The Akin osteotomy without fixation in open hallux abducto-valgo correction surgery: A single center retrospective analysis of 286 cases

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dc.contributor.authorTesta, Enrique Adriánes
dc.contributor.authorPorreca, Annamariaes
dc.contributor.authorRuiz Nasarre, Albertoes
dc.contributor.authorPoggio Cano, Danieles
dc.contributor.authorAlvarez Goenaga, Fernandoes
dc.contributor.authorLedermann, Gerardoes
dc.contributor.authorBaduell, Albertes
dc.contributor.authorRuiz Riquelme, Pabloes
dc.date.accessioned2023-03-22T15:36:03Z
dc.date.available2023-03-22T15:36:03Z
dc.date.issued2023-01-06
dc.description.abstractBetween 2011 and 2018, 222 patients, 286 feet (147 left, 139 right) met the inclusion criteria. We found an average difference between pre-op and post-op at 3 months of distal articular set angle (DASA) of 7.0 degrees and average interphalangeal joint obliquity angle (IPOA) of 12.0 degrees (p < 0.001). All cases achieved fusion but in 5.9 % (17/289 cases) of cases, we observed delayed consolidation. The average union time in these cases was 22.1 weeks. Hyperextension of the distal fragment (mal union in plantar flexion) was observed in 7 cases (2.4 %). None of the 7 cases required correction. Out of 286 surgeries, 8 (2.7 %) required reoperation, but only one case for a hypocorrection required Akin's re osteotomy. Regarding the inter- and intra-observer correlations, good and excellent reliability are observed for all parameters under consideration. Conclusion The absence of internal fixation would appear not to impair osteotomy healing and complication rates compared with techniques with fixation would not appear to be worse. The results are encouraging; nevertheless, we believe that further studies need to be performed in order to confirm the data.en_US
dc.identifier.citationFoot and Ankle Sugery, Vol. 29, N° 3 (2023) p. 200-207.en_US
dc.identifier.doihttps://doi.org/10.1016/j.fas.2023.01.002
dc.identifier.issn2473-0114
dc.identifier.orcidhttps://orcid.org/0000-0002-3293-8189
dc.identifier.urihttp://hdl.handle.net/20.500.12254/2642
dc.language.isoenen
dc.publisherElsevieres
dc.rightsAtribución-NoComercial-CompartirIgual 3.0 Chile (CC BY-NC-SA 3.0 CL)
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/3.0/cl/
dc.subject.otherAkin osteotomyen_US
dc.subject.otherProximal phalangeal osteotomyen_US
dc.subject.otherClosing wedge osteotomyen_US
dc.subject.otherHallux valgusen_US
dc.titleThe Akin osteotomy without fixation in open hallux abducto-valgo correction surgery: A single center retrospective analysis of 286 casesen_US
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