Osteotomías distales de los metatarsianos menores realizadas por cirugía abierta vs cirugía percutánea en el tratamiento de las metatarsalgias.

  1. I. Miranda 1
  2. A. Al Rajab 1
  3. F. Al Rajab 2
  4. E. Navarrete 1
  5. M. Sánchez 1
  6. V. Vicent 1
  7. F. J. Miranda 2
  1. 1 HOSPITAL UNIVERSITARIO Y POLITÉCNICO LA FE
  2. 2 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

Journal:
Revista española de cirugía osteoarticular

ISSN: 0304-5056

Year of publication: 2015

Volume: 50

Issue: 262

Pages: 108-113

Type: Article

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More publications in: Revista española de cirugía osteoarticular

Abstract

Objectives. To compare the radiographic and functional outcomes in lesser metatarsal distal osteotomies performed by percutaneous and open surgery for the treatment of metatarsalgia. Methods. A retrospective medical record review of 44 cases of discharge diagnosis of metatarsalgia: 22 patients in each group. Epidemiological data, clinical data and radiological measurements were collected. Results . Improvement of radiological parameters were obtained with both techniques, with better correction with open than with percutaneous surgery. Postoperatively metatarsal parabola continues being nonharmonious in both groups. All patients improved in clinical assessment. Open surgery had more complications than percutaneous surgery. Conclusions . Clinical and radiological outcomes of lesser metatarsal distal osteotomies performed percutaneously are similar to those obtained by open surgery, but with fewer complications. To obtain a harmonic metatarsal parabola should not be the main purpose of surgery of metatarsalgia because it is not an essential condition to achieve a good clinical outcome.

Data source: Dialnet