Tratamento do hálux valgo com a técnica do chevron-Akin percutâneo
Keywords:
hallux valgus, minimally invasive surgery, rotational deformityAbstract
The present study demonstrates a case report using the chevron- Akin technique for percutaneous hallux valgus correction, considered the third generation of minimally invasive surgeries. There was a significant improvement in pain and function symptoms at 17 months postoperatively, with the result being considered excellent by the patient. The radiographic correction showed a variation of 33 degrees in the metatarsophalangeal angle and 12 degrees in the intermetatarsal angle. The osteotomy consolidated and there were no major or minor complications.
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References
Ferrari J, Higgins JP, Williams RL. Interventions for treating hallux valgus (abductovalgus) and bunions. Cochrane Database Syst Rev. 2000(2):CD000964.
Trnka HJ, Zembsch A, Easley ME, Salzer M, Ritschl P, Myerson MS. The chevron osteotomy for correction of hallux valgus. Comparison of findings after two and five years of follow-up. J
Bone Joint Surg Am. 2000;82(10):1373-8.
Maffulli N, Longo UG, Marinozzi A, Denaro V. Hallux valgus: effectiveness and safety of minimally invasive surgery. A systematic review. Br Med Bull. 2011;97:149-67.
Trnka HJ, Krenn S, Schuh R. Minimally invasive hallux valgus surgery: a critical review of the evidence. Int Orthop. 2013; 37(9):1731-35.
Bia A, Guerra-Pinto F, Pereira BS, Corte-Real N, Oliva XM. Percutaneous osteotomies in hallux valgus: a systematic review. J Foot Ankle Surg. 2018;57(1):123-30.
Roukis TS. Percutaneous and minimum incision metatarsal osteotomies: a systematic review. J Foot Ankle Surg. 2009; 48(3):380-7.
Vernois J, Redfern DJ. Percutaneous Surgery for Severe Hallux Valgus. Foot Ankle Clin. 2016;21(3):479-93.
Kitaoka HB, Alexander IJ, Adelaar RS, et al. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. 1997;18(3):187-8.
Lee M, Walsh J, Smith MM, Ling J, Wines A, Lam P. Hallux valgus correction comparing percutaneous chevron/akin (PECA) and Open Scarf/Akin Osteotomies. Foot Ankle Int. 2017;38(8):838-46.
Lai MC, Rikhraj IS, Woo YL, Yeo W, Ng YCS, Koo K. Clinical and radiological outcomes comparing percutaneous chevron-akin osteotomies vs open Scarf-Akin osteotomies for hallux valgus. Foot Ankle Int. 2018;39(3):311-7.
Frigg A, Zaugg S, Maquieira G, Pellegrino A. Stiffness and Range of Motion After Minimally Invasive Chevron-Akin and Open Scarf-Akin Procedures. Foot Ankle Int. 2019;40(5):515-25.