The Correction Potential of the Lateral Release of the Hallux Valgus: A Comparative Anatomical Study of Minimally Invasive Versus Open Surgical Technique Using a Dorsal Approach

2022 ◽  
Author(s):  
Kajetan Klos ◽  
Mark Lenz ◽  
Gunther O. Hofmann ◽  
Wiebke Schubert ◽  
Matthias Knobe ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Hallux Valgus ◽  
Anatomical Study ◽  
Lateral Release ◽  
Dorsal Approach ◽  
Correction Potential

Anatomical Study of Minimally Invasive Lateral Release Techniques for Hallux Valgus Treatment

2020 ◽  
Vol 41 (8) ◽  
pp. 984-992
Author(s):  
Miki Dalmau-Pastor ◽  
Francesc Malagelada ◽  
Guillaume Cordier ◽  
Jorge Javier Del Vecchio ◽  
Mauricio Esteban Ghioldi ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hallux Valgus ◽  
Anatomical Study ◽  
Lateral Release ◽  
Flexor Hallucis Longus ◽  
Safe Procedure ◽  
Anatomical Dissection ◽  
Suspensory Ligament ◽  
Complete Section ◽  
Release Group

Background: Lateral release (LR) for the treatment of hallux valgus is a routinely performed technique, either by means of open or minimally invasive (MI) surgery. Despite this, there is no available evidence of the efficacy and safety of MI lateral release. Our aim was to study 2 popular techniques for MI LR in cadavers by subsequently dissecting the released anatomical structures. Methods: Twenty-two cadaveric feet were included in the study and allocated into 2 groups, 1 for each procedure: 1 group underwent a MI adductor tendon release (AR), and in the other group, an extensive percutaneous lateral release (EPLR) (adductor tendon, suspensory ligament, phalanx-sesamoid ligament, lateral head of flexor hallucis brevis, and deep transverse metatarsal ligament) was performed. Anatomical dissection was performed to identify neurovascular injuries and to verify the released structures. Results: Both techniques demonstrated to be effective in reproducing a MI LR. A satisfactory release of the adductor tendon was achieved equally in both techniques ( P = .85), being partial in most EPLR cases and full in the majority of AR cases. The EPLR was successful in releasing the intended additional structures ( P < .05). One case of inadvertent complete section of the flexor hallucis longus was identified in the percutaneous adductor tendon release group. No cases of dorsolateral nerve injury were seen with either of the techniques. Conclusion: Percutaneous lateral release was a reliable and accurate technique in this cadaveric model. The MI AR proved to be more effective in fully releasing the adductor tendon while the ER was intended and able to release a number of other structures. Clinical Relevance: MI LR is a safe procedure that could obviate the need for open surgery to achieve the same surgical goal. It can be associated to either open or MI osteotomies in the correction of hallux valgus.

The Scarf Osteotomy with Minimally Invasive Lateral Release for Treatment of Hallux Valgus Deformity

2015 ◽  
Vol 97 (15) ◽  
pp. 1238-1245 ◽  
Author(s):  
Peter Bock ◽  
Rainer Kluger ◽  
Karl-Heinz Kristen ◽  
Martina Mittlböck ◽  
Reinhard Schuh ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hallux Valgus ◽  
Valgus Deformity ◽  
Lateral Release ◽  
Scarf Osteotomy ◽  
Hallux Valgus Deformity

scholarly journals An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

10.3791/56232 ◽  
2018 ◽  
Author(s):  
Miki Dalmau-Pastor ◽  
Jordi Vega ◽  
Francesc Malagelada ◽  
Fernando Peña ◽  
Maria Cristina Manzanares-Céspedes
Keyword(s):  
At Risk ◽  
Minimally Invasive ◽  
Hallux Valgus ◽  
Anatomical Study

Minimally Invasive Hallux Valgus Surgery. A Systematic Review

2018 ◽  
Vol 2 (2) ◽  
pp. 91-98
Author(s):  
Edvin Selmani ◽  
Fatmir Brahimi ◽  
Leard Duraj ◽  
Valbona Selmani ◽  
Gjergji Syko ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Hallux Valgus

Complication Rate after Radical Cystectomy Depends on the Surgical Technique and Patient’s Clinical Status

2021 ◽  
pp. 1-8
Author(s):  
Przemysław Adamczyk ◽  
Paweł Pobłocki ◽  
Mateusz Kadlubowski ◽  
Adam Ostrowski ◽  
Witold Mikołajczak ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Complication Rate ◽  
Tnm Stage ◽  
Complication Rates ◽  
Open Approach ◽  
Invasive Approach ◽  
Asa Score

<b><i>Purpose:</i></b> This study aimed to explore the complication rates of radical cystectomy in patients with muscle-invasive bladder cancer and identify potential risk factors. <b><i>Methods:</i></b> A total of 553 patients were included: 131 were operated on via an open approach (ORC), 242 patients via a laparoscopic method (LRC), and 180 by a robot-assisted procedure (RARC). Patient age, gender, American Society of Anesthesiologists (ASA) score, urinary diversion type, preoperative albumin level, body mass index (BMI), pathological (TNM) stage, and surgical times were collected. The severity of complications was classified according to the Clavien-Dindo scale (Grades 1–5). <b><i>Results:</i></b> The surgical technique was significantly related to the number of complications (<i>p</i> &#x3c; 0.00005). Grade 1 complications were observed most frequently following LRC (52.5%) and RARC (51.1%), whereas mostly Grade 2 complications were detected after ORC (78.6%). Those with less severe complications had significantly higher albumin levels than those with more severe complications (<i>p</i> &#x3c; 0.05). Patients with an elevated BMI had fewer complications if a minimally invasive approach was used rather than ORC. The patient’s general condition (ASA score) did not impact the number of complications, and urinary diversion type did not affect the severity of the complications. Mean surgical time differed according to the urinary diversion type in patients with a similar TNM stage (<i>p</i> &#x3c; 0.005); however, no difference was found in those with more locally advanced disease. Longer operation time and lower protein concentration were associated with higher probability of complication rate, that is, Clavien-Dindo score 3–5. <b><i>Conclusions:</i></b> The risk of complications after RC is not related to the type of urinary diversion, and can be reduced by using a minimally invasive surgical technique, especially in patients with high BMI.

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