TY - JOUR
T1 - Percutaneous Osteotomies in Hallux Valgus: A Systematic Review
AU - Bia, A.
AU - Guerra-Pinto, F.
AU - Pereira, B.S.
AU - Corte-Real, N.
AU - Oliva, X.M.
N1 - Export Date: 24 January 2018
CODEN: JFSUE
Correspondence Address: Bia, A.; Department of Orthopedic Surgery, Centro Hospitalar do Oeste-Unidade de Torres, Rua Dr. Ricardo Belo, Portugal; email: anagbia@gmail.com
References: Nix, S., Smith, M., Vincenzino, B., Prevalence of hallux valgus in the general population: a systematic review and meta-analysis (2010) J Foot Ankle Res, 3, pp. 213-289; Palmanovich, E., Myerson, M.S., Correction of moderate and severe hallux valgus deformity with a distal metatarsal osteotomy using an intramedullary plate (2014) Foot Ankle Clin, 19, pp. 191-201; Brogan, K., Voller, T., Gee, C., Borbely, T., Palmer, S., Third-generation minimally invasive correction of hallux valgus: technique and early outcomes (2014) Int Orthop, 38, pp. 2115-2121; Pichierri, P., Sicchiero, P., Fioruzzi, A., Maniscalco, P., Percutaneous hallux valgus surgery: strengths and weakness in our clinical experience (2014) Acta Biomed, 85, pp. 121-125; Hardy, R.H., Clapham, J.C.R., Observations on hallux valgus (1951) J Bone Joint Surg, 33B, pp. 376-391; Roukis, T.S., Percutaneous and minimum incision metatarsal osteotomies: a systematic review (2009) J Foot Ankle Surg, 380, pp. 380-387; Trnka, H.-J., Osteotomies for hallux valgus correction (2005) Foot Ankle Clin North Am, 10, pp. 15-33; Bösch, P., Markowski, H., Rannicher, V., Technik und erste ergebnisse der subkutanen distalen metatarsale-I-osteotomie (1990) Orthop Prax, 26, pp. 51-56; Bösch, P., Wanke, S., Legenstein, R., Hallux valgus correction by the method of Bösch: a new technique with a seven-to-ten-year follow-up (2000) Foot Ankle Clin, 5, pp. 485-498; Magnan, B., Samaila, E., Viola, G., Bartolozzi, P., Minimally invasive retrocapital osteotomy of the first metatarsal in hallux valgus deformity (2008) Oper Orthop Traumat, 20, pp. 89-96; Maffulli, N., Easley, M., Minimally Invasive Surgery of the Foot and Ankle (2011), Springer New York; Mathavan, G., Gaskell, L., Pillai, A., Thinesh, V.S., Pravin, D.C., Minimal invasive hallux valgus surgery: myth or magic. A systematic review (2015) Orthop Rheumatol Open Access, 1, pp. 1-8; Maffulli, N., Hallux valgus: effectiveness and safety of minimally invasive surgery. A systematic review (2010) Br Med Bull, 97, pp. 149-167; Wright, J.G., Swiontkowski, M.F., Heckman, J.D., Introducing levels of evidence to the journal (2003) J Bone Joint Surg Am, 85, pp. 1-3; Wright, J.G., Revised grades of recommendation for summaries or reviews of orthopaedic surgical studies (2006) J Bone Joint Surg Am, 88, pp. 1161-1162; Pinney, S., Glazebrook, M., Baumhauer, J., Thordarson, D.B., Richter, M., Evidence-based medicine: what is it and how should it be used (2010) Foot Ankle Int, 31, pp. 1033-1042; Altman, D.G., Schulz, K.F., Moher, D., Egger, M., Davidoff, F., Elbourne, D., Gøtzsche, P.C., Lang, T., The revised CONSORT statement for reporting randomized trials: explanation and elaboration (2001) Ann Intern Med, 134, pp. 663-694; Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement (2009) Ann Intern Med, 151, pp. 264-269; Vernois, J., Redfern, D., Percutaneous chevron: the union of classic stable fixed approach and percutaneous technique (2013) Fuβ Sprunggelenk, 11, pp. 70-75; Valles-Figueroa, J.F.J., Rodríguez-Reséndiz, F., Caleti-del Mazo, E., Malacara-Becerra, M., Suárez-Ahedo, C.E., Osteotomía metatarsiana distal percutánea para corrección del hallux valgus (2010) Acta Ortop Mex, 24, pp. 385-389; Luria, T., Dudkiewicz, I., Burg, A., Heller, S., Salai, M., Tytiun, M., The early results of minimally invasive technique for hallux valgus repair (2010) Foot, 20, pp. 118-120; Magnan, B., Pezzè, L., Rossi, N., Bartolozzi, P., Percutaneous distal metatarsalosteotomy for correction of hallux valgus (2005) J Bone Joint Surg Am, 87-A, pp. 1191-1199; Roth, A., Kohlmaier, W., Tschauner, C., Surgery of hallux valgus: distal metatarsal osteotomy: subcutaneous (“Boch”) versus open (“Kramer”) procedures (1996) Foot Ankle Surg, 2, pp. 109-117; Maffulli, N., Longo, U.G., Oliva, F., Denaro, V., Coppola, C., Bosch osteotomy and scarf osteotomy for hallux valgus correction (2009) Orthop Clin North Am, 40, pp. 515-524; Radwan, Y.A., Reda Mansour, A.M., Percutaneous distal metatarsal osteotomy versus distal chevron osteotomy for correction of mild-to-moderate hallux valgus deformity (2012) Arch Orthop Trauma Surg, 132, pp. 1539-1546; Bauer, T., de Lavigne, C., Biau, D., De Prado, M., Isham, S., Laffenetre, O., Percutaneous hallux valgus surgery: a prospective multicenter study of 189 cases (2009) Orthop Clin North Am, 40, pp. 505-514; de Lavigne, C., Rasmont, Q., Hoang, B., Percutaneous double metatarsal osteotomy for correction of severe hallux valgus deformity (2011) Acta Orthop Belg, 77, pp. 516-521; Bauer, T., Biau, D., Lortat-Jacob, A., Hardy, P., Percutaneous hallux valgus correction using the Reverdin-Isham osteotomy (2010) Orthop Traumatol Surg Res, 96, pp. 407-416; de Prado, M., Ripoll, P.L., Vaquerob, J., Golanó, P., Tratamiento quirúrgico percutáneo del hallux valgus mediante osteotomías múltiples (2003) Rev Ortop Traumatol, 47, pp. 406-416; Díaz Fernández, R., Treatment of moderate and severe hallux valgus by performing percutaneous double osteotomy (2015) Rev Esp Cir Ortop Traumatol, 59, pp. 52-58; Cervi, S., Fioruzzi, A., Bisogno, L., Fioruzzi, C., Percutaneous surgery of hallux valgus: risks and limitation in our experience (2014) Acta Biomed, 85, pp. 107-112; Rodríguez-Reyes, G., Distribución de la presión plantar dinámica después del tratamiento correctivo de hallux valgus mediante la técnica de Reverdin-Isham (2014) Rev Invest Clin, 66, pp. s79-s84; Siclari, A., Decantis, V., Arthroscopic lateral release and percutaneous distal osteotomy for hallux valgus: a preliminary report (2009) Foot Ankle Int, 30, pp. 675-679; Faour-Martín, O., Martín-Ferrero, M.A., Valverde García, J.A., Vega-Castrillo, A., de la Red-Gallego, M.A., Long-term results of the retrocapital metatarsal percutaneous osteotomy for hallux valgus (2013) Int Orthop, 37, pp. 1799-1803; Barragán-Hervella, R.G., Morales-Flores, F., Arratia-Ríos, M., Buzo-Garcidueñas, A.Y., Nesme-Ávila, W., García-Villaseñor, A., Resultados clínicos de la cirugía de mínima invasión de hallux valgus (2008) Acta Ortop Mex, 22, pp. 150-156; Bali, N., Fenton, P., Prem, H., Disorders of the first ray (2014) Orthop Trauma, 28, pp. 1-12; Shahid, M.S., Lee, P., Evans, S., Thomas, R., A comparative study of bone shortening and bone loss with use of saw blades versus burr in hallux valgus surgery (2012) Foot Ankle Surg, 18, pp. 195-197; Chen, L., Lyman, S., Do, H., Karlsson, J., Adam, S.P., Validation of foot and ankle outcome scores for hallux valgus (2012) Foot Ankle Int, 33, pp. 1145-1155; Dawson, J., Boller, I., Doll, H., Lavis, G., Sharp, R., Cooke, P., Jenkinson, C., Responsiveness of the Manchester-Oxford Foot Questionnaire (MOXFQ) compared with AOFAS, SF-36 and EQ-5D assessments following foot or ankle surgery (2012) J Bone Joint Surg Br, 94, pp. 215-221; Chi, T.D., Davitt, J., Younger, A., Holt, S., Sangeorzan, B.J., Intra- and inter-observer reliability of the distal metatarsal articular angle in adult hallux valgus (2002) Foot Ankle Int, 23, pp. 722-726; Vittetoe, D.A., Saltzman, C.L., Krieg, J.C., Brown, T.D., Validity and reliability of the first distal metatarsal articular angle (1994) Foot Ankle Int, 15, pp. 541-547; de Prado, M., Ripoll, P.L., Golanó, P., Cirurgía Percutánea del Pie: Técnicas Quirúrgicas (2005), Elsevier Masson Paris, France; Bauer, T., Percutaneous forefoot surgery (2014) Orthop Traumatol Surg Res, 100, pp. S191-S204
PY - 2018/1
Y1 - 2018/1
N2 - Percutaneous and minimally invasive surgery is one of the greatest advances in the operating field of orthopedic since the late 1990s. The potential advantages include a shorter operative time, quicker recovery, and reduced hospital stay compared with traditional open surgery. However, scientific validation of the safety and efficacy of hallux valgus (HV) percutaneous surgery remains inconclusive. The objective of the present study was to systematically review the published data and clinical evidence for percutaneous HV surgery, evaluate the scientific method of the reports, and clarify the indications, safety, efficacy, and potential risks of these surgical techniques. Two reviewers independently identified the studies using a PubMed search, with the keywords “hallux valgus,” “osteotomy,” “minimally invasive,” and “percutaneous.” Quality assessment was performed using the Coleman methodology scale, and each study was assigned a level of evidence and grade of recommendation. Eighteen studies were included and reported a total of 1534 procedures for percutaneous HV surgery on 1397 patients. Of the 18 studies, 14 (77.8%) were level IV, 2 (11.1%) were level III, and 2 (11.1%) were level II. Overall, the average angle correction of the HV deformity improved postoperatively. Regarding the complications, although some investigators revealed no major complications, others described deformity recurrence in 7.8%, stiffness of the first metatarsophalangeal joint in 9.8%, malunion in 4% to 8.7%, and infection rates ranging from 1.9% to 14.3%. The main indication for percutaneous HV surgery is the correction of mild deformities. The complication rate was elevated even in experienced surgeons. In conclusion, future research in percutaneous techniques should include adequately sized randomized control trials, standardization of treatment protocols, and the use of validated tools for the measurement of clinical outcomes. © 2017 American College of Foot and Ankle Surgeons
AB - Percutaneous and minimally invasive surgery is one of the greatest advances in the operating field of orthopedic since the late 1990s. The potential advantages include a shorter operative time, quicker recovery, and reduced hospital stay compared with traditional open surgery. However, scientific validation of the safety and efficacy of hallux valgus (HV) percutaneous surgery remains inconclusive. The objective of the present study was to systematically review the published data and clinical evidence for percutaneous HV surgery, evaluate the scientific method of the reports, and clarify the indications, safety, efficacy, and potential risks of these surgical techniques. Two reviewers independently identified the studies using a PubMed search, with the keywords “hallux valgus,” “osteotomy,” “minimally invasive,” and “percutaneous.” Quality assessment was performed using the Coleman methodology scale, and each study was assigned a level of evidence and grade of recommendation. Eighteen studies were included and reported a total of 1534 procedures for percutaneous HV surgery on 1397 patients. Of the 18 studies, 14 (77.8%) were level IV, 2 (11.1%) were level III, and 2 (11.1%) were level II. Overall, the average angle correction of the HV deformity improved postoperatively. Regarding the complications, although some investigators revealed no major complications, others described deformity recurrence in 7.8%, stiffness of the first metatarsophalangeal joint in 9.8%, malunion in 4% to 8.7%, and infection rates ranging from 1.9% to 14.3%. The main indication for percutaneous HV surgery is the correction of mild deformities. The complication rate was elevated even in experienced surgeons. In conclusion, future research in percutaneous techniques should include adequately sized randomized control trials, standardization of treatment protocols, and the use of validated tools for the measurement of clinical outcomes. © 2017 American College of Foot and Ankle Surgeons
KW - hallux valgus
KW - minimally invasive
KW - osteotomy
KW - percutaneous
KW - Reverdin-Isham
KW - American Orthopaedic Foot and Ankle Society Ankle Hindfoot scale score
KW - Bosch osteotomy
KW - case control study
KW - case study
KW - complex regional pain syndrome
KW - dermatitis
KW - follow up
KW - human
KW - joint stiffness
KW - Magnan osteotomy
KW - Manchester Oxford Foot Questionnaire
KW - meta analysis
KW - minimally invasive surgery
KW - percutaneous chevron osteotomy
KW - percutaneous double osteotomy
KW - phalanx fracture
KW - postoperative infection
KW - postoperative period
KW - prospective study
KW - questionnaire
KW - recurrent disease
KW - retrospective study
KW - Reverdin Isham osteotomy
KW - Review
KW - risk factor
KW - scoring system
KW - systematic review
KW - treatment outcome
KW - United States
KW - validation study
U2 - 10.1053/j.jfas.2017.06.027
DO - 10.1053/j.jfas.2017.06.027
M3 - Review article
C2 - 28870735
VL - 57
SP - 123
EP - 130
JO - Journal of Foot and Ankle Surgery
JF - Journal of Foot and Ankle Surgery
SN - 1067-2516
IS - 1
ER -
