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[PMID]:29279564
[Au] Autor:Okabe K; Hoashi T; Asahara M; Esaki E; Ito M; Otsuka R; Funasaka Y; Saeki H
[Ad] Endereço:Department of Dermatology, Nippon Medical School.
[Ti] Título:A Case of a Giant Cell Tumor of the Tendon Sheath of the Middle Phalanx of the Fourth Toe.
[So] Source:J Nippon Med Sch;84(6):308-310, 2017.
[Is] ISSN:1347-3409
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Giant cell tumors of the tendon sheath (GCT-TS) are one of the most common tumors of the hand, along with ganglions. However, occurrence in the toes is far less common. Here we present a rare case of GCT-TS at the middle phalanx level of the flexor digitorum longus tendon sheath. Magnetic resonance imaging showed low intensity both on T1 and T2 weighted images. To the best of our knowledge, our case is the first report of a GCT-TS arising at the middle phalanx level of the flexor digitorum longus tendon sheath of the fourth toe. Although GCT-TS are rare in the toe, they must be included in the differential diagnoses of soft tissue tumors arising in the toes.
[Mh] Termos MeSH primário: Tumor de Células Gigantes de Bainha Tendinosa/diagnóstico por imagem
Falanges dos Dedos do Pé
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Imagem de Difusão por Ressonância Magnética
Feminino
Tumor de Células Gigantes de Bainha Tendinosa/patologia
Tumor de Células Gigantes de Bainha Tendinosa/cirurgia
Seres Humanos
Falanges dos Dedos do Pé/patologia
Falanges dos Dedos do Pé/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1272/jnms.84.308


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[PMID]:28953644
[Au] Autor:Valero J; Moreno M; Gallart J; González D; Salcini JL; Gordillo L; Deus J; Lahoz M
[Ad] Endereço:aDepartment of Human Anatomy and Histology, School of Medicine, University of Zaragoza, Zaragoza bDepartment of Podiatry, University of Sevilla, Sevilla cDepartment of Surgery, Obstetrics and Gynecology, School of Medicine, University of Zaragoza, Zaragoza, Spain.
[Ti] Título:A new surgical procedure for hallux limitus treatment: Double-V osteotomy on the base of the proximal phalanx of the hallux.
[So] Source:Medicine (Baltimore);96(39):e8127, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to evaluate the effectiveness of the new Double-V osteotomy of the first metatarsophalangeal joint (1MPJ) in patients with hallux limitus (HL).A study of 66 patients was performed, 33 patients were treated Cheilectomy and 33 were treated Double-V. All patients underwent an assessment of the passive mobility of the 1MPJ before the procedure, reevaluated 12 months later evaluating dorsiflexion, plantarflexion, and patients status using both the American Orthopaedic Foot and Ankle Society (AOFAS) for Hallux Metatarsophalangeal-Interphalangeal Scale.In comparing the improvement achieved regarding the increase of mobility obtained with surgical treatment, the feet operated with procedure Double-V gained significant degrees of movement increased in all analyzed parameters (P < .05). We achieved 13.33° more than average in dorsiflexion motion and 2.12° more than average in plantarflexion with regard to the feet that were operated with Cheilectomy procedure. Double-V scores on the AOFAS scale improved significantly (P = .000) 91.48 points postoperative, while with the following Cheilectomy only 79.30 points.This new surgical technique, easy to perform and with low complexity in surgical execution and a minimum of complications, produces better clinical and functional results that Cheilectomy alone.
[Mh] Termos MeSH primário: Hallux Limitus/cirurgia
Hálux/cirurgia
Osteotomia/métodos
Falanges dos Dedos do Pé/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Masculino
Articulação Metatarsofalângica/cirurgia
Meia-Idade
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008127


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[PMID]:28593866
[Au] Autor:Devaux D; Steiner A; Pipoz F; Nuss K
[Ad] Endereço:Departement für Nutztiere, Vetsuisse-Fakultät, Universität Zürich.
[Ti] Título:[Open digit amputation in cattle: Surgery, wound healing and follow-up].
[Ti] Título:Die offene Amputation der Rinderzehe im Fesselbein: Chirurgische Technik, Wundheilung und Langzeitergebnisse..
[So] Source:Schweiz Arch Tierheilkd;159(6):327-334, 2017 Jun.
[Is] ISSN:0036-7281
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Ab] Resumo:INTRODUCTION: The aim of this retrospective study was to document secondary wound healing and outcome in 20 cattle that had undergone digit amputation at the level of the distal metaphysis of the first phalanx between April 2009 and June 2015. The surgical technique for amputation was simple and fast, and granulation tissue covered the stump of the first phalanx 9 to 30 days postoperatively. Complications associated with wound healing were seen in 7 animals and in 3, a second surgery was required; all 20 cattle were discharged from the clinic. Epithelial closure was complete after a mean of 3 months (range, 2 to 7 months). The mean postoperative survival time was 15 months (range, 1 to 34 months), and 6 animals were still alive at the time of follow-up inquiry. Wound healing and long-term outcome did not differ between cattle that had undergone a more intensive aftercare regime than those with a less intensive postoperative treatment.
[Mh] Termos MeSH primário: Amputação/veterinária
Bovinos/cirurgia
Falanges dos Dedos do Pé/cirurgia
Cicatrização/fisiologia
[Mh] Termos MeSH secundário: Amputação/métodos
Amputação/mortalidade
Animais
Seguimentos
Complicações Pós-Operatórias/veterinária
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.17236/sat00118


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[PMID]:28281306
[Au] Autor:Gold SJ; Werpy NM; Gutierrez-Nibeyro SD
[Ad] Endereço:B.W. Furlong & Associates, Oldwick, NJ, 08858.
[Ti] Título:INJURIES OF THE SAGITTAL GROOVE OF THE PROXIMAL PHALANX IN WARMBLOOD HORSES DETECTED WITH LOW-FIELD MAGNETIC RESONANCE IMAGING: 19 CASES (2007-2016).
[So] Source:Vet Radiol Ultrasound;58(3):344-353, 2017 May.
[Is] ISSN:1740-8261
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Sagittal groove injuries of the proximal phalanx are an important cause of lameness in performance horses. The purpose of this retrospective case series study was to describe standing low-field magnetic resonance imaging (MRI) characteristics of these injuries in a group of Warmblood horses. Horses with an MRI diagnosis of sagittal groove injuries involving the proximal phalanx and that had follow-up MRI and clinical outcome information were included. Findings from clinical examinations, diagnostic tests, and other imaging modalities were recorded. All MRI studies were retrieved for re-evaluation by an experienced, board-certified veterinary radiologist. A total of 19 horses met inclusion criteria. All horses had MRI lesions consistent with unilateral or bilateral sagittal groove injuries of the proximal phalanx and abnormal mineralization of the sagittal ridge of the third metacarpal/metatarsal bone. Fifteen horses (79%) had concurrent osteoarthritis of the affected metacarpophalangeal/metatarsophalangeal joint. Eighteen horses received conservative therapy and all horses still had osseous abnormalities detected at the time of follow-up MRI. Thirteen horses (68.5%) were still lame at the time of follow-up, whereas the other six horses (31.5%) had become sound and returned to the previous level of exercise. Findings indicated that, for mature Warmblood horses, acute or chronic injuries of the sagittal groove of the proximal phalanx may have variable standing low-field MRI characteristics. Based on this sample of 19 horses, findings also indicated that the prognosis for performance soundness in horses diagnosed with sagittal groove injury of the proximal phalanx and concurrent osteoarthritis is poor.
[Mh] Termos MeSH primário: Cavalos/lesões
Falanges dos Dedos do Pé/diagnóstico por imagem
Falanges dos Dedos do Pé/lesões
[Mh] Termos MeSH secundário: Animais
Feminino
Imagem por Ressonância Magnética/veterinária
Masculino
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE
[do] DOI:10.1111/vru.12488


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[PMID]:28159039
[Au] Autor:Strydom A; Saragas NP; Ferrao PN
[Ad] Endereço:The Orthopaedic Foot and Ankle Unit, Department of Orthopaedic Surgery, University of the Witwatersrand, Johannesburg, South Africa. Electronic address: drewstrydom@hotmail.com.
[Ti] Título:A radiographic analysis of the contribution of hallux valgus interphalangeus to the total valgus deformity of the hallux.
[So] Source:Foot Ankle Surg;23(1):27-31, 2017 Mar.
[Is] ISSN:1460-9584
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The hallux valgus interphalangeus (HVI) deformity is described as rare, but improved outcomes in hallux valgus (HV) surgery is associated with its surgical correction via an Akin osteotomy. The hypothesis of this study is that HVI is common and makes a significant contribution to the total valgus deformity of the hallux (TVDH). METHODS: 285 pre-operative foot radiographs (193 with HV, 92 non-HV), utilising standardised radiographic and measurement techniques, were analysed retrospectively. The hallux valgus angle (HVA), intermetatarsal angle (IMA), interphalangeal angle (IPA) and distal metatarsal articular angle (DMAA) were measured. The TVDH was calculated as the sum of the HVA and IPA. RESULTS: 163 (57.2%) of the study population were Caucasian, 119 (41.8%) African and 3 Indian (1.0%). 236 (82.8%) of the population was female. There was a statistically significant difference in the proportion of abnormal IPA in the Caucasian population 112 (68.7%) compared to the proportion of abnormal IPA in the African population 64 (53.8%), p=0.01. The average contribution of the IPA to the TVDH across the whole study population was a mean (SD) of 37.9% (21.2). The average contribution of IPA to TVDH was greater in feet without HV (58.0%) when compared to feet with HV (28.3%). HVI is common, particularly in Caucasians (p=0.01) and makes a significant contribution to the TVDH (p<0.01). The contribution to the TVDH is more significant in mild HV. There is an inverse relationship between the IPA and other angular measurements in the foot. CONCLUSION: HVI is a common entity. The significant contribution of the IPA to the TVDH dictates that HVI must be incorporated in management algorithms. The TVDH should replace the isolated concepts of HV and HVI. LEVEL OF EVIDENCE: Level III, retrospective cohort.
[Mh] Termos MeSH primário: Hallux Valgus/complicações
Hallux Valgus/diagnóstico por imagem
Ossos do Metatarso/diagnóstico por imagem
Falanges dos Dedos do Pé/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Grupo com Ancestrais do Continente Africano/estatística & dados numéricos
Idoso
Pesos e Medidas Corporais
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Feminino
Hallux Valgus/etnologia
Seres Humanos
Masculino
Meia-Idade
Prevalência
Radiografia
Estudos Retrospectivos
África do Sul
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170205
[St] Status:MEDLINE


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[PMID]:27859901
[Au] Autor:Pauwels FE; Rogers CW; Wharton H; Flemming H; Wightman PF; Green RW
[Ad] Endereço:Institute of Veterinary and Biomedical Sciences, Massey University, Palmerston North, New Zealand.
[Ti] Título:RADIOGRAPHIC MEASUREMENTS OF HOOF BALANCE ARE SIGNIFICANTLY INFLUENCED BY A HORSE'S STANCE.
[So] Source:Vet Radiol Ultrasound;58(1):10-17, 2017 Jan.
[Is] ISSN:1740-8261
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Hoof balance radiographs are commonly used as the basis for corrective farriery decision-making in horses, however there are limited published data quantifying effects of the stance of the horse or the horizontal radiographic beam angle. In this analytical study, the influence of variation of the horse's stance in the craniocaudal and lateromodial plane on hoof balance measurements as well as the influence of variation of the horizontal radiographic beam angle on dorsopalmar hoof balance measurements was examined. Distal left thoracic limb lateromedial radiographs were acquired using a standardized protocol while varying the craniocaudal stance of five horses, each selected to be sound and conformationally normal. Dorsopalmar foot radiographs were acquired while varying the lateromedial stance; and variable angle horizontal beam dorsopalmar foot radiographs were acquired while keeping the limb position constant. Analyses of measurements demonstrated that hoof pastern angle had a linear relationship (R = 0.89, P < 0.001) with craniocaudal stance of the horse. The relationship of joint angle and stance was greater for the distal interphalangeal joint angle (R = 0.89, P < 0.001) than the proximal interphalangeal joint angle (R = 0.65, P = 0.001). The distal phalanx angle did not change with craniocaudal stance variation. The proximal interphalangeal joint width, distal interphalangeal joint width, or distal phalanx height did not change with lateromedial stance variation, nor within a 15 degree dorsolateral to caudomedial and dorsomedial to caudolateral variation from the dorsopalmar axis. Findings indicated that positioning of the thoracic limb needs to be considered during radiographic interpretation and decision-making for corrective farriery.
[Mh] Termos MeSH primário: Membro Anterior/diagnóstico por imagem
Cavalos/fisiologia
Postura
Falanges dos Dedos do Pé/diagnóstico por imagem
[Mh] Termos MeSH secundário: Animais
Feminino
Casco e Garras/fisiologia
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161119
[St] Status:MEDLINE
[do] DOI:10.1111/vru.12443


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[PMID]:27672063
[Au] Autor:Vander Griend R
[Ad] Endereço:1 Department of Orthopaedics & Rehabilitation, Orthopaedic Foot and Ankle Service UFHEALTH, Gainesville, FL, USA.
[Ti] Título:Correction of Hallux Valgus Interphalangeus With an Osteotomy of the Distal End of the Proximal Phalanx (Distal Akin Osteotomy).
[So] Source:Foot Ankle Int;38(2):153-158, 2017 Feb.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Operative correction of a symptomatic hallux valgus interphalangeus (HVI) deformity is often achieved with an osteotomy at the proximal end of the proximal phalanx (Akin osteotomy). However, the apex of the typical HVI deformity (center of rotation angle) is at the interphalangeal joint of the hallux. This study was done to evaluate the results of performing a medial closing wedge osteotomy at the distal end of the proximal phalanx. METHODS: Thirty-three patients (33 feet) underwent an osteotomy at the distal end of the proximal phalanx for correction of HVI. All of the patients had other forefoot deformities which were corrected at the same time. Eight of these were revision procedures of prior forefoot operations. The length of follow-up was determined by the associated procedures with a minimum follow-up of 4 months. RESULTS: The preoperative hallux valgus interphalangeus angle averaged 16 degrees of valgus (range 7-32 degrees) and was corrected to an average of 2 degrees of valgus (range 5 degrees valgus to 5 degrees varus). All of the patients were satisfied with the postoperative appearance and function of the first toe. Because of simultaneous correction of numerous other forefoot problems, it was not possible to specifically isolate or evaluate the effects and benefits of this osteotomy using outcomes measures. There was one intraoperative complication resulting in a fracture extending into the adjacent IP joint. CONCLUSIONS: Correction of an HVI deformity can be achieved with an osteotomy at the distal end of the proximal phalanx. This was a safe technique with few complications and with good results in terms of both correction and patient satisfaction. LEVEL OF EVIDENCE: Level IV, retrospective case series.
[Mh] Termos MeSH primário: Hallux Valgus/cirurgia
Osteotomia/métodos
Falanges dos Dedos do Pé/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Hallux Valgus/diagnóstico por imagem
Hallux Valgus/patologia
Seres Humanos
Masculino
Meia-Idade
Radiografia
Falanges dos Dedos do Pé/diagnóstico por imagem
Falanges dos Dedos do Pé/patologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160928
[St] Status:MEDLINE
[do] DOI:10.1177/1071100716670389


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[PMID]:27664166
[Au] Autor:Díaz Fernández R
[Ad] Endereço:1 Universidad Católica de Valencia San Vicente Mártir, Catholic University of Valencia "Saint Vincent Martyr," Valencia, Spain.
[Ti] Título:Percutaneous Triple and Double Osteotomies for the Treatment of Hallux Valgus.
[So] Source:Foot Ankle Int;38(2):159-166, 2017 Feb.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Percutaneous surgery to correct deformities of the forefoot presents the advantages of using a minimal incision, which involves less soft tissue damage and less risk of wound complications. For severe deformities, percutaneous techniques have not been proven as effective. We propose a technique for the treatment of severe hallux valgus. METHODS: In a sample of 52 feet operated on 48 patients, we performed a double percutaneous osteotomy (closure proximal osteotomy and a distal Akin) or triple when a Reverdin-Isham osteotomy was added. We measured preoperatively the American Orthopaedic Foot & Ankle Society (AOFAS) score at the 1-year and 2-year follow-up, as well as the values of hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular ankle (DMAA), and shortening and elevation of the first metatarsal. The presence of metatarsalgia was recorded before and after the surgery. RESULTS: HVA, IMA, and DMAA improved from 39.3 ± 7.1, 17.0 ± 2.0, and 16 ± 8.7 to 11.2 ± 6.2, 8.4 ± 3.4, and 8.3 ± 6.2, respectively. In 5 cases (10%), there was an elevation of the distal metatarsal bone, but only in 2 cases did a transfer metatarsalgia develop. There were no significant correlations between the amount of shortening and the presence of postoperative metatarsalgia. Scores on the AOFAS scale improved from 47.6 ± 5.6 to 89.7 ± 10.1 points. CONCLUSION: The results are comparable to those reported with other more established techniques. Transfer metatarsalgia did not correlate with lifting or shortening of the metatarsal. We indicate the percutaneous technique for IMA above 15 degrees and increased DMAA or congruent joints. LEVEL OF EVIDENCE: Level IV, retrospective case series.
[Mh] Termos MeSH primário: Hallux Valgus/cirurgia
Ossos do Metatarso/cirurgia
Osteotomia/métodos
Falanges dos Dedos do Pé/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Hallux Valgus/diagnóstico por imagem
Hallux Valgus/patologia
Seres Humanos
Masculino
Ossos do Metatarso/diagnóstico por imagem
Ossos do Metatarso/patologia
Meia-Idade
Radiografia
Falanges dos Dedos do Pé/diagnóstico por imagem
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160925
[St] Status:MEDLINE
[do] DOI:10.1177/1071100716670403


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[PMID]:28269397
[Au] Autor:Manarvi I
[Ti] Título:Hardness map of human meta tarsals and phalanges of toes.
[So] Source:Conf Proc IEEE Eng Med Biol Soc;2016:5026-5029, 2016 08.
[Is] ISSN:1557-170X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Predicting location of fracture in human bones has been a keen area of research for the past few decades. A variety of tests for hardness, deformation and strain field measurement have been conducted in the past; but considered insufficient due to various limitations. Researchers therefore have proposed further studies due to inaccuracies in measurement methods, testing machines and experimental errors. Advancement and availability of hardware, measuring instrumentation and testing machines can now provide remedies to these limitations. Human foot is a critical part of body exposed to various forces throughout its life. A number of products are developed for using over it for protection and care. Which many times do not provide sufficient protection and may itself become a source of stress due to non-consideration of the delicacy of bones in the feet. A continuous strain or overloading on feet may occur resulting to discomfort and even fracture. Not knowing how the hardness is spread all over the Meta tarsals and phalanges is one of major contributory factor for unsatisfactory design of foot protection products. This paper provides a complete hardness distribution map developed by experimental testing of all the Meta tarsals and Phalanges of toes for a typical human foot. The bones were taken from two left feet of a 40 and 42 year old male cadaver. These were dehydrated prior to measurements of hardness using Leeb hardness testing method. Hardness was measured around the circumference of a bone as well as along its length. Hardness values can be related to tensile strength of the bones to predict possible values of stress that could be borne by these bones. Results may also be used for design and developing various accessories for human feet health care and comfort.
[Mh] Termos MeSH primário: Ossos do Metatarso/fisiologia
Falanges dos Dedos do Pé/fisiologia
[Mh] Termos MeSH secundário: Adulto
Dureza
Seres Humanos
Masculino
Resistência à Tração
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171126
[Lr] Data última revisão:
171126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1109/EMBC.2016.7591856


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[PMID]:27721160
[Au] Autor:Booth S; Bhosale A; Mustafa A; Shenoy R; Pillai A
[Ad] Endereço:Department of Orthopaedics, University Hospital South Manchester, Southmoor Road, Manchester, M23 9LT, UK. Electronic address: sean.booth@nhs.net.
[Ti] Título:Triple osteotomy for the correction of severe hallux valgus deformity: Patient reported outcomes and radiological evaluation.
[So] Source:Foot (Edinb);28:30-35, 2016 Aug.
[Is] ISSN:1532-2963
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Symptomatic Hallux valgus can be treated with metatarsal osteotomy combined with proximal phalangeal osteotomy, however this might not be sufficient to treat severe HV deformities. METHODS: Fifteen feet in eleven female patients treated with double first metatarsal and proximal phalanx osteotomies without lateral release were prospectively studied and outcome measures including radiological angles and validated patient reported outcome scores collected. RESULTS: Mean radiological follow up was 15 months and PROMs data 17 months. Mean hallux valgus and intermetatarsal angles were corrected from 45 to 24.7° and 18.7 to 7.4° respectively. There was an eight degree recurrence of hallux valgus angle. There was no wound problems, non-unions or evidence of avascular necrosis. The EQ-5D descriptive index showed a non-statistically significant improvement. All three elements of the MOxFQ score showed a statistically significant improvement: Forefoot pain (59-26.8), Walking and Stability (49.9-29.6) and Social Interaction (56.4-33.1) CONCLUSION: Triple osteotomy, without a lateral soft tissue release, leads to good radiological and functional outcomes in those with severe hallux valgus deformity. Patients need to be warned of the recovery time and potential for future metalwork removal. The risk of early recurrence suggests that a lateral release should be included in order to maintain a long lasting correction.
[Mh] Termos MeSH primário: Hallux Valgus/cirurgia
Ossos do Metatarso/cirurgia
Osteotomia/métodos
Falanges dos Dedos do Pé/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Hallux Valgus/diagnóstico por imagem
Seres Humanos
Ossos do Metatarso/diagnóstico por imagem
Meia-Idade
Medidas de Resultados Relatados pelo Paciente
Estudos Prospectivos
Índice de Gravidade de Doença
Falanges dos Dedos do Pé/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170614
[Lr] Data última revisão:
170614
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161011
[St] Status:MEDLINE



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