Role of a limited transarticular release in severe hallux valgus correction

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dc.contributor.authorWagner, Emilio
dc.contributor.authorOrtiz, Cristián
dc.contributor.authorFigueroa, Francisco
dc.contributor.authorVela, Omar
dc.contributor.authorWagner, Pablo
dc.contributor.authorGould, John
dc.date.accessioned2016-05-31T14:35:18Z
dc.date.available2016-05-31T14:35:18Z
dc.date.issued2015
dc.description.abstractBackground: Hallux valgus (HV) treatment is continuously evolving, and no definitive treatment can be recommended. Osteotomies are the main surgical choice for these deformities, but no clear role for soft tissue procedures is available. Objective: To perform a retrospective comparison of the radiographic and clinical outcomes of 2 groups of patients with severe HV operated with the same osteotomy technique but differing on the type of lateral release. Methods: Two groups of patients with symptomatic moderate to severe HV deformities were operated with the same proximal metatarsal osteotomy, which differed on the type of lateral release: group 1 had limited transarticular lateral capsule release (n = 62), and group 2 complete lateral release, including capsule, adductor tendon, and intermetatarsal (IM) ligament (n = 57). We recorded the American Orthopaedic Foot & Ankle Society (AOFAS) score, HV and IM angles, first metatarsal shortening, concomitant metatarsal shortening osteotomies (Weil), Akin osteotomies, and complications. Results: The postoperative AOFAS score in group 1 was similar to that of group 2. The HV and IM angles improved in both groups with no significant difference. The multivariate analysis showed no influence of any variable analyzed on HV or IM angle improvement. Regarding AOFAS score improvement, a limited lateral release was associated with a higher increase in AOFAS score (P = .019). Conclusion: No studies are available to identify which soft tissue structures are involved in HV deformities nor which have to be released, if any. A limited transarticular release can provide similar clinical and radiologic outcomes when compared with a classic open lateral release.
dc.identifier.citationWagner E, Ortiz C, Figueroa F, Vela O, Wagner P, Gould JS. Role of a Limited Transarticular Release in Severe Hallux Valgus Correction. Foot Ankle Int. 2015 Nov;36(11):1322-9.
dc.identifier.urihttp://hdl.handle.net/11447/347
dc.identifier.urihttp://dx.doi.org/10.1177/1071100715593082
dc.language.isoen_US
dc.publisherAmerican Orthopaedic Foot & Ankle Society by Sage
dc.subjectAmerican Orthopaedic Foot & Ankle Society score
dc.subjectComplete lateral release
dc.subjectHallux valgus
dc.subjectIntermetatarsal angle
dc.subjectLimited transarticular release
dc.titleRole of a limited transarticular release in severe hallux valgus correction
dc.typeArtículo

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