scholarly journals Minimally Invasive Hallux Valgus Surgery. A Systematic Review

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Edvin Selmani ◽  
Fatmir Brahimi ◽  
Leard Duraj ◽  
Valbona Selmani ◽  
Gjergji Syko ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Hallux Valgus ◽  
Literature Search ◽  
Minimally Invasive Procedures ◽  
Percutaneous Surgery ◽  
Invasive Procedures ◽  
Level Of Evidence ◽  
Level Ii ◽  
Evidence Rating

This systematic review aims to illustrate the published results of “minimally invasive” procedures for correction of hallux valgus. Based on former systematic reviews on that topic, the literature search was organised by two independent investigators. MEDLINE was systematically searched for available studies. The keywords used were “hallux valgus”, “bunion”, “percutaneous surgery”, “minimally invasive surgery”, “arthroscopy”, “Bosch” and “SERI”. Studies were assessed using the level of evidence rating. A total of 21 papers were included in this review. These studies described a total of 1,750 patients with 2,195 instances of percutaneous, minimally invasive or arthroscopic hallux valgus surgery. Clinical reports of results after minimally invasive hallux valgus surgery at meetings are common. Published results in peer-reviewed journals are less common and the majority of papers are level IV studies according to the level of evidence ratings. We found one level II and three level III studies. Reported complications seem to be less than one may see in one’s own clinical practice. This possible bias may be related to the fact that most studies are published by centres performing primarily minimally invasive hallux valgus surgery.

scholarly journals Minimally-Invasive versus Conventional Repair of Spondylolysis in Athletes: A Review of Outcomes and Return to Play

2017 ◽  
Vol 11 (5) ◽  
pp. 832-842 ◽  
Author(s):  
John Paul G. Kolcun ◽  
Lee Onn Chieng ◽  
Karthik Madhavan ◽  
Michael Y. Wang
Keyword(s):  
Quantitative Analysis ◽  
Minimally Invasive ◽  
Current Literature ◽  
Conservative Management ◽  
Literature Search ◽  
Return To Play ◽  
Complication Rates ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Young Athletes

<p>Spondylolysis from pars fracture is a common injury among young athletes, which can limit activity and cause chronic back pain. While current literature has examined the relative benefits of surgical and conservative management of these injuries, no study has yet compared outcomes between conventional direct repair of pars defects and modern minimally invasive procedures. The goals of surgery are pain resolution, return to play at previous levels of activity, and a shorter course of recovery. In this review, the authors have attempted to quantify any differences in outcome between patients treated with conventional or minimally invasive techniques. A literature search was performed of the PubMed database for relevant articles, excluding articles describing conservative management, traumatic injury, or high-grade spondylolisthesis. Articles included for review involved young athletes treated for symptomatic spondylolysis with either conventional or minimally invasive surgery. Two independent reviewers conducted the literature search and judged articles for inclusion. All studies were classified according to the North American Spine Society standards. Of the 116 results of our initial search, 16 articles were included with a total of 150 patients. Due to a paucity of operative details in older studies and inconsistencies in both clinical methods and reporting among most articles, little quantitative analysis was possible. However, patients in the minimally invasive group did have significantly higher rates of pain resolution (<italic>p</italic>&lt;0.001). Short recovery times were also noted in this group. Both groups experienced low complication rates, and the majority of patients returned to previous levels of activity. Surgical repair of spondylolysis in young athletes is a safe and practical therapy. Current literature suggests that while conventional repair remains effective, minimally invasive procedures better clinical outcomes. We await further data to conduct a more thorough quantitative analysis of these techniques.</p>

scholarly journals Percutaneous surgery in the treatment of Haglund syndrome

2020 ◽  
Vol 14 (3) ◽  
pp. 285-292
Author(s):  
Marília Gomes ◽  
Gabriel Monteiro ◽  
José Arteiro Neto
Keyword(s):  
Systematic Review ◽  
Clinical Trial ◽  
Minimally Invasive ◽  
Success Rate ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Percutaneous Surgery ◽  
Level Of Evidence ◽  
Number Of Patients ◽  
The Mean

Objective: The present study aimed to verify the state of the art of minimally invasive percutaneous surgical treatment for Haglund syndrome. Methods: This systematic review of the literature was based on a bibliographic survey in the PubMed, Medline and Embase databases. The descriptors "Haglund syndrome", "Haglund", "Achilles", "Minimally invasive", "Percutaneous surgery" and "Osteotomy" were used, in addition to the filters "Randomized Controlled Trial", "Randomized Clinical Trial", "Meta-Analysis", "Systematic Reviews", "Reviews", and "Clinical Trial". Results: A total of 37 articles were included. The total number of patients with Haglund syndrome treated in the included studies was 831 and 920. The mean patient age was 46.6 years (range, 28.7 to 61) and 58% were men. A higher success rate and a lower rate of complications were reported in men, and physically active patients had better treatment results. The mean success rate for minimally invasive percutaneous procedures was 83.4% (range 66 to 100%). Overall patient satisfaction was 77.5% (range 60 to 95%) and the complication rate was 6.3% (range 0 to 23%). Conclusion: Despite a lack of studies with the recommended evidence level, minimally invasive and percutaneous surgical treatments seem to be a good option for patients with Haglund syndrome when conservative treatment fails. Level of Evidence III; Therapeutic Studies; Systematic Review of Level III Studies.

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