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Assessment of the efficacy of SERI osteotomy for hallux valgus correction

BACKGROUND: SERI (Simple, Effective, Rapid, and Inexpensive) osteotomy is an accepted minimally invasive distal first metatarsal osteotomy performed to correct hallux valgus (HV). In the absence of reports of efficacy of the SERI technique in the Middle East, we studied 1-year outcomes of SERI osteo...

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Autores principales: Almalki, Talal, Alatassi, Raheef, Alajlan, Ahmad, Alghamdi, Khalid, Abdulaal, Abdullah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345025/
https://www.ncbi.nlm.nih.gov/pubmed/30678713
http://dx.doi.org/10.1186/s13018-019-1067-3
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author Almalki, Talal
Alatassi, Raheef
Alajlan, Ahmad
Alghamdi, Khalid
Abdulaal, Abdullah
author_facet Almalki, Talal
Alatassi, Raheef
Alajlan, Ahmad
Alghamdi, Khalid
Abdulaal, Abdullah
author_sort Almalki, Talal
collection PubMed
description BACKGROUND: SERI (Simple, Effective, Rapid, and Inexpensive) osteotomy is an accepted minimally invasive distal first metatarsal osteotomy performed to correct hallux valgus (HV). In the absence of reports of efficacy of the SERI technique in the Middle East, we studied 1-year outcomes of SERI osteotomy performed at our hospital in Saudi Arabia. METHODS: We reviewed the medical charts of patients aged 20 to 60 years who underwent SERI osteotomy for HV between August 2013 and September 2016 and identified 29 patients, 2 (6.9%) men and 27 (93.1%) women, who met the criteria for inclusion in the study. Patients’ clinical and operative characteristics were examined, their pre- and postoperative (1-year) radiographic measurements were compared, and the occurrence of any postoperative complication/event was noted. RESULT: Patients’ mean age was 34.9 ± 13.6 years. Six patients (20.7%) were treated for severe HV. Mean operation time was 11.1 ± 2.3 min. Four patients (13.8%) reported postoperative pain. No revision surgery was done. Congruency of the hallux metatarsophalangeal joint increased significantly, documented in only 4 patients (13.8%) preoperatively but in 17 (58.6%) at 1 year. The mean hallux valgus angle (HVA), intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA) were significantly decreased at 1 year. The HVA normalized in 20 patients (69.0%), the IMA normalized in 25 patients (86.2%), but the DMAA normalized in only 4 patients (13.8%). The number of patients with sesamoid subluxation decreased from 29 (100%) to 13 (44.8%). CONCLUSION: Our study data indicate that SERI osteotomy reliably reduces a wide spectrum of HV deformities and it is a safe procedure with very minimal complications. TRIAL REGISTRATION: This study is registered in ClinicalTrials.gov under the following reference number: NCT03669900.
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spelling pubmed-63450252019-01-29 Assessment of the efficacy of SERI osteotomy for hallux valgus correction Almalki, Talal Alatassi, Raheef Alajlan, Ahmad Alghamdi, Khalid Abdulaal, Abdullah J Orthop Surg Res Research Article BACKGROUND: SERI (Simple, Effective, Rapid, and Inexpensive) osteotomy is an accepted minimally invasive distal first metatarsal osteotomy performed to correct hallux valgus (HV). In the absence of reports of efficacy of the SERI technique in the Middle East, we studied 1-year outcomes of SERI osteotomy performed at our hospital in Saudi Arabia. METHODS: We reviewed the medical charts of patients aged 20 to 60 years who underwent SERI osteotomy for HV between August 2013 and September 2016 and identified 29 patients, 2 (6.9%) men and 27 (93.1%) women, who met the criteria for inclusion in the study. Patients’ clinical and operative characteristics were examined, their pre- and postoperative (1-year) radiographic measurements were compared, and the occurrence of any postoperative complication/event was noted. RESULT: Patients’ mean age was 34.9 ± 13.6 years. Six patients (20.7%) were treated for severe HV. Mean operation time was 11.1 ± 2.3 min. Four patients (13.8%) reported postoperative pain. No revision surgery was done. Congruency of the hallux metatarsophalangeal joint increased significantly, documented in only 4 patients (13.8%) preoperatively but in 17 (58.6%) at 1 year. The mean hallux valgus angle (HVA), intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA) were significantly decreased at 1 year. The HVA normalized in 20 patients (69.0%), the IMA normalized in 25 patients (86.2%), but the DMAA normalized in only 4 patients (13.8%). The number of patients with sesamoid subluxation decreased from 29 (100%) to 13 (44.8%). CONCLUSION: Our study data indicate that SERI osteotomy reliably reduces a wide spectrum of HV deformities and it is a safe procedure with very minimal complications. TRIAL REGISTRATION: This study is registered in ClinicalTrials.gov under the following reference number: NCT03669900. BioMed Central 2019-01-24 /pmc/articles/PMC6345025/ /pubmed/30678713 http://dx.doi.org/10.1186/s13018-019-1067-3 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Almalki, Talal
Alatassi, Raheef
Alajlan, Ahmad
Alghamdi, Khalid
Abdulaal, Abdullah
Assessment of the efficacy of SERI osteotomy for hallux valgus correction
title Assessment of the efficacy of SERI osteotomy for hallux valgus correction
title_full Assessment of the efficacy of SERI osteotomy for hallux valgus correction
title_fullStr Assessment of the efficacy of SERI osteotomy for hallux valgus correction
title_full_unstemmed Assessment of the efficacy of SERI osteotomy for hallux valgus correction
title_short Assessment of the efficacy of SERI osteotomy for hallux valgus correction
title_sort assessment of the efficacy of seri osteotomy for hallux valgus correction
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345025/
https://www.ncbi.nlm.nih.gov/pubmed/30678713
http://dx.doi.org/10.1186/s13018-019-1067-3
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