PMID- 33574005
OWN - NLM
STAT- MEDLINE
DCOM- 20220111
LR  - 20220111
IS  - 1460-9584 (Electronic)
IS  - 1268-7731 (Linking)
VI  - 28
IP  - 1
DP  - 2022 Jan
TI  - Hallux valgus associated to osteoarthritis: Clinical-radiological outcomes of 
      modified SERI technique at mid- to long-term follow-up. A retrospective analysis.
PG  - 49-55
LID - S1268-7731(21)00024-2 [pii]
LID - 10.1016/j.fas.2021.01.012 [doi]
AB  - INTRODUCTION: Treatment of hallux valgus deformity associated with mild or 
      moderate osteoarthritis (OA) is still a topic of debate. In the literature, there 
      are few studies concerning the management of patients affected by this condition. 
      This study aims to report the experience at mid- to long-term results of an 
      original joint-preserving surgical technique. MATERIALS AND METHODS: Patients 
      affected by mild to moderate hallux valgus deformity and associated to grade 1-2 
      OA and treated with modified Simple-Effective-Rapid-Inexpensive (SERI) technique 
      from 2008 to 2018 were selected. Inclusion criteria were mild or moderate hallux 
      valgus angle (HVA) <40 degrees  and an intermetatarsal angle (IMA) <20 degrees  and associated 
      grade 1-2 OA of the first metatarso-phalangeal joint (MTPJ). RESULTS: 128 feet in 
      120 consecutive patients, undergone modified SERI procedure, have been 
      retrospectively reviewed at a mean follow-up of 5.1 +/- 3.8 years (range 2-11). 
      American Orthopaedics Foot Ankle Society (AOFAS) score that was significantly 
      improved from 44.2 +/- 13.2 to 88.2 +/- 9.6. Pre-operative average HVA and IMA values 
      decreased respectively from 31.6 degrees  +/- 3.9 degrees  to 9.1 degrees  +/- 4.4 degrees  and from 16.2 degrees  +/- 3.8 degrees  to 
      7.2 degrees  +/- 3.1 degrees . The average distal metatarsal articular angle (DMAA) value improved 
      from 28.2 degrees  +/- 6.5 degrees  to 7.1 degrees  +/- 6 degrees . OA of the first MTPJ highlighted a grade 1 in 46 
      feet and a grade 2 in 82 feet pre-operatively and a grade 0 in 30 feet, grade 1 
      in 82 feet, and grade 2 in 16 feet at the final follow-up. CONCLUSIONS: The 
      modifications to the SERI technique could extend the indications to patients 
      affected by hallux valgus with mild to moderate OA. The wider case series and the 
      longer follow-up of this study make us believe this technique is very useful for 
      improving the quality of life in these patients. LEVEL OF EVIDENCE: IV.
CI  - Copyright (c) 2021 European Foot and Ankle Society. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Mosca, M
AU  - Mosca M
AD  - II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 
      Bologna, Italy.
FAU - Caravelli, S
AU  - Caravelli S
AD  - II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 
      Bologna, Italy. Electronic address: silvio.caravelli@ior.it.
FAU - Vocale, E
AU  - Vocale E
AD  - II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 
      Bologna, Italy.
FAU - Fuiano, M
AU  - Fuiano M
AD  - II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 
      Bologna, Italy.
FAU - Massimi, S
AU  - Massimi S
AD  - II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 
      Bologna, Italy.
FAU - Di Ponte, M
AU  - Di Ponte M
AD  - II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 
      Bologna, Italy.
FAU - Censoni, D
AU  - Censoni D
AD  - II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 
      Bologna, Italy.
FAU - Grassi, A
AU  - Grassi A
AD  - II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 
      Bologna, Italy.
FAU - Ceccarelli, F
AU  - Ceccarelli F
AD  - Clinica Ortopedica, Azienda ospedaliero-universitaria Parma, Parma, Italy.
FAU - Zaffagnini, S
AU  - Zaffagnini S
AD  - II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 
      Bologna, Italy.
LA  - eng
PT  - Journal Article
DEP - 20210201
PL  - France
TA  - Foot Ankle Surg
JT  - Foot and ankle surgery : official journal of the European Society of Foot and 
      Ankle Surgeons
JID - 9609647
SB  - IM
MH  - Follow-Up Studies
MH  - *Hallux Valgus/diagnostic imaging/surgery
MH  - Humans
MH  - *Metatarsal Bones
MH  - *Osteoarthritis
MH  - Osteotomy
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Hallux rigidus
OT  - Hallux valgus
OT  - Metatarsophalangeal
OT  - Osteoarthritis
OT  - SERI
EDAT- 2021/02/13 06:00
MHDA- 2022/01/12 06:00
CRDT- 2021/02/12 05:44
PHST- 2020/09/07 00:00 [received]
PHST- 2021/01/08 00:00 [revised]
PHST- 2021/01/23 00:00 [accepted]
PHST- 2021/02/13 06:00 [pubmed]
PHST- 2022/01/12 06:00 [medline]
PHST- 2021/02/12 05:44 [entrez]
AID - S1268-7731(21)00024-2 [pii]
AID - 10.1016/j.fas.2021.01.012 [doi]
PST - ppublish
SO  - Foot Ankle Surg. 2022 Jan;28(1):49-55. doi: 10.1016/j.fas.2021.01.012. Epub 2021 
      Feb 1.