Abstract
Hallux and first MTP joint have a fundamental role in the transfer of the weight-bearing load during the normal ambulation. The aim of this paper is to review and analyze the available literature about the percutaneous surgical management of the hallux valgus to highlight its strengths and weakness, also comparing with other minimal invasive techniques. A systematic search of PubMed and Google Scholar databases has been performed, covering the period between 1981 and 2016. Various combinations of the keyword terms “PDO,” “hallux valgus,” “bunion,” “percutaneous,” “surgery,” “non-invasive,” “minimal invasive,” “burr,” “osteotomy,” “distal,” “linear,” “saw” have been used.Four papers, published from 2005 to 2015, fulfilled the inclusion criteria. A total of 464 hallux valgus has been treated with a properly percutaneous distal first metatarsal osteotomy. Mean AOFAS score, retrieved from the 4 studies included in our review, has been recorded. There are different aspects that the foot and ankle non-experienced surgeon has to consider about percutaneous surgery: limitation of the tools, radioexposure, lack of direct visual control of the osteotomy and higher costs and patient risk due to surgical time.
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References
Hueter C (1870) Klinik der Gelenkkrankheiten mit Einschluss der Orthopadie. Vogel, Leipzig
Nix S et al (2010) Prevalence of hallux valgus in general population: a systematic review and meta-analysis. J Foot Ankle Res 3:21
Di Matteo B et al (2017) Art in science Mondino de’ Liuzzi: The restorer of anatomy. Clin Orthop Relat Res 475:1791–1795
Maffulli N et al (2011) Hallux valgus: effectiveness and safety of minimally invasive surgery. A systematic review. Br Med Bull 97:149–167
Botezatu I et al (2015) Minimally invasive-percutaneous surgery—Recent developments of the foot surgery techniques. J Med Life 8:87–93
Bauer T et al (2009) Percutaneous hallux valgus surgery: a prospective multicenter study of 189 cases. Orthop Clin N Am 40:505–514
Magnan B et al (2005) Percutaneous distal metatarsal osteotomy for correction of hallux valgus. J Bone Joint Surg Am 87(6):1191–1199
Pichierri P et al (2014) Percutaneous hallux valgus surgery: strengths and weakness in our clinical experience. Acta Biomed 85(Supplement 2):121–125
Radwan YA et al (2012) Percutaneous distal metatarsal osteotomy versus distal Chevron osteotomy for correction of mild-to-moderate hallux valgus deformity. Arch Orthop Trauma Surg 132:1539–1546
Isham SA (1991) The Reverdin-Isham procedure for the correction of hallux abducto valgus. A distal metatarsal osteotomy procedure. Clin Podiatr Med Surg 8(1):81–94
De Prado M et al (2003) Hallux valgus. In: Masson (ed) Cirurgia percutanea del pie. Masson (SA): Barcelona, pp 57–94
Bösch P et al (1990) Technik und erste ergebnisse der subkutanen distalen metatarsale-I-osteotomie. Orthopädische Praxis 25:51–56
Bösch P et al (2000) Hallux valgus correction by the method of Bösch: a new technique with a seven-to-ten-year follow-up. Foot Ankle Clin 5:485–498
Giannini S et al (2003) Hallux valgus surgery: the minimally invasive bunion correction (SERI). Tech Foot Ankle Surg 2:11–20
Giannini S et al (2013) A minimally invasive technique for surgical treatment of hallux valgus: simple, effective, rapid, inexpensive (SERI). Int Orthopaed (SICOT) 37:1805–1813
Iannò B et al (2013) Midterm results and complications after minimally invasive distal metatarsal osteotomy for treatment of hallux valgus. Foot Ankle Int 34(7):969–977
Daley BJ et al (2015) How slow is too slow? Correlation of operative time to complications: an analysis from the Tennessee Surgical Quality Collaborative. J Am Coll Surg April 220(4):550–558
Piquè-Vidal C (2005) The effect of temperature elevation during discontinuous use of rotatory burrs in the correction on hallux valgus. J Foot Ankle Surg 44(5):336–344
Tehemar SH (1999) Factors affecting heat generation during implant site preparation: a review of biologic observations and future considerations. Int J Oral Maxillofac Implants 14:127–136
Shahid MS et al (2012) A comparative study of bone shortening and bone loss with use of saw blades versus burr in hallux valgus surgery. Foot Ankle Surg 18:195–197
Toth K et al (2007) The effect of first ray shortening in the development of metatarsalgia in the second through fourth rays after metatarsal osteotomy. Foot Ankle Int 28:61–63
Stephens MM (2006) Does shortening of the first ray in the treatment of adolescent hallux valgus prejudice the outcome? J Bone Joint Surg Br 88:858–859
Kim KP et al (2012) Occupational radiation doses to operators performing fluoroscopically-guided procedures. Health Phys 103(1):80–99
Lindsay C et al (2016) Breast radiation exposure in female orthopaedic surgeons. J Bone Joint Surg Am 98(21):1808–1813
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Caravelli, S., Mosca, M., Massimi, S. et al. Percutaneous treatment of hallux valgus: What’s the evidence? A systematic review. Musculoskelet Surg 102, 111–117 (2018). https://doi.org/10.1007/s12306-017-0512-x
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DOI: https://doi.org/10.1007/s12306-017-0512-x