Hallux valgus correction with a new percutaneous distal osteotomy: Surgical technique and medium term outcomes |
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Affiliation: | 1. Department of Orthopaedics and Traumatology, Santa Maria Hospital, Borgo Val di Taro, PR, Italy;2. Orthopaedics and Traumatology, PBS Group, Italy;1. Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran;2. Trauma Research Center, Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran;3. Bone and Joint Diseases Research Center, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran;1. Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-Gu, Seongnam, Gyeonggi 13620, South Korea;2. Department of Mathematics, College of Natural Sciences, Ajou University, 206 Worldcup-ro, Yeongtong-gu, Suwon, Gyeonggi 16499, South Korea;1. Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China;2. Department of Traumatic Orthopaedics, Ningbo No.6 Hospital, Zhengjiang, China;3. Department of TCM, Jing’an District Center Hospital, Shanghai, China |
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Abstract: | BackgroundMany procedures and different osteotomies have been described for percutaneous hallux valgus correction. Percutaneous techniques may lead to reduced morbidity, surgery, and recovery time. The aim of this study is to evaluate the clinical and radiographic outcome of a new percutaneous procedure (PBS-Percutaneous Bianchi System).MethodsFifty-eight cases were treated with Percutaneous Bianchi System procedure for correction of mild, moderate or severe hallux valgus deformity. All patients were clinically assessed preoperatively and then followed up by weight-bearing x-rays, AOFAS (American Orthopedic Foot and Ankle Score), VAS (Visual Analog Scale) pain score, and patient satisfaction.ResultsAOFAS scores improved from 28.6 at the preoperative assessment to 91.7 at the latest follow-up. The VAS pain score improved from 6.7 before surgery to 0.6 at the latest follow-up. The mean Hallux valgus angle (HVA), Intermetatarsal angle (IMA) and Distal metatarsal articular angle (DMAA) significatively decreased from the preoperative assessment to the latest follow-up.ConclusionsThe PBS technique is a safe, reliable, and effective procedure for the correction of symptomatic mild-to-severe hallux valgus. |
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Keywords: | Hallux valgus PBS Percutaneous Correction Osteotomy |
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