title: Reverdin-Isham osteotomy versus Endolog system for correction of moderate hallux valgus deformity: a Randomized Controlled Trial.
abstract: OBJECTIVE
  Several procedures have been described for the management of hallux valgus deformity. In this paper we would like to compare our experiences with two techniques (Endolog system and Reverdin-Isham osteotomy) with a randomized study. To our knowledge, this is the first study to be reported in the literature, that provides a detailed comparison of these two techniques to treat moderate hallux valgus.
  
  
  METHODS
  A total of 40 consecutive patients (40 feet) with moderate symptomatic hallux valgus were randomly assigned into two groups, to compare the results of Reverdin-Isham osteotomy (group A,20 feet) and Endolog system (group B, 20 feet).
  
  
  RESULTS
  The average follow-up was of 23.7 ±7.7months . The average correction of HVA and IMA achieved in group A was 17.1° ±6.2° and 5.2° ±2.6° respectively, while in group B, it was 14°±6.2° and 7.7°±2.6° respectively. The mean AOFAS score improved from a pre-operative of 40.5 ±15.5 points to 90.3 ±5.3 points in group A, and from 32.4 ±16.8 points to 89.2 ±10.5 in group B.
  
  
  CONCLUSIONS
  No statistically significant differences were detected between the two groups with respect to the AOFAS score, HVA, and IMA. Both groups showed good to excellent results.
authors.affiliation: Consultant Physician, Department of Anatomical, Histological, Forensic Medicine and Orthopedic Science, University of Rome "Sapienza", Rome.
authors.forename: L
authors.initials: L
authors.lastname: Di Giorgio
authors.affiliation: MD, Orthopaedic and Traumatology. Department of Anatomical, Histological,Forensic Medicine and Orthopedic Science, University of Rome "Sapienza", Rome, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Sodano
authors.affiliation: MD, Orthopaedic and Traumatology. Department of Anatomical, Histological,Forensic Medicine and Orthopedic Science, University of Rome "Sapienza", Rome, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Touloupakis
authors.affiliation: MD, Orthopaedic and Traumatology. Department of Anatomical, Histological,Forensic Medicine and Orthopedic Science, University of Rome "Sapienza", Rome, Italy.
authors.forename: D
authors.initials: D
authors.lastname: De Meo
authors.affiliation: MD, Orthopaedic and Traumatology. Department of Anatomical, Histological,Forensic Medicine and Orthopedic Science, University of Rome "Sapienza", Rome, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Marcellini
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006215:Hallux Valgus / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices / Q000706:statistics & numerical data*; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome
keywords: Endolog System; Hallux Valgus; Mini-invasive Surgery; Moderate; Percutaneous Surgery; Reverdin-Isham Osteotomy