Technique Tip: Medial prominence bone spur resection in the third-generation percutaneous Chevron-Akin Osteotomy Technique (PECA) for hallux valgus correction

被引：4

作者：

Ferreira, Gabriel Ferraz ^{[1
,8
]}

Nunes, Gustavo Araujo ^{[2
,8
]}

Dinato, Mauro Cesar Mattos e ^{[3
,4
,9
]}

Pedroso, Joao Paulo ^{[1
]}

Lewis, Thomas Lorchan ^{[5
]}

Lam, Peter ^{[6
]}

Filho, Miguel Viana Pereira ^{[7
,9
]}

机构：

[1] Foot & Ankle Surg Grp, Orthopaed & Traumatol Unit, Sao Paulo, SP, Brazil

[2] Hosp Santa Luzia Rede D Or, Dept Orthopaed & Traumatol, Brasilia, Brazil

[3] State Univ Campinas UNICAMP, Dept Orthopaed, Campinas, SP, Brazil

[4] State Univ Campinas UNICAMP, Traumatol Unit, Campinas, SP, Brazil

[5] Guys & St Thomas NHS Fdn Trust, London, England

[6] Orthopaed & Arthrit Specialist Ctr, Sydney, Australia

[7] Head Foot & Ankle Surg Grp, Orthopaed & Traumatol Unit, Sao Paulo, Brazil

[8] Minimally Invas Foot Ankle Soc MIFAS GRECMIP, Brasilia, Brazil

[9] Inst Vita, Sao Paulo, Brazil

来源：

FOOT AND ANKLE SURGERY | 2022年 / 28卷 / 04期

关键词：

Hallux valgus; Minimally invasive; Bunion; Percutaneous surgery; MINIMALLY INVASIVE CHEVRON; SURGERY; MICA;

D O I：

10.1016/j.fas.2021.11.004

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The third-generation percutaneous chevron and Akin osteotomy (PECA) technique for surgical management of hallux valgus has shown improvement in clinical and radiographic outcomes. During this procedure, lateral translation and fixation of the first metatarsal head results in the formation of a bony prominence on the medial side of the distal aspect of the first metatarsal which can cause pain and discomfort to the patient. We describe two techniques to address this bony prominence; either i) excision osteotomy and removal of the fragment or ii) a dorsal closing wedge osteotomy retaining the bony fragment. Level of Evidence: Level V, expert opinion (c) 2021 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：460 / 463

页数：4