Limits...
Endolog technique for correction of hallux valgus: a prospective study of 30 patients with 4-year follow-up.

Biz C, Corradin M, Petretta I, Aldegheri R - J Orthop Surg Res (2015)

Bottom Line: The postoperative radiographic assessments showed a statistically significant improvement compared with preoperative values.The mean corrections for each angular value at the last follow-up were as follows: IMA 5.95°; HVA 16.81°; DMAA 10.70°; and tibial sesamoid 1.36°.The Endolog is a safe and effective technique for the correction of HV deformity, to relieve pain and to preserve joint movement.

View Article: PubMed Central - PubMed

Affiliation: Orthopaedic Clinic, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, via Giustiniani 2, 35128, Padova, Italy. carlo.biz@unipd.it.

ABSTRACT

Background: Hallux valgus (HV) is a complex deformity of the forefoot altering the kinematics of walking. Many different treatment alternatives exist for the correction of hallux valgus, but to date, none has been shown to be more effective than any other. The rate of complications following hallux valgus surgery is variable and has been reported as ranging from 1 to 55 % in the scientific literature. The purpose of this preliminary prospective study was to evaluate the result of the Endolog device, an innovative titanium endomedullary nail, for the treatment of HV.

Methods: Thirty patients with mild-to-severe HV were treated with the Endolog device. Clinical evaluation was assessed preoperatively, as well as at 3, 6, 12, 24, and 48 months after surgery with a final follow-up at 4 years, using the American Orthopaedic Foot and Ankle Society (AOFAS) hallux grading system. Computer-assisted measurement of weight-bearing antero-posterior radiographs was taken preoperatively and postoperatively, as well as at 3, 6, 12, 24, and 48 months after surgery. Non-weight-bearing radiographs were taken before the patients were discharged. The radiological parameters measured included the intermetatarsal angle (IMA), the hallux valgus angle (HVA), the distal metatarsal articular angle (DMAA), and the tibial sesamoid position. Statistical analysis was carried out using the paired t test (p < 0.05).

Results: The mean AOFAS score was 93.98 points at the 48-month follow-up. The postoperative radiographic assessments showed a statistically significant improvement compared with preoperative values. The mean corrections for each angular value at the last follow-up were as follows: IMA 5.95°; HVA 16.81°; DMAA 10.70°; and tibial sesamoid 1.36°.

Conclusion: The Endolog is a safe and effective technique for the correction of HV deformity, to relieve pain and to preserve joint movement.

No MeSH data available.


Related in: MedlinePlus

Case 6. A 54-year-old woman with moderate HV; antero-posterior radiographic images at: a Preoperative period. b 1-month follow-up. c 3-month follow-up. d 6-month follow-up. e 48-month follow-up showing the maintained correction of the deformity
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4492074&req=5

Fig9: Case 6. A 54-year-old woman with moderate HV; antero-posterior radiographic images at: a Preoperative period. b 1-month follow-up. c 3-month follow-up. d 6-month follow-up. e 48-month follow-up showing the maintained correction of the deformity

Mentions: Thirty feet, 16 rights and 14 lefts, of 30 consecutively enrolled patients, met the inclusion criteria and were considered in the analyses. The median patient age at the time of the surgery was 56.5 (range 38 to 73 years). There were 28 women (93.3 %) and 2 men (6.7 %). None of the patients was lost during the different follow-ups including the final one. According to the Mann and Coughlin grading system, 11 (36.7 %) patients fell into group A (mild), 14 (46.6 %) into group B (moderate), and 5 (16.7 %) into group C (severe). In Figs. 5, 6, 7, 8, 9, 10, 11, 12, and 13, antero-posterior radiographic images of a series of nine cases are presented. For each case, the following are shown: (a) the preoperative radiographic aspect of the deformity, as well as the postoperative radiographic images showing the first metatarsal head translation, the maintained correction of the deformity, and the progressive formation of the bone callus until the complete healing of the osteotomy at the different follow-ups of (b) 1, (c) 3, (d) 6, and (e) 48 months (Figs. 5, 6, 7, 8, 9, 10, 11, 12, and 13).Fig. 5


Endolog technique for correction of hallux valgus: a prospective study of 30 patients with 4-year follow-up.

Biz C, Corradin M, Petretta I, Aldegheri R - J Orthop Surg Res (2015)

Case 6. A 54-year-old woman with moderate HV; antero-posterior radiographic images at: a Preoperative period. b 1-month follow-up. c 3-month follow-up. d 6-month follow-up. e 48-month follow-up showing the maintained correction of the deformity
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4492074&req=5

Fig9: Case 6. A 54-year-old woman with moderate HV; antero-posterior radiographic images at: a Preoperative period. b 1-month follow-up. c 3-month follow-up. d 6-month follow-up. e 48-month follow-up showing the maintained correction of the deformity
Mentions: Thirty feet, 16 rights and 14 lefts, of 30 consecutively enrolled patients, met the inclusion criteria and were considered in the analyses. The median patient age at the time of the surgery was 56.5 (range 38 to 73 years). There were 28 women (93.3 %) and 2 men (6.7 %). None of the patients was lost during the different follow-ups including the final one. According to the Mann and Coughlin grading system, 11 (36.7 %) patients fell into group A (mild), 14 (46.6 %) into group B (moderate), and 5 (16.7 %) into group C (severe). In Figs. 5, 6, 7, 8, 9, 10, 11, 12, and 13, antero-posterior radiographic images of a series of nine cases are presented. For each case, the following are shown: (a) the preoperative radiographic aspect of the deformity, as well as the postoperative radiographic images showing the first metatarsal head translation, the maintained correction of the deformity, and the progressive formation of the bone callus until the complete healing of the osteotomy at the different follow-ups of (b) 1, (c) 3, (d) 6, and (e) 48 months (Figs. 5, 6, 7, 8, 9, 10, 11, 12, and 13).Fig. 5

Bottom Line: The postoperative radiographic assessments showed a statistically significant improvement compared with preoperative values.The mean corrections for each angular value at the last follow-up were as follows: IMA 5.95°; HVA 16.81°; DMAA 10.70°; and tibial sesamoid 1.36°.The Endolog is a safe and effective technique for the correction of HV deformity, to relieve pain and to preserve joint movement.

View Article: PubMed Central - PubMed

Affiliation: Orthopaedic Clinic, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, via Giustiniani 2, 35128, Padova, Italy. carlo.biz@unipd.it.

ABSTRACT

Background: Hallux valgus (HV) is a complex deformity of the forefoot altering the kinematics of walking. Many different treatment alternatives exist for the correction of hallux valgus, but to date, none has been shown to be more effective than any other. The rate of complications following hallux valgus surgery is variable and has been reported as ranging from 1 to 55 % in the scientific literature. The purpose of this preliminary prospective study was to evaluate the result of the Endolog device, an innovative titanium endomedullary nail, for the treatment of HV.

Methods: Thirty patients with mild-to-severe HV were treated with the Endolog device. Clinical evaluation was assessed preoperatively, as well as at 3, 6, 12, 24, and 48 months after surgery with a final follow-up at 4 years, using the American Orthopaedic Foot and Ankle Society (AOFAS) hallux grading system. Computer-assisted measurement of weight-bearing antero-posterior radiographs was taken preoperatively and postoperatively, as well as at 3, 6, 12, 24, and 48 months after surgery. Non-weight-bearing radiographs were taken before the patients were discharged. The radiological parameters measured included the intermetatarsal angle (IMA), the hallux valgus angle (HVA), the distal metatarsal articular angle (DMAA), and the tibial sesamoid position. Statistical analysis was carried out using the paired t test (p < 0.05).

Results: The mean AOFAS score was 93.98 points at the 48-month follow-up. The postoperative radiographic assessments showed a statistically significant improvement compared with preoperative values. The mean corrections for each angular value at the last follow-up were as follows: IMA 5.95°; HVA 16.81°; DMAA 10.70°; and tibial sesamoid 1.36°.

Conclusion: The Endolog is a safe and effective technique for the correction of HV deformity, to relieve pain and to preserve joint movement.

No MeSH data available.


Related in: MedlinePlus