Manejo quirúrgico del Hallux Valgus. Osteotomías percutáneas vs abiertas. Análisis retrospectivo de cohortes
Hallux valgus is probably the most frequent complaint in foot and ankle surgery, and multiple surgical techniques have been described for its treatment. However, there is great controversy regarding this subject, since it has not been shown that one technique is superior to the others. Within the th...
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| Tipo de documento: | dissertação |
| Estado: | Versión aceptada para publicación |
| Data de publicação: | 2021 |
| País: | Colombia |
| Recursos: | Universidad Nacional de Colombia |
| Repositório: | Repositorio UN |
| Idioma: | espanhol |
| OAI Identifier: | oai:repositorio.unal.edu.co:unal/79169 |
| Acesso em linha: | https://repositorio.unal.edu.co/handle/unal/79169 |
| Access Level: | Acceso aberto |
| Palavra-chave: | 617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología Hallux Valgus Osteotomías percutáneas Osteotomía tipo Scarf Osteotomía tipo MICA Scarf osteotomy MICA osteotomy Reverdin osteotomy Percutaneous surgery |
| Resumo: | Hallux valgus is probably the most frequent complaint in foot and ankle surgery, and multiple surgical techniques have been described for its treatment. However, there is great controversy regarding this subject, since it has not been shown that one technique is superior to the others. Within the therapeutic arsenal available, recently - and thanks to technological advances and improvements in the instruments used for surgery - percutaneous techniques have appeared as a treatment option that reduces trauma to soft tissues. The aim of this study is to retrospectively compare the clinical outcomes of two groups of patients who underwent surgery to correct hallux valgus: a group was taken to conventional open surgery and the other group was taken to a percutaneous procedure. It was noticed that the time to union, the time to return to work and the satisfaction with the procedure was comparable in the two groups. However, the group that was taken to percutaneous osteotomies presented less postoperative pain (OR 7.94, 95% CI: 1.88-33.4) and a lower rate of soft tissue complications (3.7% vs 15 %, OR 0.06, 95% CI: 0.007-0.52). Percutaneous techniques for the correction of hallux valgus are considered to be at least as good as open osteotomies; with similar functional outcomes, a lower rate of soft tissue complications and offering better postoperative pain control. |
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