The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus.

SERI adolescent distal linear metatarsal osteotomy hallux valgus juvenile

Journal

Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936

Informations de publication

Date de publication:
02 Jan 2023
Historique:
received: 02 12 2022
revised: 23 12 2022
accepted: 30 12 2022
entrez: 21 1 2023
pubmed: 22 1 2023
medline: 22 1 2023
Statut: epublish

Résumé

Hallux valgus (HV), one of the most common forefoot pediatric pathologies, is characterized by lateral deviation of the big toe and medial displacement of the first metatarsal bone. Different surgical techniques have been described to correct the deformity, but no consensus has been reached regarding the best surgical option. The aim of this retrospective study was to report the results of the SERI technique in 58 pediatric HV of 45 consecutive patients. Pre- and postoperative VAS, AOFAS score, HVA, IMA and DMAA were collected. Preoperatively 3 patients (5.2%) had a mild deformity, 52 patients (89.6%) had moderate deformity and 3 patients (5.2%) had severe deformity according to Coughlin et al. Mean VAS score decreased from 5.2 ± 2.2 preoperatively to 0.8 ± 0.4 postoperatively. Mean AOFAS score improved from 68.1 ± 6.8 (range 59−75) preoperatively to 96.3 ± 3.2 (range 88−100) postoperatively, mean HVA reduced from 28.4° preoperatively to 13.2° postoperatively, mean IMA decreased from 15.2° preoperatively to 9.5° postoperatively (p < 0.01); mean DMAA decreased from 13.7° preoperatively to 8.2° postoperatively (p < 0.01). SERI technique showed satisfactory results when treating mild to severe pediatric HV deformity. No major complications were reported.

Identifiants

pubmed: 36670645
pii: children10010094
doi: 10.3390/children10010094
pmc: PMC9856383
pii:
doi:

Types de publication

Journal Article

Langues

eng

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Gino Rocca (G)

Pediatrics Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Angela De Venuto (A)

Azienda Ospedaliera Maggiore della Carita di Novara, 28100 Novara, Italy.

Antonio Mazzotti (A)

IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedics and Traumatology Clinic-University of Bologna, 40136 Bologna, Italy.

Simone Ottavio Zielli (SO)

IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedics and Traumatology Clinic-University of Bologna, 40136 Bologna, Italy.

Elena Artioli (E)

IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedics and Traumatology Clinic-University of Bologna, 40136 Bologna, Italy.

Lorenzo Brognara (L)

Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, 40123 Bologna, Italy.

Francesco Traina (F)

Ortopedia-Traumatologia e Chirurgia Protesica e dei Reimpianti d'anca e di Ginocchio, IRCCS Istituto Ortopedico Rizzoli, 40125 Bologna, Italy.

Cesare Faldini (C)

IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedics and Traumatology Clinic-University of Bologna, 40136 Bologna, Italy.

Classifications MeSH