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Le complicanze della chirurgia mini-invasiva dell’avampiede

Complications of minimally invasive forefoot surgery

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LO SCALPELLO-OTODI Educational

Abstract

There is increasing interest in and use of minimally invasive foot surgery (MIFS), as it involves short operating time, quicker recovery, reduced hospital stays, better cosmetic results and fewer complications compared to open surgery. However, limited evidence is available in relation to complications associated with MIS for forefoot deformity correction. Available publications lack of homogeneity in terms of case series, patient selection and clinical indicators, mostly being retrospective observational studies with insufficient randomised control trials. The aim of this study was to report the complications following MIFS. In this evaluation, as the Author conceived it as a feasible tool of current clinical practice, complications can be broadly divided into three categories: (1) those related to the learning curve; (2) typical postoperative clinical conditions, such as oedema and haematoma; and (3) true complications. MIFS procedures are safely performed in a range of clinical settings, on varying degrees of digital deformity, resulting in an overall low complication rate compared to conventional open surgery. Long-term safety and efficacy of these techniques need further scientific validations as well as future treatment algorithms to guide clinical decision making.

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Authors and Affiliations

  1. UOC Ortopedia e Traumatologia, Nuovo Ospedale San Giovanni Battista, Foligno, PG, Italia

    M. Breccia, S. Ferranti, A. Farneti, L. Pennacchi, M. Berloco, L. Pasotti, P. Mattei, G. Picuti, S. Musiello & C. Farneti

  2. UOC Ortopedia e Traumatologia, Ospedale Gubbio-Gualdo Tadino, Branca, PG, Italia

    B. Rossi

Authors
  1. M. Breccia
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  2. S. Ferranti
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  3. B. Rossi
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  4. A. Farneti
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  5. L. Pennacchi
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  6. M. Berloco
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  7. L. Pasotti
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  8. P. Mattei
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  9. G. Picuti
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  10. S. Musiello
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  11. C. Farneti
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Correspondence to M. Breccia.

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Gli autori M. Breccia, S. Ferranti e B. Rossi dichiarano di non avere alcun conflitto di interesse.

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Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

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Breccia, M., Ferranti, S., Rossi, B. et al. Le complicanze della chirurgia mini-invasiva dell’avampiede. LO SCALPELLO 30, 187–190 (2016). https://doi.org/10.1007/s11639-016-0178-4

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  • DOI: https://doi.org/10.1007/s11639-016-0178-4

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