Resumen

DINIZ, Pedro et al. Poderá Realizar-se o Tratamento de Joanete de Alfaiate por Via Percutânea sem Recurso a Osteotomia do Quinto Metatársico?. Rev. Port. Ortop. Traum. [online]. 2016, vol.24, n.2, pp.103-111. ISSN 1646-2122.

Introduction: Tailor’s bunion is a forefoot disease characterized by a painful bony prominence in the fith metatarsal head (M5). Several surgical techniques have been described, frequently accompanied by non-neglectable complications. In recent years we witnessed a growing interest in minimally invasive techniques. The objective of this study was to evaluate the results of percutaneous correction of tailor’s bunion. Materials and Methods: We retrospectively evaluated 26 cases, regarding 16 patients (1 man, 15 women). Average age: 62 years (45-78). Average follow-up: 3 years (1-8). The surgical technique consisted of diaphyseal varization osteotomy of the M5 and/or exostosectomy of the M5 head. Results were measured regarding clinical and radiographic evaluation. Results: Procedures were performed by 5 surgeons. In 15 cases a M5 osteotomy was perfomed, in 9 cases an isolated M5 exostectomy and in 2 cases concurrent exostectomy and M5 osteotomy. In 23 cases (88.5%), patients were satisfied or very satisfied. The 3 cases concerning unsatisfied patients correspond to cases were an isolated exostectomy was performed. We registered 4 cases of transfer metatarsalgia due to other procedures and 2 cases of diminished range of motion in the fifth metatarsophalangeal joint. Conclusion: The studied technique granted good results, with high patient satisfaction. According to this study an M5 osteotomy should almost always be performed, being rarely indicated an isolated M5 osteotomy.

Palabras clave : Bunionette; Fifth metatarsal; Forefoot; Minimally invasive surgery; Percutaneous surgery.

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