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The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus

Hallux valgus (HV), one of the most common forefoot pediatric pathologies, is characterized by lateral deviation of the big toe and medial displacement of the first metatarsal bone. Different surgical techniques have been described to correct the deformity, but no consensus has been reached regardin...

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Autores principales: Rocca, Gino, De Venuto, Angela, Mazzotti, Antonio, Zielli, Simone Ottavio, Artioli, Elena, Brognara, Lorenzo, Traina, Francesco, Faldini, Cesare
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9856383/
https://www.ncbi.nlm.nih.gov/pubmed/36670645
http://dx.doi.org/10.3390/children10010094
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author Rocca, Gino
De Venuto, Angela
Mazzotti, Antonio
Zielli, Simone Ottavio
Artioli, Elena
Brognara, Lorenzo
Traina, Francesco
Faldini, Cesare
author_facet Rocca, Gino
De Venuto, Angela
Mazzotti, Antonio
Zielli, Simone Ottavio
Artioli, Elena
Brognara, Lorenzo
Traina, Francesco
Faldini, Cesare
author_sort Rocca, Gino
collection PubMed
description Hallux valgus (HV), one of the most common forefoot pediatric pathologies, is characterized by lateral deviation of the big toe and medial displacement of the first metatarsal bone. Different surgical techniques have been described to correct the deformity, but no consensus has been reached regarding the best surgical option. The aim of this retrospective study was to report the results of the SERI technique in 58 pediatric HV of 45 consecutive patients. Pre- and postoperative VAS, AOFAS score, HVA, IMA and DMAA were collected. Preoperatively 3 patients (5.2%) had a mild deformity, 52 patients (89.6%) had moderate deformity and 3 patients (5.2%) had severe deformity according to Coughlin et al. Mean VAS score decreased from 5.2 ± 2.2 preoperatively to 0.8 ± 0.4 postoperatively. Mean AOFAS score improved from 68.1 ± 6.8 (range 59–75) preoperatively to 96.3 ± 3.2 (range 88–100) postoperatively, mean HVA reduced from 28.4° preoperatively to 13.2° postoperatively, mean IMA decreased from 15.2° preoperatively to 9.5° postoperatively (p < 0.01); mean DMAA decreased from 13.7° preoperatively to 8.2° postoperatively (p < 0.01). SERI technique showed satisfactory results when treating mild to severe pediatric HV deformity. No major complications were reported.
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spelling pubmed-98563832023-01-21 The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus Rocca, Gino De Venuto, Angela Mazzotti, Antonio Zielli, Simone Ottavio Artioli, Elena Brognara, Lorenzo Traina, Francesco Faldini, Cesare Children (Basel) Article Hallux valgus (HV), one of the most common forefoot pediatric pathologies, is characterized by lateral deviation of the big toe and medial displacement of the first metatarsal bone. Different surgical techniques have been described to correct the deformity, but no consensus has been reached regarding the best surgical option. The aim of this retrospective study was to report the results of the SERI technique in 58 pediatric HV of 45 consecutive patients. Pre- and postoperative VAS, AOFAS score, HVA, IMA and DMAA were collected. Preoperatively 3 patients (5.2%) had a mild deformity, 52 patients (89.6%) had moderate deformity and 3 patients (5.2%) had severe deformity according to Coughlin et al. Mean VAS score decreased from 5.2 ± 2.2 preoperatively to 0.8 ± 0.4 postoperatively. Mean AOFAS score improved from 68.1 ± 6.8 (range 59–75) preoperatively to 96.3 ± 3.2 (range 88–100) postoperatively, mean HVA reduced from 28.4° preoperatively to 13.2° postoperatively, mean IMA decreased from 15.2° preoperatively to 9.5° postoperatively (p < 0.01); mean DMAA decreased from 13.7° preoperatively to 8.2° postoperatively (p < 0.01). SERI technique showed satisfactory results when treating mild to severe pediatric HV deformity. No major complications were reported. MDPI 2023-01-02 /pmc/articles/PMC9856383/ /pubmed/36670645 http://dx.doi.org/10.3390/children10010094 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rocca, Gino
De Venuto, Angela
Mazzotti, Antonio
Zielli, Simone Ottavio
Artioli, Elena
Brognara, Lorenzo
Traina, Francesco
Faldini, Cesare
The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus
title The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus
title_full The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus
title_fullStr The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus
title_full_unstemmed The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus
title_short The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus
title_sort minimally invasive seri osteotomy for pediatric hallux valgus
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9856383/
https://www.ncbi.nlm.nih.gov/pubmed/36670645
http://dx.doi.org/10.3390/children10010094
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