Hallux valgus correction with a new percutaneous distal osteotomy: Surgical technique and medium term outcomes

A total of 204 modified Mitchell osteotomy-bunionectomy procedures with Steinmann pin fixation were evaluated by radiograph, history, and physical examination with longterm personal follow-up. The specific surgical technique modifications used in this series are discussed. This modified procedure produced 91% good or excellent results in this series. The complications or unsatisfactory results were due to partial avascular necrosis, lateral metatarsalgia, incomplete correction of hallux valgus, or late stress fractures. These unsatisfactory results led to the development of specific preoperative surgical criteria for the procedure in addition to the technical modifications.

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Neonatal repair of Ebstein’s anomaly: indications, surgical technique, and medium-term follow-up

The Annals of Thoracic Surgery ◽

10.1016/s0003-4975(00)01138-3 ◽

2000 ◽

Vol 69 (5) ◽

pp. 1505-1510 ◽

Cited By ~ 55

Author(s):

Christopher J Knott-Craig ◽

Edward D Overholt ◽

Kent E Ward ◽

Jerry D Razook

Keyword(s):

Surgical Technique ◽

Ebstein’S Anomaly ◽

Medium Term ◽

Ebstein's Anomaly

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Short Scarf Osteotomy for Hallux Valgus: Short-term and Medium-term Results

Journal of Foot and Ankle Surgery Asia Pacific ◽

10.5005/jp-journals-10040-1063 ◽

2017 ◽

Vol 4 (1) ◽

pp. 14-18

Author(s):

Rajesh Rachha ◽

Rakesh Dalal ◽

David Leonard ◽

Ajay Chourasia ◽

Saqib Javed

Keyword(s):

Hallux Valgus ◽

Operating Time ◽

Valgus Deformity ◽

Asia Pacific ◽

Medium Term ◽

Short Term ◽

Scarf Osteotomy ◽

Hallux Valgus Deformity ◽

Valgus Angle

ABSTRACT Aim The scarf osteotomy, as popularized by Barouk, is a versatile osteotomy for the correction of moderate and severe hallux valgus deformity. However, this technique requires extensive exposure, fixation, and increased operative time, and is technically demanding. We describe and present our results of a short scarf osteotomy (SSO), which retains all the cuts of a standard scarf but requires a reduced exposure, less metalwork, less operating time, and is more economical. Materials and methods All patients who underwent SSO between January 2010 and December 2012 with minimum follow-up of 12 months were eligible for the study. Preoperative, intraoperative, and postoperative radiographs were available for radiological assessment. Results In this study, 84 patients and 94 feet were included; 90% of patients were satisfied overall, with 83% of patients recommending this surgery to a friend. The hallux valgus angle improved from a preoperative mean of 30.89° (17.4—46.8) to 12° (4—30) postoperatively (p = 0.0001). The intermetatarsal angle improved from a preoperative mean of 15.05° (10.3—21.1) to 7.14° (4—15.1) postoperatively (p = 0.0001). The average sesamoid coverage improved from grade 2.18 (1—3) preoperatively to 0.57 (0—2) postoperatively (p = 0.0001). The average American Orthopedic Foot and Ankle Score improved from 51.26 (32—88) preoperatively to 91.1 (72—100) postoperatively (p = 0.0001). Conclusion We believe that this osteotomy is a novel procedure producing good to excellent results in most cases of hallux valgus. Biologically, the decreased exposure should improve healing and reduce the risk of avascular necrosis. We strongly recommend this osteotomy for most cases of hallux valgus surgery. How to cite this article Dalal R, Rachha R, Leonard D, Chourasia A, Javed S. Short Scarf Osteotomy for Hallux Valgus: Short-term and Medium-term Results. J Foot Ankle Surg (Asia-Pacific) 2017;4(1):14-18.

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MEDIUM-TERM FOLLOW-UP RESULTS WITH LAPAROSCOPIC SLEEVE GASTRECTOMY

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-6720201500s100017 ◽

2015 ◽

Vol 28 (suppl 1) ◽

pp. 61-64 ◽

Cited By ~ 1

Author(s):

Almino Cardoso RAMOS ◽

Eduardo Lemos de Souza BASTOS ◽

Manoela Galvão RAMOS ◽

Nestor Tadashi Suguitani BERTIN ◽

Thales Delmondes GALVÃO ◽

...

Keyword(s):

Body Mass Index ◽

Sleeve Gastrectomy ◽

Surgical Treatment ◽

Surgical Technique ◽

Body Mass ◽

The Body ◽

Morbidly Obese ◽

Medium Term ◽

Orthopedic Diseases

Background : The indications for sleeve gastrectomy in the surgical treatment of morbid obesity have increased worldwide. Despite this, several aspects related to results at medium and long term remain in constant research. Aim : To present the experience of sleeve gastrectomy in a center of excellence in bariatric surgery by analyzing clinical outcomes, complications and follow-up in the medium term. Methods : The study included 120 morbidly obese patients who underwent sleeve gastrectomy and who were followed for at least 24 months. Aspects related to surgical technique, surgical complications and clinical outcome were analyzed. Results : Seventy-five patients were women (62.5%) and the average age was 36 years. The body mass index preoperatively ranged from 35.5 to 58 kg/m2(average of 40.2 kg/m2). The length of stay ranged from 1 to 4 days (mean 2.1 days). Comorbidities observed were hypertension (19%), type 2 diabetes mellitus (6.6%), dyslipidemia (7.5%), sleep apnea (16.6%), reflux esophagitis (10%) and orthopedic diseases (7.5%). The mean body mass index and total weight loss percentage with 3, 12, 18 and 24 months were 32.2 kg/m2-19,9%; 29.5 kg/m2-26,5%; 28.2 kg/m2-30,3% and 26.9 kg/m2-32,7%, respectively. Remission of diabetes and dyslipidemia occurred in all patients. In relation to hypertension, there was improvement or remission in 86%. There were only two complications (bronchial pneumonia and dehydration), with good response to clinical treatment. There was no evidence digestive fistula and mortality was zero. Eleven patients (9.1%) had regained weighing more than 5 kg. Conclusion : The sleeve gastrectomy is surgical technique that has proven safe and effective in the surgical treatment of obesity and control of their comorbidities in postoperative follow-up for two years.

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