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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 09
First Metatarsal Chevron Percutaneous Osteotomy
El Mehdi Ouissaden, Issa Fathi, Kharmaz Mohamed, Moulay Omar Lamrani, Ahmed El Bardouni, Mustapha Mahfoud, Mohamed Saleh Berrada
Published: Sept. 18, 2019 | 130 82
DOI: 10.36347/sjams.2019.v07i09.013
Pages: 2975-2978
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Abstract
We present the results of a study involving 24 patients (30 feets) operated for hallux valgus by MICA technique between January 2010and December 2017. This is a retrospective study. There are 14 women to 24 men with a mean age of 36 years. For all patients, a negative charge profile.The mean preoperative phalangeal valgus was 34.5° the metatarsus varus was average of 19.9 ° and the distal metatarsal articular angle of 27.7°. The results were evaluated in the Kitaoka classification.The phalangeal valgus was much improved with a mean value of 12.56 °A correction of metatarsus varus (9.5 °) and the distal metatarsal joint angle (8.34°) was found.The overall result included 90% very good and good results. There were10.5% of complications (residual pain, stiffness, infection).Our results were compared with those obtained with the classic technique in the various series in the literature. The Scarf osteotomy without internal fixation yields similar results, but with a better correction of AADM and the advantage of using osteosynthesis. Cadaveric training is absolutely vital in avoiding unnecessary complications and minimizing the surgeon's learning curve.Available data about the minimally invasive procedure for minimally invasive surgical procedures for postoperative morbidity, reduction of stiffness, return to function and outcome requires further scientific scrutiny.