Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study

Background: Distal first metatarsal osteotomy is used to correct mild or moderate hallux valgus (HV). We designed a cadaveric study to compare the resistance to axial load between two percutaneous distal first metatarsal osteotomies: Bösch osteotomy and percutaneous chevron. The first aim of this st...

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Autores: Navarro Cano, Ester, Guevara-Noriega, Kerbi Alejandro, Carrera Burgaya, Ana, Shane Tubbs, R., Sanjuan-Castillo, Maria Angeles, Iwanaga, Joe, Vizcaya, Sara, Reina de la Torre, Francisco
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/24222
Acceso en línea:http://hdl.handle.net/10256/24222
Access Level:acceso abierto
Palabra clave:Peus
Foot
Morts
Dead
Pell -- Cirurgia
Skin -- Surgery
Cirurgia endoscòpica
Endoscopic surgery
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spelling Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric studyNavarro Cano, EsterGuevara-Noriega, Kerbi AlejandroCarrera Burgaya, AnaShane Tubbs, R.Sanjuan-Castillo, Maria AngelesIwanaga, JoeVizcaya, SaraReina de la Torre, FranciscoPeusFootMortsDeadPell -- CirurgiaSkin -- SurgeryCirurgia endoscòpicaEndoscopic surgeryBackground: Distal first metatarsal osteotomy is used to correct mild or moderate hallux valgus (HV). We designed a cadaveric study to compare the resistance to axial load between two percutaneous distal first metatarsal osteotomies: Bösch osteotomy and percutaneous chevron. The first aim of this study was to develop a systematic technique for measuring the sagittal displacement on lateral foot X-rays. Our second objective was to measure the resistance to axial load for both of these osteotomies. Methods: Ten pairs of freshly frozen cadaveric feet were randomly assigned to one of the two techniques investigated. Pre- and post-operative lateral X-rays were obtained. After surgery, the feet were placed under progressive axial loads up to 60 kg. Metaphyseo-diaphyseal angle (MDA) and the distance between bone fragments were measured, and the differences between the two techniques were statistically assessed. Results: The MDA decreased in both surgical techniques. The mean plantar tilt was -6.90 degrees (SD = 10.251) for chevron osteotomy and -5.34 degrees (SD = 16.621) for Bösch osteotomy. There was no significant difference between the techniques (p = 0.41). Regarding the distance between the bone fragments, the Bösch osteotomy produced more plantar displacement than the chevron osteotomy, which was statistically significant for the 10 and 20 kg loads (p = 0.031 and 0.04, respectively). At loads ≥ 30 kg, the bone fragment distance did not differ significantly between the techniques (p = 0.114). Conclusions: Although the chevron technique confers higher stability regarding fragment displacement during axial loading, both techniques increase the plantar angulation of the metatarsal head. Level of evidence: Cadaveric studySpringer2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionpeer-reviewedapplication/pdfhttp://hdl.handle.net/10256/24222Journal Of Orthopaedic Surgery And Research, 2023, vol. 18, núm. 1, p. 213Articles publicats (D-CM)Navarro Cano, Ester Guevara-Noriega, Kerbi Alejandro Carrera Burgaya, Ana Shane Tubbs, R. Sanjuan-Castillo, Maria Angeles Iwanaga, Joe Vizcaya, Sara Reina de la Torre, Francisco 2023 Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study Journal Of Orthopaedic Surgery And Research 18 1 213reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Inglésinfo:eu-repo/semantics/altIdentifier/doi/10.1186/s13018-023-03702-yinfo:eu-repo/semantics/altIdentifier/issn/1749-799Xinfo:eu-repo/semantics/altIdentifier/eissn/1749-799XReconeixement 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:recercat.cat:10256/242222026-05-29T05:05:01Z
dc.title.none.fl_str_mv Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study
title Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study
spellingShingle Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study
Navarro Cano, Ester
Peus
Foot
Morts
Dead
Pell -- Cirurgia
Skin -- Surgery
Cirurgia endoscòpica
Endoscopic surgery
title_short Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study
title_full Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study
title_fullStr Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study
title_full_unstemmed Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study
title_sort Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study
dc.creator.none.fl_str_mv Navarro Cano, Ester
Guevara-Noriega, Kerbi Alejandro
Carrera Burgaya, Ana
Shane Tubbs, R.
Sanjuan-Castillo, Maria Angeles
Iwanaga, Joe
Vizcaya, Sara
Reina de la Torre, Francisco
author Navarro Cano, Ester
author_facet Navarro Cano, Ester
Guevara-Noriega, Kerbi Alejandro
Carrera Burgaya, Ana
Shane Tubbs, R.
Sanjuan-Castillo, Maria Angeles
Iwanaga, Joe
Vizcaya, Sara
Reina de la Torre, Francisco
author_role author
author2 Guevara-Noriega, Kerbi Alejandro
Carrera Burgaya, Ana
Shane Tubbs, R.
Sanjuan-Castillo, Maria Angeles
Iwanaga, Joe
Vizcaya, Sara
Reina de la Torre, Francisco
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Peus
Foot
Morts
Dead
Pell -- Cirurgia
Skin -- Surgery
Cirurgia endoscòpica
Endoscopic surgery
topic Peus
Foot
Morts
Dead
Pell -- Cirurgia
Skin -- Surgery
Cirurgia endoscòpica
Endoscopic surgery
description Background: Distal first metatarsal osteotomy is used to correct mild or moderate hallux valgus (HV). We designed a cadaveric study to compare the resistance to axial load between two percutaneous distal first metatarsal osteotomies: Bösch osteotomy and percutaneous chevron. The first aim of this study was to develop a systematic technique for measuring the sagittal displacement on lateral foot X-rays. Our second objective was to measure the resistance to axial load for both of these osteotomies. Methods: Ten pairs of freshly frozen cadaveric feet were randomly assigned to one of the two techniques investigated. Pre- and post-operative lateral X-rays were obtained. After surgery, the feet were placed under progressive axial loads up to 60 kg. Metaphyseo-diaphyseal angle (MDA) and the distance between bone fragments were measured, and the differences between the two techniques were statistically assessed. Results: The MDA decreased in both surgical techniques. The mean plantar tilt was -6.90 degrees (SD = 10.251) for chevron osteotomy and -5.34 degrees (SD = 16.621) for Bösch osteotomy. There was no significant difference between the techniques (p = 0.41). Regarding the distance between the bone fragments, the Bösch osteotomy produced more plantar displacement than the chevron osteotomy, which was statistically significant for the 10 and 20 kg loads (p = 0.031 and 0.04, respectively). At loads ≥ 30 kg, the bone fragment distance did not differ significantly between the techniques (p = 0.114). Conclusions: Although the chevron technique confers higher stability regarding fragment displacement during axial loading, both techniques increase the plantar angulation of the metatarsal head. Level of evidence: Cadaveric study
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
peer-reviewed
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10256/24222
url http://hdl.handle.net/10256/24222
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1186/s13018-023-03702-y
info:eu-repo/semantics/altIdentifier/issn/1749-799X
info:eu-repo/semantics/altIdentifier/eissn/1749-799X
dc.rights.none.fl_str_mv Reconeixement 4.0 Internacional
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Reconeixement 4.0 Internacional
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv Journal Of Orthopaedic Surgery And Research, 2023, vol. 18, núm. 1, p. 213
Articles publicats (D-CM)
Navarro Cano, Ester Guevara-Noriega, Kerbi Alejandro Carrera Burgaya, Ana Shane Tubbs, R. Sanjuan-Castillo, Maria Angeles Iwanaga, Joe Vizcaya, Sara Reina de la Torre, Francisco 2023 Distal osteotomy of the first metatarsal bone for the correction of hallux valgus: comparison of the sagittal stability of two percutaneous techniques-a cadaveric study Journal Of Orthopaedic Surgery And Research 18 1 213
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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