Bosch percutaneous osteotomy. Does the patient accept the nail? Clinical and functional analysis and short-term result
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Published:
Nov 19, 2015
Keywords:
Hallux valgus, Bösch technique, hallux osteotomy.
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Abstract
IntroductionHallux valgus is a common deformity of the metatarsophalangeal joint. Its percutaneous surgical treatment is a demanding procedure that involves a long learning curve and constitutes a challenge for the surgeon.MethodsRetrospective cohort study. Seventy patients with hallux valgus operated on with percutaneous Bösch technique. Intraoperative characteristics and hospitalization, functional results according to AOFAS score and discomfort with the use of a Steinmnann pin for osteotomy fixation, and radiological results were evaluated. The average follow-up was 12.8 month.ResultsThe Steinmann pin was used for an average of 31.44 days. Eighteen patients showed discomfort with the Steinmann pin in the postoperative period, but they said they would turn to operate with a similar surgical technique. However, three patients who were dissatisfied said they would not be operated with this technique.ConclusionBösch surgery and the stabilization of the osteotomy with a Steinmann pin is an effective solution for the treatment of hallux valgus.
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Arzac Ulla, I. R., Fiorentini, G., & Perez Paz, G. (2015). Bosch percutaneous osteotomy. Does the patient accept the nail? Clinical and functional analysis and short-term result. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 80(4), 260-265. https://doi.org/10.15417/470
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Clinical Research
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References
1 Portaluri M. Hallux valgus correction by the method of Bosch. Foot Ankle Clin 2000;5:499-511.
2 Perera A, Stephens M. The pathogenesis of hallux valgus. Current concepts review. J Bone Joint Surg Am 2011;93:1650-61.
3 Deenik A, Pilot P, Brandt S. Scarf versus chevron osteotomy in hallux valgus: A randomized controlled trial in 96 patients. Foot Ankle Int 2007;28:537-41.
4 Magnan B, Pezzé L, Rossi N, Bartolozzi P. Percutaneous distal metatarsal osteotomy for correction of hallux valgus. J Bone Joint Surg Am 2005;87:1191-9.
5 Austin DW, Leventen EO. A new osteotomy for hallux valgus: a horizontally directed “V” displacement osteotomy of the metatarsal head for hallux valgus and primus varus. Clin Orthop Relat Res 1981;157:25-30.
6 Kramer J. Die Kramer-Osteotomie zur behandlung des hallux valgus und des digitus quintus varus. Operat Orthop Traumat 1990;2:29-38.
7 Homann G. Symptomatische oder physiologische behandlung des hallux valgus. Munch Med Wschr 1921;68:1042-5.
8 Bösch P, Markowski H, Rannicher V. Technik und erste ergebnisse der subkutanen distalen metatarsale-I-osteotomie. Orthopädische Praxis 1990;26:51-6.
9 Magnan B, Bortolazzi R, Samaila E, Pezzé L, Rossi N, Bartolozzi P. Percutaneous distal metatarsal osteotomy for correction of hallux valgus. Surgical technique. J Bone Joint Surg Am 2006;88:135-48.
10 Johnson KA, Cofield RH, Morrey BF. Chevron osteotomy for hallux valgus. Clin Orthop Relat Res 1979;142:44-7.
11 Mann RA, Coughlin MJ. Hallux valgus—etiology, anatomy, treatment and surgical considerations. Clin Orthop Relat Res 1981;157:31-41.
12 Trnka HJ, Zembsch A, Easley ME, Salzer M, Ritschl P, Myerson MS. The chevron osteotomy for correction of hallux valgus. Comparison of findings after two and five years of follow-up. J Bone Joint Surg Am 2000;82:1373-8.
13 Maffulli N, Longo U, Denaro V, Coppola C. Bosch osteotomy and scarf osteotomy for hallux valgus correction. Orthop Clin North Am 2009;40:515-24.
14 Maffulli N, Longo U, Marinozzi A, Denaro V. Hallux valgus: effectiveness and safety of minimally invasive surgery. A systematic review. Br Med Bull 2011;97:149-67.
15 Lui TH. First metatarsophalangeal joint arthroscopy in patients with hallux valgus. Arthroscopy 2008;24:1122-9.
16 Lui TH, Ng S, Chan KB. Endoscopic distal soft tissue procedure in hallux valgus surgery. Arthroscopy 2005;21:1403.
17 Sotelano P, Migues A. Tratamiento percutáneo del hallux valgus. Técnica de Bosch. Rev Asoc Argent Ortop Traumatol 2007;72:233-41.
18 Bartolozzi P, Magnan B. L’osteotomia distale percutánea nella chirurgia dell’alluce valgo. Bologna: Timeo; 2000:7-24.
19 Bösch P, Wanke S, Legenstein R. Hallux valgus correction by the method of Bösch: a new technique with a seven-to-ten-year follow-up. Foot Ankle Clin 2000;5:485-98.
20 Bösch P, Markowski H, Rannicher V. Technik und erste ergebnisse der subkutanen distalen metatarsale-I-osteotomie. Orthopädische Praxis 1990;26:51-6.
21 Magnan B, Montanari M, Bragantini A, Fieschi S, Bartolozzi P. Trattamento chirurgico dell’alluce valgo con tecnica “mini-invasiva” percutánea (P.D.O.: percutaneous distal osteotomy). En: Malerba F, Dragonetti L, Giannini S (eds.) Progressi in medicina e chirurgia del piede. Bologna: Aulo Gaggi; 1997, vol. 6, p. 91-104.
22 Kramer J. Die Kramer-Osteotomic zur Behandlung des Hallux Valgus und des digitus quintus varus. Operat Orthop Trauma 1990;2:29-38.
23 Coughlin M, Smith B. Hallux valgus and first ray mobility. Surgical technique. J Bone Joint Surg Am 2008;90:153-70.
24 Roukis TS. Central metatarsal head-neck osteotomies: indications and operative techniques. Clin Podiatr Med Surg 2005;22(2):197-222.
25 Lamprecht E, Kramer J. Die retrokapitale osteotomie nach Kramer und ihre stabitisierung ohne schraube, platte oder gips. Z Orthop Ihre Grenzgeb 1984;122:607.
26 Mann RA, Coughlin MJ. Hallux valgus in adults. En: Coughlin MJ, Mann RA (eds.) Surgery of the foot and ankle, 7th ed. St Louis: Mosby; 1999:147-264.
27 Kadakia A, Smerek J. Myerson M. Radiographic results after percutaneous distal metatarsal osteotomy for correction of hallux valgus deformity. Foot Ankle Int 2007;28: 355.
28 Iannò B, Familiari F, De Gori M, Gelasso O, Ranuccio F, Gasparini G. Midterm results and complications after minimally invasive distal metatarsal osteotomy for treatment of hallux valgus. Foot Ankle Int 2013;34:969.
2 Perera A, Stephens M. The pathogenesis of hallux valgus. Current concepts review. J Bone Joint Surg Am 2011;93:1650-61.
3 Deenik A, Pilot P, Brandt S. Scarf versus chevron osteotomy in hallux valgus: A randomized controlled trial in 96 patients. Foot Ankle Int 2007;28:537-41.
4 Magnan B, Pezzé L, Rossi N, Bartolozzi P. Percutaneous distal metatarsal osteotomy for correction of hallux valgus. J Bone Joint Surg Am 2005;87:1191-9.
5 Austin DW, Leventen EO. A new osteotomy for hallux valgus: a horizontally directed “V” displacement osteotomy of the metatarsal head for hallux valgus and primus varus. Clin Orthop Relat Res 1981;157:25-30.
6 Kramer J. Die Kramer-Osteotomie zur behandlung des hallux valgus und des digitus quintus varus. Operat Orthop Traumat 1990;2:29-38.
7 Homann G. Symptomatische oder physiologische behandlung des hallux valgus. Munch Med Wschr 1921;68:1042-5.
8 Bösch P, Markowski H, Rannicher V. Technik und erste ergebnisse der subkutanen distalen metatarsale-I-osteotomie. Orthopädische Praxis 1990;26:51-6.
9 Magnan B, Bortolazzi R, Samaila E, Pezzé L, Rossi N, Bartolozzi P. Percutaneous distal metatarsal osteotomy for correction of hallux valgus. Surgical technique. J Bone Joint Surg Am 2006;88:135-48.
10 Johnson KA, Cofield RH, Morrey BF. Chevron osteotomy for hallux valgus. Clin Orthop Relat Res 1979;142:44-7.
11 Mann RA, Coughlin MJ. Hallux valgus—etiology, anatomy, treatment and surgical considerations. Clin Orthop Relat Res 1981;157:31-41.
12 Trnka HJ, Zembsch A, Easley ME, Salzer M, Ritschl P, Myerson MS. The chevron osteotomy for correction of hallux valgus. Comparison of findings after two and five years of follow-up. J Bone Joint Surg Am 2000;82:1373-8.
13 Maffulli N, Longo U, Denaro V, Coppola C. Bosch osteotomy and scarf osteotomy for hallux valgus correction. Orthop Clin North Am 2009;40:515-24.
14 Maffulli N, Longo U, Marinozzi A, Denaro V. Hallux valgus: effectiveness and safety of minimally invasive surgery. A systematic review. Br Med Bull 2011;97:149-67.
15 Lui TH. First metatarsophalangeal joint arthroscopy in patients with hallux valgus. Arthroscopy 2008;24:1122-9.
16 Lui TH, Ng S, Chan KB. Endoscopic distal soft tissue procedure in hallux valgus surgery. Arthroscopy 2005;21:1403.
17 Sotelano P, Migues A. Tratamiento percutáneo del hallux valgus. Técnica de Bosch. Rev Asoc Argent Ortop Traumatol 2007;72:233-41.
18 Bartolozzi P, Magnan B. L’osteotomia distale percutánea nella chirurgia dell’alluce valgo. Bologna: Timeo; 2000:7-24.
19 Bösch P, Wanke S, Legenstein R. Hallux valgus correction by the method of Bösch: a new technique with a seven-to-ten-year follow-up. Foot Ankle Clin 2000;5:485-98.
20 Bösch P, Markowski H, Rannicher V. Technik und erste ergebnisse der subkutanen distalen metatarsale-I-osteotomie. Orthopädische Praxis 1990;26:51-6.
21 Magnan B, Montanari M, Bragantini A, Fieschi S, Bartolozzi P. Trattamento chirurgico dell’alluce valgo con tecnica “mini-invasiva” percutánea (P.D.O.: percutaneous distal osteotomy). En: Malerba F, Dragonetti L, Giannini S (eds.) Progressi in medicina e chirurgia del piede. Bologna: Aulo Gaggi; 1997, vol. 6, p. 91-104.
22 Kramer J. Die Kramer-Osteotomic zur Behandlung des Hallux Valgus und des digitus quintus varus. Operat Orthop Trauma 1990;2:29-38.
23 Coughlin M, Smith B. Hallux valgus and first ray mobility. Surgical technique. J Bone Joint Surg Am 2008;90:153-70.
24 Roukis TS. Central metatarsal head-neck osteotomies: indications and operative techniques. Clin Podiatr Med Surg 2005;22(2):197-222.
25 Lamprecht E, Kramer J. Die retrokapitale osteotomie nach Kramer und ihre stabitisierung ohne schraube, platte oder gips. Z Orthop Ihre Grenzgeb 1984;122:607.
26 Mann RA, Coughlin MJ. Hallux valgus in adults. En: Coughlin MJ, Mann RA (eds.) Surgery of the foot and ankle, 7th ed. St Louis: Mosby; 1999:147-264.
27 Kadakia A, Smerek J. Myerson M. Radiographic results after percutaneous distal metatarsal osteotomy for correction of hallux valgus deformity. Foot Ankle Int 2007;28: 355.
28 Iannò B, Familiari F, De Gori M, Gelasso O, Ranuccio F, Gasparini G. Midterm results and complications after minimally invasive distal metatarsal osteotomy for treatment of hallux valgus. Foot Ankle Int 2013;34:969.