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- Talk
- 21/09/2021
- UK
The Use of Intramedullary Devices for Fixation of Metatarsal Osteotomies in Hallux Valgus Surgery - A Systematic Review
Description
In this presentation, Amit Zaveri represents the Stanmore Foot and Ankle unit, discussing a systematic review of intramedullary devices for fixing first metatarsal osteotomies in hallux valgus corrective surgery. The review evaluates the effectiveness, clinical, and radiological outcomes of these devices while considering complications associated with their use.
The presentation outlines hallux valgus surgical options, including various osteotomies and fusions, noting the rise in minimally invasive surgical techniques. It addresses the methodology of the review, which adheres to PRISMA guidelines and involves rigorous inclusion and exclusion criteria, leading to the selection of nine relevant studies with significant patient data.
Results reveal improvements in the hallux valgus angle and intermetatarsal angles with good functional outcomes, akin to traditional scarf osteotomies. Additionally, the study reports low complication rates, with no cases of nonunion.
Concluding the review, Zaveri highlights the limitations due to low-quality studies and calls for more comprehensive trials to better understand intramedullary device applications in clinical practice, challenging existing surgical norms within the UK, where such devices are not widely used. Questions and discussions follow, emphasizing the need to balance innovation with cost-effectiveness in surgical procedures.