[Clinical results of hallux valgus minimally surgery].
BACKGROUND
Hallux valgus is a frequent cause of pain, mainly in female population, characterized by deformity of the foot and important functional consequences. Open surgical techniques require relatively extensive incisions. Recently we see a tendency to use less invasive techniques with shorter hospitalization periods and better recovery.


OBJECTIVE
To evaluate postsurgical clinical results in hallux valgus with minimally invasive surgery techniques according to the AOFAS scale.


METHODS
Longitudinal, prospective, descriptive and homodemic study.


METHODS
Hospital of Orthopedics and Traumatology, UMAE Puebla of the Mexican Institute of Social Security.


METHODS
Twenty-nine patients with diagnosis of Hallux valgus treated between September 2004 and March 2008 were included. According to the AOFAS scale, we collected data from before the surgery, at one month and at 6 months postoperatively. We used univariate analysis of frequencies, measures of central tendency for demographic variables and the Wilcoxon test to evaluate pre and postoperative results with support from the SPSS version 12 program.


RESULTS
The global evaluation of minimally invasive surgical technique according to AOFAS showed an average in the preoperative period of 60.37 (95% CI, between 53.87-66.38), at one month of 89 (95% CI, between 85.18-90.81) and at 6 months of 96.62 (95% CI, between 94.63-98.70). Mean age was 42 years (20-65), 22 women (75.86%) and 7 men (24.13%). We observed differences in the preoperative period, at one month and at 6 months with a p < 0.05 in global evaluation of AOFAS measurement scale for pain and function.


CONCLUSIONS
Our results show that minimally invasive surgical technique is a good option for treatment of this pathology; they reveal the need to continue the study and to compare it with open surgical technique. Minimally invasive surgical technique, if properly done, reports good results and is an adequate therapeutic alternative for treatment of symptomatic hallux valgus.
Barragán-Hervella
Rodolfo Gregorio
RG
UMAE Hospital de Traumatología y Ortopedia IMSS Puebla, Diagonal Defensores de la República y 6 Poniente Col. Amor, CP. 72140. rodolfo.barragan@imss.gob.mx
Morales-Flores
Francisco
F
Arratia-Ríos
Maricela
M
Buzo-Garcidueñas
Antonio Yosband
AY
Nesme-Avila
William
W
García-Villaseñor
Arturo
A
D000328:Adult; D000368:Aged; D005260:Female; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D019637:Orthopedic Procedures / Q000379:methods; D011446:Prospective Studies; D055815:Young Adult