Ultrasound-guided distal minimally invasive metatarsal osteotomies (US-DMMO): A cadaveric study about its safety and accuracy
•Ultrasound is an alternative method to conventional radiology for distal metatarsal minimal invasive osteotomies.•Ultrasound-guided DMMO is safe and accurate.•The dorsal hump is a constant, extra-articular, safe, and valid osteotomy point. Distal minimally invasive metatarsal osteotomies have becom...
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| Published in | Foot and ankle surgery Vol. 28; no. 4; pp. 445 - 449 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
France
Elsevier Ltd
01.06.2022
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| Subjects | |
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| Abstract | •Ultrasound is an alternative method to conventional radiology for distal metatarsal minimal invasive osteotomies.•Ultrasound-guided DMMO is safe and accurate.•The dorsal hump is a constant, extra-articular, safe, and valid osteotomy point.
Distal minimally invasive metatarsal osteotomies have become increasingly popular. This technique requires fluoroscopic control, but recently, an ultrasound-guided procedure has been described. The aim of this anatomical study was to assess the quality safety of ultrasound-guided minimally invasive metatarsal osteotomies.
Ultrasound-guided distal minimally invasive metatarsal osteotomies were performed in 9 cadaveric pieces. The location of the osteotomy, its angulation, and the adjacent anatomical structures injuries was evaluated
Thirty-six osteotomies were performed. The osteotomy was metaphyseal in 97.2% of the cases, the average angulation was 47.67° (±4.49, 40−59°) and the average distance to the articular cartilage was 3.22 mm (±1.27, 1−7 mm). One osteotomy (2.8%) was intraarticular and there was one joint capsule lesion (2.8%). The failure, the extreme point distance and angulation values, and the joint capsule injury correspond to a fifth metatarsal.
The ultrasound-guided technique is safe and allows a correct location and angulation of the osteotomies. |
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| AbstractList | Distal minimally invasive metatarsal osteotomies have become increasingly popular. This technique requires fluoroscopic control, but recently, an ultrasound-guided procedure has been described. The aim of this anatomical study was to assess the quality safety of ultrasound-guided minimally invasive metatarsal osteotomies.
Ultrasound-guided distal minimally invasive metatarsal osteotomies were performed in 9 cadaveric pieces. The location of the osteotomy, its angulation, and the adjacent anatomical structures injuries was evaluated RESULTS: Thirty-six osteotomies were performed. The osteotomy was metaphyseal in 97.2% of the cases, the average angulation was 47.67° (±4.49, 40-59°) and the average distance to the articular cartilage was 3.22 mm (±1.27, 1-7 mm). One osteotomy (2.8%) was intraarticular and there was one joint capsule lesion (2.8%). The failure, the extreme point distance and angulation values, and the joint capsule injury correspond to a fifth metatarsal.
The ultrasound-guided technique is safe and allows a correct location and angulation of the osteotomies. •Ultrasound is an alternative method to conventional radiology for distal metatarsal minimal invasive osteotomies.•Ultrasound-guided DMMO is safe and accurate.•The dorsal hump is a constant, extra-articular, safe, and valid osteotomy point. Distal minimally invasive metatarsal osteotomies have become increasingly popular. This technique requires fluoroscopic control, but recently, an ultrasound-guided procedure has been described. The aim of this anatomical study was to assess the quality safety of ultrasound-guided minimally invasive metatarsal osteotomies. Ultrasound-guided distal minimally invasive metatarsal osteotomies were performed in 9 cadaveric pieces. The location of the osteotomy, its angulation, and the adjacent anatomical structures injuries was evaluated Thirty-six osteotomies were performed. The osteotomy was metaphyseal in 97.2% of the cases, the average angulation was 47.67° (±4.49, 40−59°) and the average distance to the articular cartilage was 3.22 mm (±1.27, 1−7 mm). One osteotomy (2.8%) was intraarticular and there was one joint capsule lesion (2.8%). The failure, the extreme point distance and angulation values, and the joint capsule injury correspond to a fifth metatarsal. The ultrasound-guided technique is safe and allows a correct location and angulation of the osteotomies. BACKGROUNDDistal minimally invasive metatarsal osteotomies have become increasingly popular. This technique requires fluoroscopic control, but recently, an ultrasound-guided procedure has been described. The aim of this anatomical study was to assess the quality safety of ultrasound-guided minimally invasive metatarsal osteotomies. METHODSUltrasound-guided distal minimally invasive metatarsal osteotomies were performed in 9 cadaveric pieces. The location of the osteotomy, its angulation, and the adjacent anatomical structures injuries was evaluated RESULTS: Thirty-six osteotomies were performed. The osteotomy was metaphyseal in 97.2% of the cases, the average angulation was 47.67° (±4.49, 40-59°) and the average distance to the articular cartilage was 3.22 mm (±1.27, 1-7 mm). One osteotomy (2.8%) was intraarticular and there was one joint capsule lesion (2.8%). The failure, the extreme point distance and angulation values, and the joint capsule injury correspond to a fifth metatarsal. CONCLUSIONSThe ultrasound-guided technique is safe and allows a correct location and angulation of the osteotomies. |
| Author | Fajardo-Ruiz, Ana Sanz-Ferrando, Luis Rodríguez-López, Tamara Cuervas-Mons, Manuel Martínez-Ayora, Alvaro Vaquero, Javier |
| Author_xml | – sequence: 1 givenname: Alvaro orcidid: 0000-0002-3727-8984 surname: Martínez-Ayora fullname: Martínez-Ayora, Alvaro email: amartinezay@torrejonsalud.com organization: Department of Orthopaedics and Trauma Surgery, Torrejón University Hospital, C/Mateo Inurria. 28850, Torrejón de Ardoz, Madrid, Spain – sequence: 2 givenname: Manuel surname: Cuervas-Mons fullname: Cuervas-Mons, Manuel organization: Department of Orthopaedics and Trauma Surgery, ‘Gregorio Marañon’ University Hospital, C/Dr. Esquerdo 46, 28007, Madrid, Spain – sequence: 3 givenname: Ana surname: Fajardo-Ruiz fullname: Fajardo-Ruiz, Ana organization: Department of Orthopaedics and Trauma Surgery, Torrejón University Hospital, C/Mateo Inurria. 28850, Torrejón de Ardoz, Madrid, Spain – sequence: 4 givenname: Tamara surname: Rodríguez-López fullname: Rodríguez-López, Tamara organization: Department of Orthopaedics and Trauma Surgery, Torrejón University Hospital, C/Mateo Inurria. 28850, Torrejón de Ardoz, Madrid, Spain – sequence: 5 givenname: Javier surname: Vaquero fullname: Vaquero, Javier organization: Department of Orthopaedics and Trauma Surgery, ‘Gregorio Marañon’ University Hospital, C/Dr. Esquerdo 46, 28007, Madrid, Spain – sequence: 6 givenname: Luis surname: Sanz-Ferrando fullname: Sanz-Ferrando, Luis organization: Department of Orthopaedics and Trauma Surgery, Torrejón University Hospital, C/Mateo Inurria. 28850, Torrejón de Ardoz, Madrid, Spain |
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| Keywords | Percutaneous DMMO Metatarsalgia Cadaveric Ultrasound |
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| Snippet | •Ultrasound is an alternative method to conventional radiology for distal metatarsal minimal invasive osteotomies.•Ultrasound-guided DMMO is safe and... Distal minimally invasive metatarsal osteotomies have become increasingly popular. This technique requires fluoroscopic control, but recently, an... BACKGROUNDDistal minimally invasive metatarsal osteotomies have become increasingly popular. This technique requires fluoroscopic control, but recently, an... |
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| SubjectTerms | Cadaver Cadaveric DMMO Humans Metatarsal Bones - diagnostic imaging Metatarsal Bones - surgery Metatarsalgia Metatarsalgia - surgery Minimally Invasive Surgical Procedures - methods Osteotomy - methods Percutaneous Ultrasonography, Interventional Ultrasound |
| Title | Ultrasound-guided distal minimally invasive metatarsal osteotomies (US-DMMO): A cadaveric study about its safety and accuracy |
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