Abstract

ARZAC ULLA, Ignacio. Tratamiento del hallux valgus rigidus con osteotomía tipo Mitchell modificada. Descripción de la técnica quirúrgica y evaluación funcional a mediano plazo. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2023, vol.88, n.1, pp.3-12. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2023.88.1.1578.

Objective: To describe the modified Mitchell´s surgical technique for the treatment of grade II hallux valgus rigidus, and to evaluate medium-term outcomes. Materials and Methods: Prospective observational study. Between August 2015 and January 2019, 21 patients (23 feet) with grade II hallux valgus rigidus were treated. All underwent a modified Mitchell’s osteotomy. Results: The results are reported based on age, gender, postoperative follow-up, AOFAS score, affected foot, loss of reduction, metatarsal head collapse, residual pain, and whether the patient needed insoles to be discharged. The AOFAS score at 18 months was 94.78. On average, the patients returned to work after 16.6 days and to their usual activities after 3.43 months. Conclusion: We present a surgical technique that combines the benefits of the Chevron and Mitchell osteotomy, with excellent functional clinical outcomes.

Keywords : Hallux valgus rigidus; Mitchell´s osteotomy.

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