Research Article
Percutaneous Distal Osteotomies of the Metatarsal Bones: Surgical Technique and Results
Sirianni R*, Demurtas A, Mastio M, Cardoni G and Capone A
Department of Surgical Sciences, Orthopedic and traumatology Unit, University of Cagliari, Cagliari, Italy
- *Corresponding Author:
- Sirianni R
Department of Surgical Sciences
Orthopedic and traumatology Unit
University of Cagliari, Via Lungomare Poetto 12
Zip code 09126, Italy
Tel: +39 070 372377
E-mail: sirianni.r@gmail.com
Received date: August 17, 2016; Accepted date: August 26, 2016; Published date: August 31, 2016
Citation: Sirianni R, Demurtas A, Mastio M, Cardoni G, Capone A (2016) Percutaneous Distal Osteotomies of the Metatarsal Bones: Surgical Technique and Results . Clin Res Foot Ankle 4:199. doi:10.4172/2329-910X.1000199
Copyright: © 2016 Sirianni R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Objective: This study presents clinical and radiological outcome of a percutaneous technique for the correction of hallux valgus and lesser toe deformities. Methods: We present a 36 months follow-up series of 32 patients who have been treated with the Reverdin- Isham osteotomy for the correction of hallux valgus, and a percutaneous technique for the correction of lesser toes deformities and metatarsalgia. Clinical outcome data were recorded with the AOFAS score. Radiologic evaluation consisted of weight bearing (AP, lateral and Walter-Muller) views pre and postoperatively at 6 weeks, 3, 6, 12 and 36 months after surgery. Results: At three year follow-up, the mean difference of the HVA was 9.2 (p<0.0001), of the IMA was 0.4 (p<6719), and the mean difference of the PASA was 15.9 (p<0.001). The AOFAS rose from 48.4 to 87.6. Most encountered complication was oedema that lasted for 6 months, especially in the patients who underwent the Weil osteotomy of II, III and IV metatarsal bone head for the treatment of metatarsalgia. Conclusion: Many minimal invasive techniques are becoming more and more recognized, with some indisputable advantages but also not free of objective difficulties. We believe that percutaneous distal metatarsal bone osteotomy represents a good option for the treatment of mild- to moderate hallux valgus, lesser toes deformities and metatarsalgia.
