Open arthrodesis of hallux associated with percutaneous surgery of metatarsals and minor fingers in antepie severe deformities

Authors

  • Guillermo Sebastián Mazzucchelli
  • Matías Ruiz Navello
  • Florencio Pablo Segura
  • Juan Antonio Sánchez Pulgar

Keywords:

Forefoot/surgery, Forefoot/ abnormalities, Arthrodesis/surgery, Arthritis, rheumatoid/surgery, Orthopedic procedures/methods

Abstract

Objective: To evaluate the functional results and radiographic of the arthrodesis metatarsal-falángica of the hallux by means of open surgery associated with percutaneous surgery of the lesser toes and metatarsals, in the treatment of deformities, severe-forefoot. Methods: We evaluated 16 feet of 12 patients who underwent arthrodesis open hallux more correction percutaneous metatarsal and lesser toes. Were 8 hallux valgus severe, 2 hallux rigid grade III, 3 hallux valgus recidivados post, 1 sequel of surgery keller, 2 hallux varus, severe. Operated from December 2010 until December 2012. All of the female sex. The average age was 61 years. The average follow-up was 34 months. The interventions were performed by the same surgical team. The gestures surgical that were performed were: arthrodesis open hallux approach with a medial placed screw cross plate and dorsal and technical MY in rays minor. Corrected all the deformities in the surgical procedure. At the end of the follow-up survey AOFAS, measurements of x-ray parameters and questionnaire Benton Weil. Results: The score AOFAS pre-op was a 23 point average for the evaluation of the hallux and 29 for the evaluation of the metatarsal and the lesser toes. At the end of the follow-up to the Score for hallux improved to 75 points on average with a range of 53-82. The score for metatarsal and lesser toes was 80 points on average with a range from 53-92. The differences were statistically significant (p less than 0.01). We recorded 1 case of superficial infection that was resolved with ATB mouth. All of the arthrodesis consolidated in an average time of 8 weeks. No recurrence of hallux valgus or claw toes, 2 cases of hyperkeratosis plant central that were resolved 1 with templates (be asymptomatic), and 1 retoco surgically and 1 for screw removal, crossed by irritate the skin. 100% of patients would operate again. Conclusion: We conclude that this association of procedures is a significant contribution to the corrective surgery of the forefoot. These two techniques should not be conflicting: on the contrary, they should complement and be used criteriosamente, still an excellent option and very useful to the association in the management of the patient with deformity severe forefoot.

Author Biographies

Guillermo Sebastián Mazzucchelli

Universidad Católica de Córdoba; Clínica Universitaria Reina Fabiola; Instituto Traumatológico de Córdoba. Córdoba Capital, Argentina.

Matías Ruiz Navello

Universidad Católica de Córdoba; Clínica Universitaria Reina Fabiola. Córdoba Capital, Argentina.

Florencio Pablo Segura

Universidad Católica de Córdoba; Clínica Sucre; Hospital San Roque. Córdoba Capital, Argentina.

Juan Antonio Sánchez Pulgar

Universidad Católica de Córdoba; Instituto Traumatológico de Córdoba. Córdoba Capital, Argentina.

Published

2017-06-12

How to Cite

Sebastián Mazzucchelli, G., Ruiz Navello, M., Segura, F. P., & Sánchez Pulgar, J. A. (2017). Open arthrodesis of hallux associated with percutaneous surgery of metatarsals and minor fingers in antepie severe deformities. Tobillo Y Pie, 9(1), 25–32. Retrieved from https://scijfootankle.emnuvens.com.br/tobilloypie/article/view/1476

Issue

Section

Original Articles