Outcomes of Hemiepiphysiodesis in Treatment of Juvenile Hallux Valgus (Systematic Review)
Category: Bunion Introduction/Purpose: The aim of this study was to evaluate the efficacy of percutaneous hemiepiphysiodesis for JHV by investigating the available literature on the procedure. Methods: The literature search was conducted by using the following bibliographic electronic databases: EMB...
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| Published in: | Foot & ankle orthopaedics Vol. 7; no. 4 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Los Angeles, CA
SAGE Publications
01-11-2022
Sage Publications Ltd SAGE Publishing |
| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Category:
Bunion
Introduction/Purpose:
The aim of this study was to evaluate the efficacy of percutaneous hemiepiphysiodesis for JHV by investigating the available literature on the procedure.
Methods:
The literature search was conducted by using the following bibliographic electronic databases: EMBASE, MEDLINE, and PubMed.gov. Study screening at all stages was completed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) criteria. The Methodological Index for Non-Randomized Studies (MINORS) scale was used to evaluate the quality of included studies. Data on patient characteristics, radiological and clinical outcomes, and notable complications were also collected.
Results:
Of the 91 studies identified by our search strategy, 4 met the inclusion criteria. The identified studies included 62 patients and 109 feet. The mean hallux valgus angle (HVA) improved preoperative to postoperative at a range of Δ3.45 to Δ5.5. The mean intermetastartal angle (IMA) improved preoperative to postoperative at a range of Δ2.2 to Δ4.0. The mean HVA progression per month improved from preoperative to postoperative at a range of Δ0.07 degrees/month to Δ0.17 degrees/month. The mean IMA progression per month improved from preoperative to postoperative at a range of Δ0.046 degrees/month to Δ0.067 degrees/month. Of the studies that reported a mean American Orthopaedic Foot and Ankle Society (AOFAS) score or a mean Hallux Metatarsophalangeal Interphalangeal Scale (HMIS), there was an improvement at a range of Δ16.5 to Δ36.
Conclusion:
Percutaneous Hemiepiphysiodesis can serve as an effective procedure for treating Juvenile Hallux Valgus. |
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| ISSN: | 2473-0114 2473-0114 |
| DOI: | 10.1177/2473011421S00616 |