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

BackgroundDistal 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: Bosch osteotomy and percutaneous chevron. The first aim of this stud...

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Autores: Navarro-Cano, E, Guevara-Noriega, KA, Carrera, A, Tubbs, RS, Sanjuan-Castillo, MA, Iwanaga, J, Vizcaya, S, Reina, F
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p2248
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/2248
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85150665365&doi=10.1186%2fs13018-023-03702-y&partnerID=40&md5=8aad319729ed777666ebc318c9cb430f
Access Level:acceso abierto
Palabra clave:Foot
Hallux valgus
Minimally invasive
Percutaneous 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, EGuevara-Noriega, KACarrera, ATubbs, RSSanjuan-Castillo, MAIwanaga, JVizcaya, SReina, FFootHallux valgusMinimally invasivePercutaneous surgeryBackgroundDistal 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: Bosch 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.MethodsTen 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.ResultsThe 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 Bosch osteotomy. There was no significant difference between the techniques (p = 0.41).Regarding the distance between the bone fragments, the Bosch 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).ConclusionsAlthough the chevron technique confers higher stability regarding fragment displacement during axial loading, both techniques increase the plantar angulation of the metatarsal head.BMC2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://i3pt.portalinvestigacion.com/publicaciones/2248https://www.scopus.com/inward/record.uri?eid=2-s2.0-85150665365&doi=10.1186%2fs13018-023-03702-y&partnerID=40&md5=8aad319729ed777666ebc318c9cb430fJournal of Orthopaedic Surgery and ResearchISSN: 1749799Xreponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulíinstname:Institut d'Investigació i Innovació Parc Taulí (I3PT)Inglésinfo:eu-repo/semantics/openAccessoai:i3pt.fundanetsuite.com:p22482026-06-21T15:30:37Z
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, E
Foot
Hallux valgus
Minimally invasive
Percutaneous 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, E
Guevara-Noriega, KA
Carrera, A
Tubbs, RS
Sanjuan-Castillo, MA
Iwanaga, J
Vizcaya, S
Reina, F
author Navarro-Cano, E
author_facet Navarro-Cano, E
Guevara-Noriega, KA
Carrera, A
Tubbs, RS
Sanjuan-Castillo, MA
Iwanaga, J
Vizcaya, S
Reina, F
author_role author
author2 Guevara-Noriega, KA
Carrera, A
Tubbs, RS
Sanjuan-Castillo, MA
Iwanaga, J
Vizcaya, S
Reina, F
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Foot
Hallux valgus
Minimally invasive
Percutaneous surgery
topic Foot
Hallux valgus
Minimally invasive
Percutaneous surgery
description BackgroundDistal 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: Bosch 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.MethodsTen 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.ResultsThe 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 Bosch osteotomy. There was no significant difference between the techniques (p = 0.41).Regarding the distance between the bone fragments, the Bosch 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).ConclusionsAlthough the chevron technique confers higher stability regarding fragment displacement during axial loading, both techniques increase the plantar angulation of the metatarsal head.
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
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://i3pt.portalinvestigacion.com/publicaciones/2248
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85150665365&doi=10.1186%2fs13018-023-03702-y&partnerID=40&md5=8aad319729ed777666ebc318c9cb430f
url https://i3pt.portalinvestigacion.com/publicaciones/2248
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85150665365&doi=10.1186%2fs13018-023-03702-y&partnerID=40&md5=8aad319729ed777666ebc318c9cb430f
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv Journal of Orthopaedic Surgery and Research
ISSN: 1749799X
reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
instname:Institut d'Investigació i Innovació Parc Taulí (I3PT)
instname_str Institut d'Investigació i Innovació Parc Taulí (I3PT)
reponame_str r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
collection r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
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