Language:

Third-Generation Minimally Invasive Chevron and Akin Osteotomies (MICA) in Hallux Valgus Surgery: Two-Year Follow-up of 292 Cases

Journal of bone and joint surgery. American volume, 2021-07, Vol.103 (13), p.1203-1211 [Peer Reviewed Journal]

Copyright © 2021 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved. ;Copyright © 2021 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved. 2021 ;ISSN: 0021-9355 ;EISSN: 1535-1386 ;DOI: 10.2106/JBJS.20.01178 ;PMID: 33764936

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Third-Generation Minimally Invasive Chevron and Akin Osteotomies (MICA) in Hallux Valgus Surgery: Two-Year Follow-up of 292 Cases
Author: Lewis, Thomas L ; Ray, Robbie ; Miller, George ; Gordon, David J
Subjects: Adult ; Aged ; Aged, 80 and over ; Bone Screws - adverse effects ; Female ; Follow-Up Studies ; Hallux Valgus - diagnostic imaging ; Hallux Valgus - surgery ; Humans ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures - statistics & numerical data ; Osteotomy - methods ; Osteotomy - statistics & numerical data ; Outcome Assessment, Health Care ; Pain Measurement - methods ; Postoperative Complications - etiology ; Prospective Studies ; Regression Analysis ; Scientific ; Selection Bias ; Standing Position ; Surveys and Questionnaires ; Time Factors ; Walking ; Young Adult
Is Part Of: Journal of bone and joint surgery. American volume, 2021-07, Vol.103 (13), p.1203-1211
Description: There is interest in hallux valgus deformity correction using internal fixation with the minimally invasive chevron and Akin osteotomies (MICA) technique. The objective of this study was to assess the correction measured on postoperative radiographs and clinical outcomes, using validated outcome measures, at 2 years following third-generation MICA. This is a prospective single-surgeon case series of 333 consecutive feet that underwent MICA surgery between July 2014 and April 2018. The primary clinical outcome measures included the Manchester-Oxford Foot Questionnaire (MOXFQ), EuroQol-5 Dimensions-5 Level (EQ-5D-5L) Index, EuroQol-visual analogue scale (EQ-VAS), and a VAS for pain (VAS-pain). Secondary outcome measures included radiographic parameters and complication rates. Preoperative and 2-year postoperative patient-reported outcome measures (PROMs) were collected for 292 feet (87.7%). At a minimum 2-year follow-up, the MOXFQ scores (mean ± standard deviation [SD]) had improved in each domain-i.e., reduced from 44.5 ± 21.0 preoperatively to 9.4 ± 15.8 postoperatively for pain (p < 0.001), from 38.7 ± 23.4 to 6.5 ± 14.6 for walking and standing (p < 0.001), and from 48.0 ± 22.3 to 6.6 ± 13.5 for social interaction (p < 0.001). The VAS-pain score improved from 31.4 ± 22.7 preoperatively to 8.4 ± 16.4 at the 2-year follow-up (p < 0.001), the 1-2 intermetatarsal angle was reduced from 15.3° ± 3.6° preoperatively to 5.7° ± 3.2° at the 2-year follow-up (p < 0.001), and the hallux valgus angle was reduced from 32.9° ± 10.2° to 8.7° ± 5.2° (p < 0.001). The third-generation MICA provided significant improvement in clinical outcome measures at the 2-year follow-up and can be successfully used for correction of a range of hallux valgus deformities with a low rate of symptomatic recurrence. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Publisher: United States: Journal of Bone and Joint Surgery, Inc
Language: English
Identifier: ISSN: 0021-9355
EISSN: 1535-1386
DOI: 10.2106/JBJS.20.01178
PMID: 33764936
Source: MEDLINE
Alma/SFX Local Collection

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Third-Generation Minimally Invasive Chevron and Akin Osteotomies (MICA) in Hallux Valgus Surgery: Two-Year Follow-up of 292 Cases

Searching Remote Databases, Please Wait