Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric study

Background: Percutaneous surgery is experiencing sustained growth based on third-generation techniques. This cadaveric study was designed with the main goal of exploring the risk of iatrogenic tendon and neurovascular lesions and defining the safe zones in a percutaneous, intra-articular, chevron os...

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Autores: Del Vecchio, Jorge Javier, Ghioldi, Mauricio Esteban, Uzair, Anuar Emanuel, Chemes, Lucas Nicolás, Manzanares Céspedes, María Cristina, Dealbera, Eric Daniel, Dalmau-Pastor, Miki
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2019
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/217564
Acceso en línea:https://hdl.handle.net/2445/217564
Access Level:acceso abierto
Palabra clave:Adults
Cadàvers
Turmell
Cirurgia
Adulthood
Cadavers
Ankle
Surgery
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spelling Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric studyDel Vecchio, Jorge JavierGhioldi, Mauricio EstebanUzair, Anuar EmanuelChemes, Lucas NicolásManzanares Céspedes, María CristinaDealbera, Eric DanielDalmau-Pastor, MikiAdultsCadàversTurmellCirurgiaAdulthoodCadaversAnkleSurgeryBackground: Percutaneous surgery is experiencing sustained growth based on third-generation techniques. This cadaveric study was designed with the main goal of exploring the risk of iatrogenic tendon and neurovascular lesions and defining the safe zones in a percutaneous, intra-articular, chevron osteotomy (PeICO) procedure, as well as assessing the accuracy of the osteotomy itself. Methods: Eight feet from below-knee fresh-frozen specimens were selected. After the procedure, the specimens were dissected, and structures were inspected for damage. Results: The results of the safety measurements were as follows: (1) distance between portal 1 (P1) and the lateral border of the extensor hallucis longus (EHL) tendon: average 17.6 mm (range 12.7-21.3); (2) distance between P1 and the dorsomedial digital nerve (DMDN): average 7.2 mm (range 1.6-10.4); (3) distance between P1 and the metatarsophalangeal joint: average 15.7 mm (range 9.4-20.5); distance between portal 2 (P2), or the osteosynthesis portal, and the metatarsophalangeal joint: average 25.5 mm (range 22-30.4); distance between P2 and the lateral border of the EHL tendon: average 12.7 mm (range 8-16.7); and distance between P2 and the DMDN: average 4.1 mm (range 1.7-8.2). There were no iatrogenic injuries. The osteotomy angulation in the sagittal plane (reproducibility) average was 85.6 degrees. Conclusion: There were no iatrogenic injuries on this cadaveric study of PeICO. Clinical relevance: This study will help orthopedic surgeons understand the risks of performing percutaneous surgery by mimicking an accepted open technique (chevron).SAGE Publications2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/217564Articles publicats en revistes (Patologia i Terapèutica Experimental)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésVersió postprint del document publicat a: https://doi.org/10.1177/1071100718820696Foot & Ankle International, 2019, vol. 40, num.5, p. 586-595https://doi.org/10.1177/1071100718820696(c) SAGE Publications, 2019info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2175642026-05-27T06:46:51Z
dc.title.none.fl_str_mv Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric study
title Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric study
spellingShingle Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric study
Del Vecchio, Jorge Javier
Adults
Cadàvers
Turmell
Cirurgia
Adulthood
Cadavers
Ankle
Surgery
title_short Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric study
title_full Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric study
title_fullStr Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric study
title_full_unstemmed Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric study
title_sort Percutaneous, intra-articular, Chevron osteotomy (PeICO) for the treatment of hallux valgus: a cadaveric study
dc.creator.none.fl_str_mv Del Vecchio, Jorge Javier
Ghioldi, Mauricio Esteban
Uzair, Anuar Emanuel
Chemes, Lucas Nicolás
Manzanares Céspedes, María Cristina
Dealbera, Eric Daniel
Dalmau-Pastor, Miki
author Del Vecchio, Jorge Javier
author_facet Del Vecchio, Jorge Javier
Ghioldi, Mauricio Esteban
Uzair, Anuar Emanuel
Chemes, Lucas Nicolás
Manzanares Céspedes, María Cristina
Dealbera, Eric Daniel
Dalmau-Pastor, Miki
author_role author
author2 Ghioldi, Mauricio Esteban
Uzair, Anuar Emanuel
Chemes, Lucas Nicolás
Manzanares Céspedes, María Cristina
Dealbera, Eric Daniel
Dalmau-Pastor, Miki
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Adults
Cadàvers
Turmell
Cirurgia
Adulthood
Cadavers
Ankle
Surgery
topic Adults
Cadàvers
Turmell
Cirurgia
Adulthood
Cadavers
Ankle
Surgery
description Background: Percutaneous surgery is experiencing sustained growth based on third-generation techniques. This cadaveric study was designed with the main goal of exploring the risk of iatrogenic tendon and neurovascular lesions and defining the safe zones in a percutaneous, intra-articular, chevron osteotomy (PeICO) procedure, as well as assessing the accuracy of the osteotomy itself. Methods: Eight feet from below-knee fresh-frozen specimens were selected. After the procedure, the specimens were dissected, and structures were inspected for damage. Results: The results of the safety measurements were as follows: (1) distance between portal 1 (P1) and the lateral border of the extensor hallucis longus (EHL) tendon: average 17.6 mm (range 12.7-21.3); (2) distance between P1 and the dorsomedial digital nerve (DMDN): average 7.2 mm (range 1.6-10.4); (3) distance between P1 and the metatarsophalangeal joint: average 15.7 mm (range 9.4-20.5); distance between portal 2 (P2), or the osteosynthesis portal, and the metatarsophalangeal joint: average 25.5 mm (range 22-30.4); distance between P2 and the lateral border of the EHL tendon: average 12.7 mm (range 8-16.7); and distance between P2 and the DMDN: average 4.1 mm (range 1.7-8.2). There were no iatrogenic injuries. The osteotomy angulation in the sagittal plane (reproducibility) average was 85.6 degrees. Conclusion: There were no iatrogenic injuries on this cadaveric study of PeICO. Clinical relevance: This study will help orthopedic surgeons understand the risks of performing percutaneous surgery by mimicking an accepted open technique (chevron).
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/217564
url https://hdl.handle.net/2445/217564
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1177/1071100718820696
Foot & Ankle International, 2019, vol. 40, num.5, p. 586-595
https://doi.org/10.1177/1071100718820696
dc.rights.none.fl_str_mv (c) SAGE Publications, 2019
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) SAGE Publications, 2019
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SAGE Publications
publisher.none.fl_str_mv SAGE Publications
dc.source.none.fl_str_mv Articles publicats en revistes (Patologia i Terapèutica Experimental)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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