Easley.Tecnicas Quirurgicas. Pie y tobillo_3ed

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CAPÍTULO 5 x Corrección percutánea del hallux valgus

• Estudios recientes han sugerido que la tasa de no unión es inferior a 1% y que las complicaciones suelen aparecer con menos experiencia quirúrgica. 3 • Varios estudios han demostrado que la reparación del jua nete con MIS se asocia a un dolor posoperatorio signi„cati vamente menor. 5,6 COMPLICACIONES

4. Kadakia AR, Smerek JP, Myerson MS. Radiographic results after per cutaneous distal metatarsal osteotomy for correction of hallux valgus deformity. Foot Ankle Int 2007;28(3):355-360. 5. Lai MC, Rikhraj IS, Woo YL, et al. Clinical and radiological outcomes comparing percutaneous chevron-Akin osteotomies vs open scarf-Akin osteotomies for hallux valgus. Foot Ankle Int 2018;39(3):311-317. 6. Lee M, Walsh J, Smith MM, et al. Comparing percutaneous che vron/Akin (PECA) and open scarf/Akin osteotomies. Foot Ankle Int 2017;38(8):838-846. 7. Malagelada F, Dalmau-Pastor M, Fargues B, et al. Increasing the sa fety of minimally invasive hallux surgery—an anatomical study intro ducing the clock method. Foot Ankle Surg 2018;24(1):40-44. 8. Mann RA, Coughlin MJ. Hallux valgus—etiology, anatomy, treatment and surgical considerations. Clin Orthop Relat Res 1981;(157):31-41. 9. Nix S, Smith M, Vicenzino B. Prevalence of hallux valgus in the gene ral population: a systematic review and meta-analysis. J Foot Ankle Res 2010;3(1):21. 10. Perera A, Mason L, Stephens M. The pathogenesis of hallux valgus. J Bone Joint Surg Am 2011;93(17):1650-1661. 11. Siddiqui NA, LaPorta G, Walsh AL, et al. Radiographic outcomes of a percutaneous, reproducible distal metatarsal osteotomy for mild and moderate bunions: a multicenter study. J Foot Ankle Surg 2019;58(6):1215-1222. 12. Vernois J, Redfern D. Percutaneous chevron; the union of classic sta ble „xed approach and percutaneous technique. Fub Sprunggelenk 2013;11(2):70-75. 13. Vernois J, Redfern DJ. Percutaneous surgery for severe hallux valgus. Foot Ankle Clin 2016;21(3):479-493.

• Infección. • No unión. • Fractura iatrógena o posoperatoria. • Protuberancia del tornillo. • Acortamiento del primer metatarsiano. • Quemadura térmica de la piel.

REFERENCIAS 1. Hecht PJ, Lin TJ. Hallux valgus. Med Clin North Am 2014;98(2):227 232. 2. Hueter C. Klinik der Gelenkkrankheiten mit Einschlub der Orthopä die, vol 2. Leipzig: Vogel, 1877. 3. Iannò B, Familiari F, De Gori M, et al. Midterm results and compli cations after minimally invasive distal metatarsal osteotomy for treat ment of hallux valgus. Foot Ankle Int 2013;34(7):969-977.

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