Surgical treatment of hallux valgus using a modified Reverdin-Isham technique

  • Luiz Carlos Ribeiro Lara Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brazil
  • Lúcio Carlos de Azevedo Torres Filho Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brazil https://orcid.org/0000-0002-0778-2506
  • Gabriel Lopes de Faria Cervone Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brazil
  • Juan Antonio Grajales Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brazil
  • Glaucia Bordignon Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brazil https://orcid.org/0000-0001-5273-4303
  • Lara Furtado Lancia Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brazil https://orcid.org/0000-0003-1048-7134
  • Diego Vitor Braga Santos Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brazil
Keywords: Hallux valgus, Minimally invasive surgical procedures/instrumentation, Osteotomy/surgery, Treatment outcome

Abstract

Objective: To evaluate the postoperative results of patients who underwent surgical treatment of hallux valgus with a modified Reverdin-Isham (RI) technique and to compare the achieved correction with that reported by studies using the original technique. Methods: This is a retrospective study with patients with mild to moderate hallux valgus who underwent surgery from June 2010 to July 2019. All patients were operated using the modified RI technique. Data were collected through the American Orthopaedic Foot and Ankle Society (AOFAS) questionnaire, in addition to pre and postoperative radiographic studies of the intermetatarsal angle (IMA), the hallux valgus angle (HVA), and the distal metatarsal articular angle (DMAA). Results: The mean postoperative follow-up was 30.1 months, and the mean age of patients was 56.4 years. The median AOFAS score in the postoperative period was increased by 56 points. The mean HVA was reduced in 16.5°, the mean IMA was reduced in 4.3°, and the mean DMAA was reduced in 10°. There were no cases of displacement or deviation of the first metatarsal head during the postoperative follow-up. Conclusion: The modified RI technique provided considerable stability to the osteotomy, in addition to a significant correction of the measured angles and an improvement in AOFAS scores, demonstrating itself as an effective technique for correcting mild to moderate hallux valgus. Level of Evidence IV, Therapeutic Studies, Case Series.

Published
30-04-2021
How to Cite
Lara, L., Torres Filho, L., Cervone, G., Grajales, J., Bordignon, G., Lancia, L. F., & Santos, D. (2021). Surgical treatment of hallux valgus using a modified Reverdin-Isham technique. Journal of the Foot & Ankle, 15(1), 49-53. https://doi.org/10.30795/jfootankle.2021.v15.1239