Percutaneous Approaches to Distal Metatarsal Osteotomies (DMOs) for the most common Forefoot Diseases

Programa de Doctorat en Medicina i Recerca Translacional

Detalles Bibliográficos
Autor: Biz, Carlo
Tipo de recurso: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:CBUC, CESCA
Repositorio:TDR. Tesis Doctorales en Red
OAI Identifier:oai:www.tdx.cat:10803/691761
Acceso en línea:http://hdl.handle.net/10803/691761
Access Level:acceso abierto
Palabra clave:Cirurgia endoscòpica
Cirugía endoscópica
Endoscopic surgery
Osteotomia
Osteotomía
Osteotomy
Malalties del peu
Enfermedades del pie
Foot diseases
Peu diabètic
Pie diabético
Diabetic foot
Ciències de la Salut
616.7
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spelling Percutaneous Approaches to Distal Metatarsal Osteotomies (DMOs) for the most common Forefoot DiseasesBiz, CarloCirurgia endoscòpicaCirugía endoscópicaEndoscopic surgeryOsteotomiaOsteotomíaOsteotomyMalalties del peuEnfermedades del pieFoot diseasesPeu diabèticPie diabéticoDiabetic footCiències de la Salut616.7Programa de Doctorat en Medicina i Recerca Translacional[eng] INTRODUCTION: Minimally Invasive Surgery (MIS) became popular among surgeons from the end of the last century, and a fundamental step in the development of this surgical treatment was the foundation of GRECMIP (Groupe de Recherche et d' Enseignement en Chirurgie Mini-Invasive du Pied) in 2002. This group, incorporated soon in the international Minimally Invasive Foot & Ankle Society (MIFAS), improves and promotes MIS of the foot and ankle by organising annual courses worldwide. This surgical approach is characterised by minimal access, generally smaller than 3.5 cm, that allows 1-day surgery hospitalisation and several benefit for patients: less pain, decrease of post- operative complications and lower recovery and rehabilitation times. HYPOTHESIS: minimally invasive DMO, performed at different levels of the distal part of metatarsal bones MBs (1st-5th), as a single or an associate procedure, with or without fixation, (temporary by Kirschner Wises (KWs) or permanent by MIIND, may be an effective surgical treatment option for achieving metatarsalgia symptom resolution, healing of Plantar Diabetic Foot Ulcers (PDFUs) and Hallux Valgus (HV) correction. Objectives: the aims of this thesis in compendium of publications format were to: 1. prospectively evaluate the clinical and radiographic outcomes of patients complaining of the most common forefoot diseases, treated by each of the following 4 DMOs by MI or percutaneous approaches: - Distal Metatarsal Metaphyseal Osteotomy (DMMO) for persistent central primary metatarsalgia, associated or not to HV and lesser toe deformities; - Minimally Invasive Metatarsal Osteotomies (MIMOS), considering only the Distal Metatarsal Osteotomies (DMOs), such as the Distal Metatarsal Diaphyseal Osteotomies (DMDO) for CPDFUs; - Reverdin-Isham (RIO) in combination with Akin Percutaneous Osteotomy (APO) and Lateral Soft-Tissue Release (LSTR) for correction of mild-to-severe HV; 2. Clarifying and describing their proper indications to guide orthopaedic surgeons in the choice of procedure according to the type and severity of the foot pathology to treat: - metatarsalgia by DMMO [1]; - CPDFUs [2, 3] by MIMOs, including only the distal ones, such as: DMDO [4]; - mild to moderate HV by RIO in combination with APO and LSTR [5]; - severe HV by MIIND [6].Universitat de BarcelonaDalmau-Pastor, MikiRuggieri, PietroUniversitat de Barcelona. Facultat de Medicina i Ciències de la Salut202420242024info:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/publishedVersion177 p.application/pdfhttp://hdl.handle.net/10803/691761TDX (Tesis Doctorals en Xarxa)reponame:TDR. Tesis Doctorales en Redinstname:CBUC, CESCAInglésL'accés als continguts d'aquesta tesi queda condicionat a l'acceptació de les condicions d'ús establertes per la següent llicència Creative Commons: http://creativecommons.org/licenses/by/4.0/http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:www.tdx.cat:10803/6917612026-06-14T12:46:07Z
dc.title.none.fl_str_mv Percutaneous Approaches to Distal Metatarsal Osteotomies (DMOs) for the most common Forefoot Diseases
title Percutaneous Approaches to Distal Metatarsal Osteotomies (DMOs) for the most common Forefoot Diseases
spellingShingle Percutaneous Approaches to Distal Metatarsal Osteotomies (DMOs) for the most common Forefoot Diseases
Biz, Carlo
Cirurgia endoscòpica
Cirugía endoscópica
Endoscopic surgery
Osteotomia
Osteotomía
Osteotomy
Malalties del peu
Enfermedades del pie
Foot diseases
Peu diabètic
Pie diabético
Diabetic foot
Ciències de la Salut
616.7
title_short Percutaneous Approaches to Distal Metatarsal Osteotomies (DMOs) for the most common Forefoot Diseases
title_full Percutaneous Approaches to Distal Metatarsal Osteotomies (DMOs) for the most common Forefoot Diseases
title_fullStr Percutaneous Approaches to Distal Metatarsal Osteotomies (DMOs) for the most common Forefoot Diseases
title_full_unstemmed Percutaneous Approaches to Distal Metatarsal Osteotomies (DMOs) for the most common Forefoot Diseases
title_sort Percutaneous Approaches to Distal Metatarsal Osteotomies (DMOs) for the most common Forefoot Diseases
dc.creator.none.fl_str_mv Biz, Carlo
author Biz, Carlo
author_facet Biz, Carlo
author_role author
dc.contributor.none.fl_str_mv Dalmau-Pastor, Miki
Ruggieri, Pietro
Universitat de Barcelona. Facultat de Medicina i Ciències de la Salut
dc.subject.none.fl_str_mv Cirurgia endoscòpica
Cirugía endoscópica
Endoscopic surgery
Osteotomia
Osteotomía
Osteotomy
Malalties del peu
Enfermedades del pie
Foot diseases
Peu diabètic
Pie diabético
Diabetic foot
Ciències de la Salut
616.7
topic Cirurgia endoscòpica
Cirugía endoscópica
Endoscopic surgery
Osteotomia
Osteotomía
Osteotomy
Malalties del peu
Enfermedades del pie
Foot diseases
Peu diabètic
Pie diabético
Diabetic foot
Ciències de la Salut
616.7
description Programa de Doctorat en Medicina i Recerca Translacional
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/doctoralThesis
info:eu-repo/semantics/publishedVersion
format doctoralThesis
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10803/691761
url http://hdl.handle.net/10803/691761
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 177 p.
application/pdf
dc.publisher.none.fl_str_mv Universitat de Barcelona
publisher.none.fl_str_mv Universitat de Barcelona
dc.source.none.fl_str_mv TDX (Tesis Doctorals en Xarxa)
reponame:TDR. Tesis Doctorales en Red
instname:CBUC, CESCA
instname_str CBUC, CESCA
reponame_str TDR. Tesis Doctorales en Red
collection TDR. Tesis Doctorales en Red
repository.name.fl_str_mv
repository.mail.fl_str_mv
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