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[Minimally invasive surgery efficacy in children's forefoot]
Víctor Hugo Velázquez Pedroza1, Alberto López Marmolejo, Agustín Isunza Ramírez
1Instituto Nacional de Pediatría.
Abstract:
Minimally invasive surgery (MIS) in children's forefoot is a technique that permits minimum tissue trauma assisted by fluoroscopic control. We evaluated the results of this modality of surgery in problems such as: claw toes, hallux valgus, exostosis, hammer toe, and bunionectomy. We had a complication for using the procedure with more revolutions per minute (rpm), which remind us of the importance of using 2000-8000 rpm. We found that it is not commendable to make hypercorrections, due it increases they risk of recurrence. MIS is an excellent option in forefoot deformity correction in children leaving minimal scars and preserving the physis.
Insights
Minimally invasive surgery (MIS) for pediatric forefoot deformities offers excellent results with minimal scarring. Careful technique, avoiding hypercorrection and using appropriate drill speeds (2000-8000 rpm), is crucial for successful outcomes.
Area of Science:
- Pediatric Orthopedics
- Surgical Techniques
- Foot and Ankle Surgery
Context:
- Pediatric forefoot deformities like hallux valgus and hammer toe often require surgical correction.
- Traditional open surgery can lead to significant scarring and longer recovery times in children.
- Minimally invasive surgery (MIS) presents an alternative approach with potential benefits.
Purpose:
- To evaluate the efficacy and safety of minimally invasive surgery (MIS) for correcting common pediatric forefoot deformities.
- To identify potential complications and optimal parameters for performing MIS in children's forefoot.
- To assess the cosmetic and functional outcomes of MIS compared to traditional methods.
Summary:
- Minimally invasive surgery (MIS) using fluoroscopic guidance was performed for pediatric forefoot conditions including claw toes, hallux valgus, exostosis, hammer toe, and bunionectomy.
- A key finding was the importance of maintaining drill speeds between 2000-8000 rpm to avoid complications.
- Hypercorrection was identified as a factor increasing recurrence risk, emphasizing the need for precise correction.
- The study highlights MIS as a viable option for pediatric forefoot deformity correction, yielding minimal scars and preserving the physis.
Impact:
- MIS provides a less invasive option for correcting pediatric forefoot deformities, leading to improved aesthetics.
- Preservation of the physis during MIS is critical for normal bone growth in pediatric patients.
- Adherence to specific surgical parameters, such as controlled drill speed, enhances patient safety and surgical success.
