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Acta ortopédica mexicana
versión impresa ISSN 2306-4102
Resumen
OROZCO-VILLASENOR, SL et al. A cadaveric study of a new capsulorrhaphy for the surgical treatment of hallux valgus. Acta ortop. mex [online]. 2017, vol.31, n.3, pp.118-122. ISSN 2306-4102.
Background:
There are many surgical options for the treatment of hallux valgus in combination with capsular repairs for the correction of hallux valgus.
Material and methods:
This report corresponds to a descriptive study where a new capsulorrhaphy technique in hallux valgus is proposed. Six dissections were performed on cadavers with hallux valgus deformity using the following surgical technique: medial approach on the first toe longitudinally, dissecting by planes and locating the metatarsophalangeal joint capsule; it was incised longitudinally. The capsule was separated and an exostectomy of the first metatarsal head was done, the edges were regularized and a release of the abductor hallucis was performed. Later, the capsular remnant was resected and repaired.
Results:
Six cadaveric feet with hallux valgus were studied, five with mild deformity, one with moderate deformity, one foot with the 2nd finger on supraductus.
Discussion:
Many capsular repairs have been reported in the literature, including «L», triangular, «V-Y», rectangular, with satisfactory results, along with osteotomy of the first metatarsal. In this report, a new capsular repair was described.
Conclusion:
Applying this new capsular repair, we reduced the metatarsophalangeal and intermetatarsal angles and achieved a capsular closure with suitable tension; the metatarsophalangeal joint mobility was preserved.
Palabras llave : Hallux valgus; capsulorrhaphy; deformity.