BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

Search

RSS Abstracts 476 Expand/Collapse
- RSS 2013 64 Expand/Collapse
  - RSS Poster 24 Expand/Collapse
  - RSS Podium 40 Expand/Collapse
- RSS 2014 36 Expand/Collapse
  - RSS Podium 36 Expand/Collapse
- RSS 2015 49 Expand/Collapse
  - RSS Poster 20 Expand/Collapse
  - RSS Podium 29 Expand/Collapse
- RSS 2016 45 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 27 Expand/Collapse
- RSS 2017 40 Expand/Collapse
  - RSS Poster 15 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2018 47 Expand/Collapse
  - RSS Poster 22 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2019 48 Expand/Collapse
  - RSS Poster 25 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2021 15 Expand/Collapse
  - RSS Poster 10 Expand/Collapse
  - RSS Podium 6 Expand/Collapse
- RSS 2022 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2023 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2024 40 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 22 Expand/Collapse

Categories: Abstracts, 2022, Poster

Correction of valgus lesser toe deformity using a closing wedge osteotomy of the proximal phalanx: percutaneous technique and 2 year results

R. Ray, T. Lewis, P.W Robinson, P.MC Dearden, T.AJ Goff, C. Watt, P. Lam

¹King's College Hospital NHS Foundation Trust, King's Foot and Ankle Unit, London, United Kingdom

²Avon Orthopaedic Centre, Bristol, United Kingdom

³Leeds General Infirmary, Leeds, United Kingdom

⁴Mid Yorkshire Hospitals NHS Trust, Wakefield, United Kingdom

⁵Orthopaedic and Arthritis Specialist Centre, Sydney, Australia

Joint Winner of the BOFAS 2022 2^nd Best Poster Prize

Introduction: Coronal plane deformities of the lesser toes are common yet challenging to treat. Traditional open releases and translational Weil osteotomies can be unpredictable and lead to postoperative stiffness. We present the results of a novel percutaneous closing wedge unfixed osteotomy of the proximal phalanx to treat valgus deformity of the 2^nd toe.

Methods: 31 patients underwent 40 percutaneous osteotomies at a mean age of 58.3±9.4 years. Through a 2mm dorsomedial incision, a percutaneous proximal metaphyseal medial closing wedge osteotomy of the second toe (± other lesser toes if indicated) is performed leaving the dorsolateral cortex intact. An irrigated low speed, high torque 2x8mm burr is used under image guidance. The toe is then kinked at the osteotomy site and taped for 2 weeks. Mean follow up was 2.0±1.5years.

Results: Questionnaire data was available for 89.7% (n=35) of cases. 91.4% of cases were satisfied or extremely satisfied with the procedure. Radiographs were available for 90.0% of osteotomies. Mean lesser toe valgus angle (LTVA) decreased from 17.3±10.7° to 6.5±7.0° (p<0.001) at final follow up. All osteotomies united with no delayed union. There were no wound complications or infections. There was no statistically significant change in LTVA between radiographs taken at 6 weeks and final follow up. There were 2 cases of radiographic recurrence.

Conclusion: Percutaneous proximal phalanx base metaphyseal closing wedge osteotomies of lesser toes to correct coronal plane deformity is useful adjunct to first ray corrective surgery with a comparable recurrence rate to the open alternative and high patient satisfaction.

Print

Tags: MIS Lesser Toes

Documents to download

P17 MIS P1 osteotomy valgus lesser toes(.pdf, 5.39 MB) - 633 download(s)

Click thumbnail below to view poster / thumbnail:

Archive of Abstracts