Controversial Matters of Minimally Invasive Bunion Repair.

Clinics in podiatric medicine and surgery Pub Date : 2025-01-01 Epub Date: 2024-10-23 DOI:10.1016/j.cpm.2024.07.001
Gustavo Araujo Nunes, Francisco Sánchez Villanueva, Felipe Chaparro Ravazzano, Tiago Baumfeld
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Abstract

New minimally invasive bunion surgery for hallux valgus (HV) has received attention in the last few years. A rapid growth in knowledge and techniques has been seen, with many publications, books, and experienced surgeons worldwide. Several variational advancements have emerged with the most common as a percutaneous subcapital osteotomy first metatarsal with long scaffolding minimally invasive (MI) screw placement. MI techniques are a great advancement in the treatment of all HV severities. Supportive literature has demonstrated that MI can achieve equal to better results compared to traditional open surgery, for metrics such as satisfaction, pain, and time to full recovery.

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拇趾外翻微创修复术的争议问题。
近几年来,针对拇指外翻(HV)的新型微创拇外翻手术备受关注。随着许多出版物、书籍和世界各地经验丰富的外科医生的出现,相关知识和技术迅速发展。其中最常见的是经皮头骨下第一跖骨截骨术和长支架微创(MI)螺钉置入术。微创技术是治疗各种严重程度 HV 的一大进步。有支持性文献表明,与传统的开放手术相比,微创手术在满意度、疼痛和完全康复时间等指标上都能取得相同甚至更好的效果。
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