Hallux Valgus and Bunion (Disorder)
Conditions
Keywords
scarf, minimally invasive surgery, hallux valgus
Brief summary
The purpose of this study was to compare a minimally invasive scarf technique and the well-established open scarf technique for correction of hallux valgus deformity.
Detailed description
Hallux valgus surgery is a common procedure being the open scarf osteotomy, one of the most studied techniques for correction of the hallux valgus. It is widely reported its capacity to reduce the angle of the first metatarso-phalangeal joint. Minimally invasive scarf (MIS) technique has been designed to decrease the soft tissue damage and postoperative pain. This procedure does not require ischemia, being able to do under local anesthesia and sedation. This technique is more suitable for outpatient surgery. There is a lack of studies comparing both techniques, and our purpose is to do a prospective comparative study among the two approaches of the scarf osteotomy: open vs MIS.
Interventions
PROCEDUREOpen Scarf Osteotomy
Open Scarf Osteotomy
PROCEDUREMinimally invasive scarf Osteotomy
Minimally invasive scarf Osteotomy
Sponsors
Hospital Mutua de Terrassa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcomes assessor will not know the technique
Intervention model description
Randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Patients undergo hallux valgus surgery
Exclusion criteria
* Intermetatarsal angle \>20º * Previous hallux valgus surgery * Metatarsalgia of the lesser rays that requires an osteotomy during the surgical procedure * 1st cuneometatarsal instability * Infection * Vascular ischemia * Neuropathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hallux valgus angle postoperative | 1 year - 2 years | The angle among the first metatarsal and the first phalanx |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Surgery duration | Measurement during the surgery | The records of the surgery duration |
| Irradiation | Measurement during the surgery | The records of the radiation during the surgeries |
| First metatarso-phalangeal range of movement | 1 year - 2 years | The range of movement of the first metatarso-phalangeal joint |
| Intermetatarsal 1-2 angle | 1 year - 2 years | The angle among the 1st and the 2nd metatarsal |
Countries
Spain
Outcome results
None listed