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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(05): e730-e736
DOI: 10.1055/s-0043-1776292
Artigo Original
Pé e Tornozelo

Percutaneous Surgery for Tailor's Bunion: A Comparative Study

Artikel in mehreren Sprachen: português | English
Luiz Carlos Ribeiro Lara 
1   Serviço de Ortopedia e Traumatologia, Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil
,
Lara Furtado Lancia 
1   Serviço de Ortopedia e Traumatologia, Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil
,
Diego Vitor Braga Santos 
1   Serviço de Ortopedia e Traumatologia, Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil
,
Matheus Maciel Dornelles de Carvalho 
1   Serviço de Ortopedia e Traumatologia, Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil
,
Frederico Pinheiro de Lima 
1   Serviço de Ortopedia e Traumatologia, Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil
,
João Lucas Gonçalves Arruda 
1   Serviço de Ortopedia e Traumatologia, Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil
› Institutsangaben Financial Support The authors declare that this study received no financial support from public, commercial or non-profit sources.
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Abstract

Objective To analyze and compare the clinical and radiographic outcomes of bunionette correction using two percutaneous surgical techniques: the Sponsel technique and the medial wedge osteotomy of the distal metaphysis. The results were evaluated individually and comparatively using the American Orthopaedic Foot and Ankle Society's Lesser Metatarsophalangeal-Interphalangeal Scale (AOFAS), Visual Analog Scale (VAS) for pain assessment, and radiographic measurements of the intermetatarsal angle IV-V (AIM4–5) and metatarsophalangeal angle of the fifth ray (AMF-5).

Methods This was a retrospective study conducted from May 2011 to February 2022. A total of 32 feet were operated on, with 12 feet undergoing the Sponsel technique and 20 feet undergoing the medial wedge osteotomy of the distal metaphysis of the fifth metatarsal.

Results Both surgical techniques showed significant improvement in the correction of AIM4–5 and AMF-5 angles (p < 0.001). However, there was no statistical significance when comparing the two techniques. In terms of AOFAS and VAS scores, both techniques yielded satisfactory results. Nevertheless, the medial wedge osteotomy demonstrated significantly better outcomes compared with the Sponsel technique (p < 0.001).

Conclusions Both percutaneous techniques employed for bunionette correction resulted in significant improvement in radiographic angles and evaluated scores, with a low complication rate, making them viable options for treating this condition. When compared, the medial wedge osteotomy appeared to yield better clinical outcomes.

Keywords

bunion - metatarsal bones - bunion, tailor's/diagnostic imaging - bunion, tailor's/surgery - treatment outcome

Work carried out at the Orthopedics and Traumatology Service of the Municipal University Hospital of Taubaté, Taubaté, SP, Brazil.




Publikationsverlauf

Eingereicht: 09. Januar 2023

Angenommen: 28. Juli 2023

Artikel online veröffentlicht:
05. Dezember 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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