the ligament reconstruction, all patients had evaluation of the peroneal retinaculum, peroneal tendon inspection by routine opening of the tendon sheath, and ankle joint inspection...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101003
更新日期:2000-10-01 00:00:00
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doi:10.3113/FAI.2008.0325
更新日期:2008-03-01 00:00:00
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journal_title:Foot & ankle international
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000912
更新日期:1999-09-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2000-11-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0155
更新日期:2008-02-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079601701209
更新日期:1996-12-01 00:00:00
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abstract:BACKGROUND:Triple arthrodesis through a 2-incision approach has been the primary salvage procedure for rigid hindfoot malalignment resulting from posterior tibialis dysfunction. However, complications like calcaneocuboid joint nonunion, lateral wound dehiscence, and adjacent joint arthritis have been reported after tri...
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pub_type: 杂志文章
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更新日期:2013-03-01 00:00:00