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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Percutaneous forefoot surgery.

T Bauer1

  • 1Service de chirurgie orthopédique et traumatologique, hôpital Ambroise-Paré (AP-HP), hôpitaux universitaires Paris Île-de-France Ouest, 9, avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|January 14, 2014
PubMed
Summary
This summary is machine-generated.

Percutaneous surgery offers effective minimally invasive treatment for various forefoot conditions, including hallux valgus and rigidus. This approach provides advantages like faster recovery and lower complication rates compared to traditional open surgery.

Keywords:
Hallux rigidusHallux valgusMetatarsal osteotomyMetatarsalgiaPercutaneous surgery

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Area of Science:

  • Orthopedic Surgery
  • Minimally Invasive Procedures
  • Foot and Ankle Surgery

Background:

  • Percutaneous surgical methods are increasingly utilized for forefoot soft tissue and bone pathologies.
  • These techniques offer theoretical benefits such as reduced morbidity and accelerated recovery with early weight-bearing.

Purpose of the Study:

  • To review commonly performed percutaneous surgical techniques for forefoot disorders.
  • To discuss current indications, outcomes, and recent advancements in percutaneous forefoot surgery.

Main Methods:

  • Review of percutaneous techniques for hallux valgus correction (chevron osteotomy).
  • Evaluation of percutaneous approaches for hallux rigidus, lateral metatarsal malalignment, toe deformities, and fifth ray abnormalities.

Main Results:

  • Percutaneous hallux valgus correction with chevron osteotomy and internal fixation is reliable.
  • Percutaneous surgery for hallux rigidus yields outcomes comparable to open surgery.
  • Percutaneous treatment for lateral metatarsal malalignment, toe deformities, and fifth ray abnormalities shows similar results to conventional surgery with lower morbidity.

Conclusions:

  • Percutaneous surgery is a viable and effective treatment option for a range of forefoot conditions.
  • Fifth ray abnormalities represent an ideal indication for percutaneous intervention due to procedural simplicity and excellent outcomes.