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Role of lateral soft tissues release in percutaneous hallux valgus correction:A medium term retrospective study

World Journal of Orthopedics 2023年第12期14卷 843-852页

作者： Fabio Zanchini Ottorino Catani Fabrizio Sergio Alessia Boemio Angelo Sieczak Davide Piscopo Salvatore Risitano Gabriele Colò Federico Fusini Division of Orthopaedics and Traumatology Multidisciplinary Department of Medical-Surgical and Dental SpecialtiesClinical OrthopeadicsUniversity of Campania“Luigi Vanvitelli”Naples 80138Italy Department of Foot Surgery Casa di cura Santa MariaSanta Maria Capua Vetere 81055Italy Department of Foot an Ankle Surgery Casa di cura Santa MariaSanta Maria Capua Vetere 81055Italy Multidisciplinary Department of Medical-Surgical and Dental Specialties Clinical OrthopeadicsAOU Luigi VanvitelliNapoli 80138Italy Clinical Orthopeadics University of Campania Luigi VanvitelliNaples 80138Italy Department of Orthopaedic and Traumatology Orthopaedic and Trauma CentreCittàdella Salute e della Scienza di TorinoTurin 10126Italy Department of Orthopaedics and Traumatology Regional Center for Joint ArthroplastyASO AlessandriaAlessandria 15121Italy Department of Orthopaedic and Traumatology Regina Montis Regalis HospitalCuneo 12084Italy

BACKGROUND In the field of minimally invasive surgery(MIS)for the treatment of hallux valgus(HV),different techniques have begun to emerge in the literature concerning the distal osteotomy of the first metatarsal bone,the synthesis or not of the metatarsal head,the possible association with lateral soft tissues release(LSTR)and osteotomy of the base of the first *** To evaluate the role of LSTR on percutaneous HV correction,evaluating functional and radiographical *** From January 2012 to May 2016 a total of 396 patients with mild to moderate symptomatic HV treated with the MIS technique were included in this retrospective *** technique provides no internal fixation(WOS).Patients were divided into the LSTR group and no LSTR group(LSTR N).This surgical procedure(LSTR)was reserved for insufficient HV angle(HVA)correction during fluoroscopic *** were evaluated at each follow-up by two other authors after appropriate training by senior authors(first practitioners).Clinical evaluation was performed before surgery,6 mo after surgery,and 48 mo *** Orthopaedic Foot and Ankle Society(AOFAS)and visual analog scale(VAS)score was used to evaluate pain and function,and complications were *** addition,the incidence of relapses and the degree of joint range of motion(ROM)with the association with the LSTR(capsule,adductor tendon,phalanx-sesamoid ligament,and the deep transverse metatarsal ligament)were *** parameters included HVA and intermetatarsal angle(IMA).Patient satisfaction was *** t-test and Fisher exact test were used to assess statistical *** From our study it is clear that no differences in term of HVA,VAS,IMA correction,rate of complications,and AOFAS score were found between groups,while a significant improvement of the same variables was found in each group between pre and postoperative values.A significant improvement in ROM at 6 mo(P=0.018)and 48 mo(P=0.02)of

关键词： Hallux valgus percutaneous distal osteotomy Lateral release Minimally invasive surgery Without ostheosynthesis Range of motion

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