Hallux valgus surgery in 2005. Conventional, mini-invasive or percutaneous surgery? Uni- or bilateral? Hospitalisation or one-day surgery?

Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
T LeemrijseJ L Besse

Abstract

There remains a good deal of controversy concerning forefoot surgery. Certain concepts such as conventional procedures, minimally invasive surgery, or percutaneous surgery are promoted because of their specific advantages including rapid recovery and compatibility with a short hospital stay or even outpatient surgery. Nevertheless, in 2005 many questions remain unanswered and highly variable practices have been basically founded on personal experience rather than scientific evidence. In addition, financial and lobbying pressure appears to have an influence on our choices, affecting the freedom of our therapeutic decision-making. Developed over a long period, conventional surgery has proven reliability, reproducibility and adaptability. Procedures termed minimally invasive are defined by the limited incision. Percutaneous surgery is not less invasive than other procedures; the techniques are performed under indirect visual control and often assisted with more or less sophisticated radioscopic techniques depending on the surgeon's own experience. In our opinion, percutaneous surgery should be considered as a new concept based on rapid and functional results. Patients often raise the question of a bilateral procedure. For hallux v...Continue Reading

References

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Citations

Apr 30, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·T GicquelP Violas
Jan 15, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·T Bauer
Aug 17, 2010·British Medical Bulletin·Nicola MaffulliVincenzo Denaro
Jun 1, 2014·Foot and Ankle Clinics·David Redfern, Anthony Michael Perera
Jun 26, 2015·Foot & Ankle International·Anton Viktorovich BoychenkoDenis Vladimirovich Davidov
Oct 8, 2014·Foot & Ankle International·Artur GądekJerzy Wordliczek
May 23, 2013·Foot & Ankle International·Artur Gądek, Henryk Liszka
Mar 13, 2018·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Mustafa C Kir, Gulay Kir
Jul 14, 2018·Foot & Ankle International·Henryk Liszka, Artur Gądek
Mar 5, 2008·Foot & Ankle International·B Devos Bevernage, Thibaut Leemrijse

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