Assessment of the efficacy of SERI osteotomy for hallux valgus correction
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(2019) 14:28
RESEARCH ARTICLE
Open Access
Assessment of the efficacy of SERI osteotomy for hallux valgus correction Talal Almalki1, Raheef Alatassi1* , Ahmad Alajlan1, Khalid Alghamdi1 and Abdullah Abdulaal2
Abstract Background: SERI (Simple, Effective, Rapid, and Inexpensive) osteotomy is an accepted minimally invasive distal first metatarsal osteotomy performed to correct hallux valgus (HV). In the absence of reports of efficacy of the SERI technique in the Middle East, we studied 1-year outcomes of SERI osteotomy performed at our hospital in Saudi Arabia. Methods: We reviewed the medical charts of patients aged 20 to 60 years who underwent SERI osteotomy for HV between August 2013 and September 2016 and identified 29 patients, 2 (6.9%) men and 27 (93.1%) women, who met the criteria for inclusion in the study. Patients’ clinical and operative characteristics were examined, their preand postoperative (1-year) radiographic measurements were compared, and the occurrence of any postoperative complication/event was noted. Result: Patients’ mean age was 34.9 ± 13.6 years. Six patients (20.7%) were treated for severe HV. Mean operation time was 11.1 ± 2.3 min. Four patients (13.8%) reported postoperative pain. No revision surgery was done. Congruency of the hallux metatarsophalangeal joint increased significantly, documented in only 4 patients (13.8%) preoperatively but in 17 (58.6%) at 1 year. The mean hallux valgus angle (HVA), intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA) were significantly decreased at 1 year. The HVA normalized in 20 patients (69.0%), the IMA normalized in 25 patients (86.2%), but the DMAA normalized in only 4 patients (13.8%). The number of patients with sesamoid subluxation decreased from 29 (100%) to 13 (44.8%). Conclusion: Our study data indicate that SERI osteotomy reliably reduces a wide spectrum of HV deformities and it is a safe procedure with very minimal complications. Trial registration: This study is registered in ClinicalTrials.gov under the following reference number: NCT03669900. Keywords: SERI, Hallux valgus, Correction surgery, Radiography, Outcomes, Complications, Congruency, Sesamoid
Introduction Hallux valgus (HV) is a complex deformity that involves lateral deviation of the proximal phalanx on the first metatarsal head, is frequently associated with medial deviation of the first metatarsal, and can be accompanied by significant functional disability and foot pain [1]. Reported estimates of the global prevalence are 23% among adults ≤ 65 years of age and 35.7% among persons > 65 years of age, higher among females than among males, and directly proportional to increasing
* Correspondence: [email protected]; [email protected] 1 Department of Orthopedic Surgery, Security Forces Hospital, P.O. Box: 3643, Riyadh 11481, Saudi Arabia Full list of author information is available at the end of the article
age [2]. The reported estimate in the USA stands at 28.4% [3]. Surgery is indicated for HV when functional disability or severe or persistent f
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