A new surgical procedure for hallux limitus treatment: Double-V osteotomy on the base of the proximal phalanx of the hallux

Valero, J. ; Moreno, M. ; Gallart, J. ; González, D. ; Salcini, J.L. ; Gordillo, L. ; Deus, J. (Universidad de Zaragoza) ; Lahoz, M. (Universidad de Zaragoza)

Resumen: The purpose of this study was to evaluate the effectiveness of the new Double-V osteotomy of the first metatarsophalangeal joint (1 st MPJ) in patients with hallux limitus (HL). A study of 66 patients was performed, 33 patients were treated Cheilectomy and 33 were treated Double-V. All patients underwent an assessment of the passive mobility of the 1 st MPJ before the procedure, reevaluated 12 months later evaluating dorsiflexion, plantarflexion, and patients status using both the American Orthopaedic Foot and Ankle Society (AOFAS) for Hallux Metatarsophalangeal-Interphalangeal Scale. In comparing the improvement achieved regarding the increase of mobility obtained with surgical treatment, the feet operated with procedure Double-V gained significant degrees of movement increased in all analyzed parameters (P<.05). We achieved 13.33° more than average in dorsiflexion motion and 2.12° more than average in plantarflexion with regard to the feet that were operated with Cheilectomy procedure. Double-V scores on the AOFAS scale improved significantly (P=.000) 91.48 points postoperative, while with the following Cheilectomy only 79.30 points. This new surgical technique, easy to perform and with low complexity in surgical execution and a minimum of complications, produces better clinical and functional results that Cheilectomy alone.

Idioma: Inglés

DOI: 10.1097/MD.0000000000008127

Año: 2017

Publicado en: Medicine 96, 39 (2017), e8127 [6 pp]
ISSN: 0025-7974

Factor impacto JCR: 2.028 (2017)

Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 56 / 154 = 0.364 (2017) - Q2 - T2

Factor impacto SCIMAGO: 0.168 - Medicine (miscellaneous) (Q3)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Area Anatom.Embriol.Humana (Dpto. Anatom.Histolog.Humanas)
Área (Departamento): Área Cirugía (Dpto. Cirugía,Ginecol.Obstetr.)