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The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus

Authors :
Gino Rocca
Angela De Venuto
Antonio Mazzotti
Simone Ottavio Zielli
Elena Artioli
Lorenzo Brognara
Francesco Traina
Cesare Faldini
Source :
Children, Vol 10, Iss 1, p 94 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

Abstract

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.

Details

Language :
English
ISSN :
22279067
Volume :
10
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Children
Publication Type :
Academic Journal
Accession number :
edsdoj.88656479e21442a48757cb2a6d31f8aa
Document Type :
article
Full Text :
https://doi.org/10.3390/children10010094