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A Systematic Review of Open and Minimally Invasive Surgery for Treating Recurrent Hallux Valgus

Background  Despite advancements in primary correction of hallux valgus (HV), significant rates of reoperation remain across common techniques, with complications following primary correction up to 50% according to some studies. 1 This study explored different methods of surgery currently used in tr...

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Autores principales: Nair, Arun, Bence, Matthew, Saleem, Jawaad, Yousaf, Azka, Al-Hilfi, Lena, Kunasingam, Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771687/
https://www.ncbi.nlm.nih.gov/pubmed/36568477
http://dx.doi.org/10.1055/s-0042-1759812
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author Nair, Arun
Bence, Matthew
Saleem, Jawaad
Yousaf, Azka
Al-Hilfi, Lena
Kunasingam, Kumar
author_facet Nair, Arun
Bence, Matthew
Saleem, Jawaad
Yousaf, Azka
Al-Hilfi, Lena
Kunasingam, Kumar
author_sort Nair, Arun
collection PubMed
description Background  Despite advancements in primary correction of hallux valgus (HV), significant rates of reoperation remain across common techniques, with complications following primary correction up to 50% according to some studies. 1 This study explored different methods of surgery currently used in treating HV recurrence specifically (for which literature on the subject has been limited), evaluating open and adapted minimally invasive surgical (MIS) primary techniques used for revision. Methods  In December 2020, literature search for both open and MIS surgical techniques in HV revision was conducted using PubMed, EMBASE, and MEDLINE library databases. Results and Conclusion  Of initial 143 publications, 10 were finally included for data synthesis including 273 patients and 301 feet. Out of 301 feet, 80 (26.6%) underwent revision with MIS techniques (involving distal metatarsal osteotomies). Those undergoing grouped MIS revisions had an average improvement of 38.3 in their American Orthopaedic Foot and Ankle Society score, compared to 26.8 in those using open techniques. Revision approaches using grouped MIS techniques showed a postoperative reduction in intermetatarsal angle and HV angle of 5.6 and 18.4 degrees, respectively, compared to 15.5 and 4.4 degrees, respectively, for open techniques. There are, however, limitations in the current literature on MIS techniques in revision HV surgery specifically. MIS techniques grouped did not show worse outcomes or safety concerns compared to open techniques.
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spelling pubmed-97716872022-12-22 A Systematic Review of Open and Minimally Invasive Surgery for Treating Recurrent Hallux Valgus Nair, Arun Bence, Matthew Saleem, Jawaad Yousaf, Azka Al-Hilfi, Lena Kunasingam, Kumar Surg J (N Y) Background  Despite advancements in primary correction of hallux valgus (HV), significant rates of reoperation remain across common techniques, with complications following primary correction up to 50% according to some studies. 1 This study explored different methods of surgery currently used in treating HV recurrence specifically (for which literature on the subject has been limited), evaluating open and adapted minimally invasive surgical (MIS) primary techniques used for revision. Methods  In December 2020, literature search for both open and MIS surgical techniques in HV revision was conducted using PubMed, EMBASE, and MEDLINE library databases. Results and Conclusion  Of initial 143 publications, 10 were finally included for data synthesis including 273 patients and 301 feet. Out of 301 feet, 80 (26.6%) underwent revision with MIS techniques (involving distal metatarsal osteotomies). Those undergoing grouped MIS revisions had an average improvement of 38.3 in their American Orthopaedic Foot and Ankle Society score, compared to 26.8 in those using open techniques. Revision approaches using grouped MIS techniques showed a postoperative reduction in intermetatarsal angle and HV angle of 5.6 and 18.4 degrees, respectively, compared to 15.5 and 4.4 degrees, respectively, for open techniques. There are, however, limitations in the current literature on MIS techniques in revision HV surgery specifically. MIS techniques grouped did not show worse outcomes or safety concerns compared to open techniques. Thieme Medical Publishers, Inc. 2022-12-21 /pmc/articles/PMC9771687/ /pubmed/36568477 http://dx.doi.org/10.1055/s-0042-1759812 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Nair, Arun
Bence, Matthew
Saleem, Jawaad
Yousaf, Azka
Al-Hilfi, Lena
Kunasingam, Kumar
A Systematic Review of Open and Minimally Invasive Surgery for Treating Recurrent Hallux Valgus
title A Systematic Review of Open and Minimally Invasive Surgery for Treating Recurrent Hallux Valgus
title_full A Systematic Review of Open and Minimally Invasive Surgery for Treating Recurrent Hallux Valgus
title_fullStr A Systematic Review of Open and Minimally Invasive Surgery for Treating Recurrent Hallux Valgus
title_full_unstemmed A Systematic Review of Open and Minimally Invasive Surgery for Treating Recurrent Hallux Valgus
title_short A Systematic Review of Open and Minimally Invasive Surgery for Treating Recurrent Hallux Valgus
title_sort systematic review of open and minimally invasive surgery for treating recurrent hallux valgus
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771687/
https://www.ncbi.nlm.nih.gov/pubmed/36568477
http://dx.doi.org/10.1055/s-0042-1759812
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