Modified osteodesis procedure using the mini TightRope system for the correction of hallux valgus with full weight-bearing protocol: our experience with an historical report.

Q1 Medicine
V P Gagliardi, E Jannelli, A Minen, J H Villafañe, G Colò, E M Samaila, G Basile, M Leigheb
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引用次数: 0

Abstract

Background: Hallux valgus is a common pathology in the orthopedic daily practice. More than 100 techniques of surgical correction are currently described in the literature, mostly focused on osteotomies. Procedures based on soft tissues balancing are actually less described.

Materials and methods: Between May and October 2019, 20 patients, 16 females and 4 males, underwent surgery using mini TightRope® system. All were addressed to preoperative radiological and clinical assessment through the AOFAS-hallux scale and radiographs. Follow-up was performed postoperatively with weight-bearing radiographs and AOFAS-hallux score at 5 weeks, 3 months and 6 months. All patients were postoperatively allowed to immediately full weight-bear wearing a stiff sole orthopedic shoe (Donjoy, Podalux™).

Results: The results showed an improvement in the functional score (average AOFAS from 53.5 to 87 at 6 months) and a decrease in IMA and HVA in the direct postoperative with 9.2° and 28.3°, respectively. The reductions were maintained through 6 months and compared with the preoperative condition a reduction of 6.0° and 7.3°, respectively, were observed.

Conclusions: Correction of hallux valgus with the modified osteodesis procedure with the mini TightRope system with Full Weight-Bearing can be considered effective, safe and reliable.

使用迷你TightRope系统进行全负重拇外翻矫正的改良植骨术:我们的历史报告经验。
背景:拇外翻是骨科临床常见的病理。目前文献中描述了100多种手术矫正技术,主要集中在截骨术上。基于软组织平衡的手术实际上很少被描述。材料和方法:2019年5月至10月,20例患者(16名女性,4名男性)使用迷你TightRope®系统进行手术。所有患者均通过aofas拇趾评分和x线片进行术前放射学和临床评估。术后随访5周、3个月和6个月的负重x线片和aofas拇趾评分。所有患者术后均允许穿着硬底矫形鞋(Donjoy, Podalux™)立即完全负重。结果:结果显示功能评分改善(平均AOFAS从53.5到6个月时的87),直接术后IMA和HVA分别下降9.2°和28.3°。这种复位保持了6个月,与术前相比,分别复位了6.0°和7.3°。结论:采用全负重微型钢丝系统改良的固定术矫正拇外翻是有效、安全、可靠的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
MUSCULOSKELETAL SURGERY
MUSCULOSKELETAL SURGERY Medicine-Surgery
CiteScore
4.50
自引率
0.00%
发文量
35
期刊介绍: Musculoskeletal Surgery – Formerly La Chirurgia degli Organi di Movimento, founded in 1917 at the Istituto Ortopedico Rizzoli, is a peer-reviewed journal published three times a year. The journal provides up-to-date information to clinicians and scientists through the publication of original papers, reviews, case reports, and brief communications dealing with the pathogenesis and treatment of orthopaedic conditions.An electronic version is also available at http://www.springerlink.com.The journal is open for publication of supplements and for publishing abstracts of scientific meetings; conditions can be obtained from the Editors-in-Chief or the Publisher.
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