Republication of "Proximal Rotational Metatarsal Osteotomy for Hallux Valgus (PROMO): Short-term Prospective Case Series With a Novel Technique and Topic Review"

Wagner, Pablo; Wagner, Emilio

Publication:
Republication of "Proximal Rotational Metatarsal Osteotomy for Hallux Valgus (PROMO): Short-term Prospective Case Series With a Novel Technique and Topic Review"

dc.contributor.author	Wagner, Pablo
dc.contributor.author	Wagner, Emilio
dc.date.accessioned	2024-05-27T17:55:44Z
dc.date.available	2024-05-27T17:55:44Z
dc.date.issued	2023
dc.description.abstract	Background: Hallux valgus deformity consists of a lateral deviation of the great toe, metatarsus varus, and pronation of the first metatarsal. Most osteotomies only correct varus, but not the pronation of the metatarsal. Persistent postoperative pronation has been shown to increase deformity recurrence and have worse functional outcomes. The proximal rotational metatarsal osteotomy (PROMO) technique reliably corrects pronation and varus through a stable osteotomy, avoiding fusing any healthy joints. The objective of this research is to show a prospective series of the PROMO technique. Methods: Twenty-five patients (30 feet) were operated with the PROMO technique. The sample included 22 women and 3 men, average age 46 years (range 22-59), for a mean prospective follow-up of 1 year (range 9-14 months). Inclusion criteria included symptomatic hallux valgus deformities, absence of severe joint arthritis, or inflammatory arthropathies, with a metatarsal malrotation of 10 degrees or more, with no tarsometatarsal subluxation or arthritis on the anteroposterior or lateral foot radiograph views. The mean preoperative and postoperative Lower Extremity Functional Scale (LEFS) score, metatarsophalangeal angle, intermetatarsal angle, metatarsal malrotation, complications, satisfaction, and recurrence were recorded. Results: The mean preoperative and postoperative LEFS scores were 56 and 73. The median pre-/postoperative metatarsophalangeal angle was 32.5/4 degrees and the intermetatarsal angle 15.5/5 degrees. The metatarsal rotation was satisfactorily corrected in 24 of 25 patients. An Akin osteotomy was needed in 27 of 30 feet. All patients were satisfied with the surgery, and no recurrence or complications were found. Conclusions: PROMO is a reliable technique, with good short-term results in terms of angular correction, satisfaction, and recurrence. Long-term studies are needed to determine if a lower hallux recurrence rate occurs with the correction of metatarsal rotation in comparison with conventional osteotomies
dc.description.version	Versión publicada
dc.format.extent	8 p.
dc.identifier.citation	Wagner P, Wagner E. Republication of "Proximal Rotational Metatarsal Osteotomy for Hallux Valgus (PROMO): Short-term Prospective Case Series With a Novel Technique and Topic Review". Foot Ankle Orthop. 2023 Aug 14;8(3):24730114231195049. doi: 10.1177/24730114231195049
dc.identifier.doi	https://doi.org/10.1177/24730114231195049
dc.identifier.uri	https://hdl.handle.net/11447/8889
dc.language.iso	en
dc.rights	Atribución-NoComercial-CompartirIgual 3.0 Chile (CC BY-NC-SA 3.0 CL)
dc.rights.uri	http://creativecommons.org/licenses/by-nc-sa/3.0/cl/
dc.subject	Hallux valgus
dc.subject	Pronation
dc.subject	Osteotomy
dc.subject	Recurrence
dc.subject	PROMO
dc.title	Republication of "Proximal Rotational Metatarsal Osteotomy for Hallux Valgus (PROMO): Short-term Prospective Case Series With a Novel Technique and Topic Review"
dc.type	Article
dcterms.accessRights	Acceso abierto
dcterms.source	Foot & Ankle Orthopaedics
dspace.entity.type	Publication
relation.isAuthorOfPublication	be1101a9-b3c7-41ef-a2b7-f3a52a7e5c4f
relation.isAuthorOfPublication	13644119-5fe2-4655-94e2-760522325807
relation.isAuthorOfPublication.latestForDiscovery	be1101a9-b3c7-41ef-a2b7-f3a52a7e5c4f

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