Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series

Purpose: Treatment for hallux valgus (HV) remains challenging. Third-generation percutaneous procedures try to reproduce chevron-type osteotomies to replicate their benefits, such as intrinsic stability and reproducibility. We report the first results using a percutaneous, intra-articular, chevron o...

ver descrição completa

Detalhes bibliográficos
Autores: Del Vecchio, Jorge Javier, Ghioldi, Mauricio Esteban, Chemes, Lucas Nicolás, Dealbera, Eric Daniel, Brue, Julieta, Dalmau-Pastor, Miki
Tipo de documento: artigo
Estado:Versión aceptada para publicación
Data de publicação:2021
País:España
Recursos:Universidad de Barcelona
Repositório:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/217555
Acesso em linha:https://hdl.handle.net/2445/217555
Access Level:Acceso aberto
Palavra-chave:Osteotomia
Turmell
Cirurgia
Osteotomy
Ankle
Surgery
id ES_6bdea7837b4396aba94b5a94795d8d2f
oai_identifier_str oai:diposit.ub.edu:2445/217555
network_acronym_str ES
network_name_str España
repository_id_str
spelling Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case seriesDel Vecchio, Jorge JavierGhioldi, Mauricio EstebanChemes, Lucas NicolásDealbera, Eric DanielBrue, JulietaDalmau-Pastor, MikiOsteotomiaTurmellCirurgiaOsteotomyAnkleSurgeryPurpose: Treatment for hallux valgus (HV) remains challenging. Third-generation percutaneous procedures try to reproduce chevron-type osteotomies to replicate their benefits, such as intrinsic stability and reproducibility. We report the first results using a percutaneous, intra-articular, chevron osteotomy (PeICO) technique that mimics the classic intra-articular open chevron procedure, associated with a percutaneous adductor tendon release (PATR) for the treatment of mild-to-moderate HV. Methods: From May 2015 to October 2018, a total of consecutive 114 feet (74 patients) were included. Primary outcome measures included radiographic (hallux valgus and intermetatarsal angles) and clinical parameters such as visual analog scale (VAS), FAAM Activities of Daily Living (ADL), and FAAM Sport, AOFAS Score, and MOXFQ, preoperatively and at final follow-up (Minimum 18 months). A patient satisfaction survey was also performed. Pronation and length of the first metatarsal were also assessed. Secondary outcomes included fluoroscopic time, length of surgery, complications, recurrence, and re-operation rates. Results: At 24.09 months on average, the AOFAS score improved from 52.1 points preoperatively to 91.1 (p < 0.001) at the latest follow-up. VAS decreased from 6.3 to 1. Also, FAAM ALD, FAAM Sport, and MOXFQ showed statistically significant differences (p < 0.001) when comparing pre-operative and post-operative periods. Patients found the procedure to be excellent in 82% and very good in 13.5% of cases. Our global complication and re-operation rates were 5.26% and 3.5% (screw removal), respectively. Conclusion: PeICO combined with PATR proved to be a safe, reliable, and effective technique for the correction of mild-to-moderate HV deformity.Springer Verlag2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/217555Articles publicats en revistes (Patologia i Terapèutica Experimental)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésVersió postprint del document publicat a: https://doi.org/10.1007/s00264-021-05111-4International Orthopaedics, 2021, vol. 45, num.9, p. 2251-2260https://doi.org/10.1007/s00264-021-05111-4(c) Springer Verlag, 2021info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2175552026-05-27T06:46:51Z
dc.title.none.fl_str_mv Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series
title Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series
spellingShingle Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series
Del Vecchio, Jorge Javier
Osteotomia
Turmell
Cirurgia
Osteotomy
Ankle
Surgery
title_short Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series
title_full Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series
title_fullStr Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series
title_full_unstemmed Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series
title_sort Percutaneous, intra-articular, chevron osteotomy (PeICO) for the treatment of mild-to-moderate hallux valgus: a case series
dc.creator.none.fl_str_mv Del Vecchio, Jorge Javier
Ghioldi, Mauricio Esteban
Chemes, Lucas Nicolás
Dealbera, Eric Daniel
Brue, Julieta
Dalmau-Pastor, Miki
author Del Vecchio, Jorge Javier
author_facet Del Vecchio, Jorge Javier
Ghioldi, Mauricio Esteban
Chemes, Lucas Nicolás
Dealbera, Eric Daniel
Brue, Julieta
Dalmau-Pastor, Miki
author_role author
author2 Ghioldi, Mauricio Esteban
Chemes, Lucas Nicolás
Dealbera, Eric Daniel
Brue, Julieta
Dalmau-Pastor, Miki
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Osteotomia
Turmell
Cirurgia
Osteotomy
Ankle
Surgery
topic Osteotomia
Turmell
Cirurgia
Osteotomy
Ankle
Surgery
description Purpose: Treatment for hallux valgus (HV) remains challenging. Third-generation percutaneous procedures try to reproduce chevron-type osteotomies to replicate their benefits, such as intrinsic stability and reproducibility. We report the first results using a percutaneous, intra-articular, chevron osteotomy (PeICO) technique that mimics the classic intra-articular open chevron procedure, associated with a percutaneous adductor tendon release (PATR) for the treatment of mild-to-moderate HV. Methods: From May 2015 to October 2018, a total of consecutive 114 feet (74 patients) were included. Primary outcome measures included radiographic (hallux valgus and intermetatarsal angles) and clinical parameters such as visual analog scale (VAS), FAAM Activities of Daily Living (ADL), and FAAM Sport, AOFAS Score, and MOXFQ, preoperatively and at final follow-up (Minimum 18 months). A patient satisfaction survey was also performed. Pronation and length of the first metatarsal were also assessed. Secondary outcomes included fluoroscopic time, length of surgery, complications, recurrence, and re-operation rates. Results: At 24.09 months on average, the AOFAS score improved from 52.1 points preoperatively to 91.1 (p < 0.001) at the latest follow-up. VAS decreased from 6.3 to 1. Also, FAAM ALD, FAAM Sport, and MOXFQ showed statistically significant differences (p < 0.001) when comparing pre-operative and post-operative periods. Patients found the procedure to be excellent in 82% and very good in 13.5% of cases. Our global complication and re-operation rates were 5.26% and 3.5% (screw removal), respectively. Conclusion: PeICO combined with PATR proved to be a safe, reliable, and effective technique for the correction of mild-to-moderate HV deformity.
publishDate 2021
dc.date.none.fl_str_mv 2021
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/2445/217555
url https://hdl.handle.net/2445/217555
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/10.1007/s00264-021-05111-4
International Orthopaedics, 2021, vol. 45, num.9, p. 2251-2260
https://doi.org/10.1007/s00264-021-05111-4
dc.rights.none.fl_str_mv (c) Springer Verlag, 2021
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Springer Verlag, 2021
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Verlag
publisher.none.fl_str_mv Springer Verlag
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
_version_ 1869410227661570048
score 15,812429

Registros relacionados