Evaluation of K-Wires Splinting of First and Second Metatarsals Following Proximal Open Wedge Osteotomy for Hallux Valgus Correction.

IF 1.3 4区 医学 Q2 Medicine
Abou Bakr Zein Mohammed, Ahmed Mahmoud Kholif, Ali Mohammed Reda, Hosam El-Din Amin, Sayed Naser Abdallah Naser
{"title":"Evaluation of K-Wires Splinting of First and Second Metatarsals Following Proximal Open Wedge Osteotomy for Hallux Valgus Correction.","authors":"Abou Bakr Zein Mohammed, Ahmed Mahmoud Kholif, Ali Mohammed Reda, Hosam El-Din Amin, Sayed Naser Abdallah Naser","doi":"10.1053/j.jfas.2025.09.009","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hallux valgus is a prevalent foot deformity affecting a significant portion of the population and often managed through various surgical techniques. Proximal opening wedge osteotomy of the first metatarsal bone is a popular and effective management modality, yet there remains no consensus on the optimal fixation method PURPOSE: Evaluating the outcomes of K-wires fixation versus plate and screws fixation following proximal opening wedge osteotomy of the first metatarsal bone for managing moderate to severe hallux valgus STUDY DESIGN: Retrospective multicenter cohort study.</p><p><strong>Methods: </strong>Forty patients were evenly divided into two groups; Group A (K-wires fixation to the second metatarsal) and Group B (plate and screws fixation). Patients were followed up for at least 1 year.</p><p><strong>Results: </strong>Both groups showed significant improvements in hallux valgus angle, inter-metatarsal angle, and American Orthopedic Foot and Ankle Society scores, with no significant differences between them. However, K-wires fixation was associated with lower implant costs (P = 0.01), and fewer subsequent surgeries (P = 0.01). Complications such as complex regional pain syndrome and wound issues were more frequent in the plate group, with six cases requiring plate removal due to prominence CONCLUSION: K-wire fixation is a cost-effective and reliable alternative to plate and screws fixation, offering similar clinical outcomes while reducing secondary surgical intervention rates.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Foot & Ankle Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1053/j.jfas.2025.09.009","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Hallux valgus is a prevalent foot deformity affecting a significant portion of the population and often managed through various surgical techniques. Proximal opening wedge osteotomy of the first metatarsal bone is a popular and effective management modality, yet there remains no consensus on the optimal fixation method PURPOSE: Evaluating the outcomes of K-wires fixation versus plate and screws fixation following proximal opening wedge osteotomy of the first metatarsal bone for managing moderate to severe hallux valgus STUDY DESIGN: Retrospective multicenter cohort study.

Methods: Forty patients were evenly divided into two groups; Group A (K-wires fixation to the second metatarsal) and Group B (plate and screws fixation). Patients were followed up for at least 1 year.

Results: Both groups showed significant improvements in hallux valgus angle, inter-metatarsal angle, and American Orthopedic Foot and Ankle Society scores, with no significant differences between them. However, K-wires fixation was associated with lower implant costs (P = 0.01), and fewer subsequent surgeries (P = 0.01). Complications such as complex regional pain syndrome and wound issues were more frequent in the plate group, with six cases requiring plate removal due to prominence CONCLUSION: K-wire fixation is a cost-effective and reliable alternative to plate and screws fixation, offering similar clinical outcomes while reducing secondary surgical intervention rates.

近端开楔截骨后第一、第二跖骨k线夹板矫正拇外翻的疗效评价。
背景:拇外翻是一种常见的足部畸形,影响了很大一部分人群,通常通过各种手术技术来治疗。第一跖骨近端开口楔形截骨术是一种流行且有效的治疗方式,但关于最佳固定方法仍未达成共识目的:评估k针固定与钢板螺钉固定在第一跖骨近端开口楔形截骨术后治疗中度至重度拇外翻的效果研究设计:回顾性多中心队列研究。方法:40例患者平均分为两组;A组(克氏针固定第二跖骨)和B组(钢板螺钉固定)。患者随访至少1年。结果:两组拇外翻角、跖间角、American orthopical Foot and Ankle Society评分均有明显改善,两组间差异无统计学意义。然而,k针固定与较低的种植成本(P = 0.01)和较少的后续手术(P = 0.01)相关。并发症如复杂的局部疼痛综合征和伤口问题在钢板组中更常见,有6例病例因突出而需要取出钢板。结论:k线固定是一种经济可靠的替代钢板和螺钉固定,提供相似的临床结果,同时降低了二次手术干预率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of Foot & Ankle Surgery
Journal of Foot & Ankle Surgery ORTHOPEDICS-SURGERY
CiteScore
2.30
自引率
7.70%
发文量
234
审稿时长
29.8 weeks
期刊介绍: The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信