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Mitchel vs Scarf osteotomy

Discussion in 'Foot Surgery' started by NewsBot, Dec 6, 2006.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    The mitchell and scarf osteotomies for hallux valgus correction: a retrospective, comparative analysis using plantar pressures.
    J Foot Ankle Surg. 2006 Nov-Dec;45(6):400-9
    Dhukaram V, Hullin MG, Senthil Kumar C
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Fixation of Mitchell's osteotomy with bioabsorbable pins for treatment of hallux valgus deformity.
    Nikolaou VS, Korres D, Xypnitos F, Lazarettos J, Lallos S, Sapkas G, Efstathopoulos N.
    Int Orthop. 2008 Oct 28. [Epub ahead of print]
     
  4. a.mcmillan

    a.mcmillan Guest


    Some seemingly good things about this study:

    There were no significant differences in subject age and gender between groups.

    The same surgeon performed all procedures

    Post-op protocols were the same for both groups

    Estimates of random variability were provided (SD’s) in addition to actual P values

    The surgical procedures are well described


    Some seemingly not so good things:

    Subjects were not randomized to groups. Subjects in group A (pins) were selected according to radiographic signs of osteoporosis. This difference between groups could be a confounding variation, eg post-op pain levels may have been lower in Group A because the bones were softer ?

    Subjects were not blinded to their group allocation. Subjects in group A (pins) may have had greater expectations regarding the treatment than subjects in Group B (classic procedure). The placebo effect was not controlled for, and raises a question about the findings for subjective pain reduction, where subjects in Group A (pins) reported significantly lower pain levels at 4 wks post-op.

    It would have been a good idea if the researcher who asked the questions about pain levels at follow-up was blinded to the group allocation, otherwise there could be inadvertent suggestion about how well the recovery was going.

    The conclusion quoted above implies a statistically significant difference in convalescence (time to return of previous activities) between groups, which was not the case (0.059). Close though, and would be more meaningful if the effect size (d) had been calculated.


    I take my hat off to those who conduct clinical research in surgery ...

    Regards,

    Andrew
     

    Attached Files:

    Last edited by a moderator: Oct 31, 2008
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Modified Mitchell’s Osteotomy for Moderate to Severe Hallux Valgus—An Outcome Study
    Ng Zhaowen Dennis et al
    Journal Foot and Ankle Surgery Articles in Press
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Clinical and radiographic analysis of the operative procedure results according to the method of Mitchell and Keller used for correction of hallux valgus deformities.
    Georgieva D, Poposka A, Zafirova-Ivanovska B.
    Prilozi. 2011 Jul;32(1):199-209.
     
  7. Kidsfeet

    Kidsfeet Active Member

    I don't think I've ever performed a Mitchell Osteotomy in my whole career. As I resident, I performed a few, but the osteotomy is akward, the fixation isn't nearly as stable as other osteotomy, and from what I've read there are higher incidences of AVN due to the osteotomy. There are also higher rates of complications if the patients are non compliant aren't there?

    I'm not sure there are any Podiatrist in my region that don't use a basic Chevron for their very basic bunion deformity correction.
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Modified mitchell osteotomy with screw fixation for correction of hallux valgus.
    Huang SH, Cheng YM, Chen CH, Huang PJ.
    Foot Ankle Int. 2012 Dec;33(12):1098-102.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Mitchell’s Osteotomy With Mini-Plate and Screw Fixation for Hallux Valgus
    Ali Murat Kalender,
    Foot & Ankle International January 15, 2013
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Mitchell's Osteotomy With Mini-Plate and Screw Fixation for Hallux Valgus.
    Kalender AM, Uslu M, Bakan B, Ozkan F, Erturk C, Altay MA, Guner S, Kalender M.
    Foot Ankle Int. 2013 Feb;34(2):238-43.
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Modified Mitchell osteotomy alone does not have higher rate of residual metatarsalgia than combined first and lesser metatarsal osteotomy
    Shu-Jung Chen, Yuh-Min Cheng, Sung-Yen Lin, Chung-Hwan Chen, Hsuan-Ti Huang, Peng-Ju Huang
    The Kaohsiung Journal of Medical Sciences; Available online 5 March 2015
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Modified Mitchell osteotomy alone does not have higher rate of residual metatarsalgia than combined first and lesser metatarsal osteotomy.
    Chen SJ, Cheng YM, Lin SY, Chen CH, Huang HT, Huang PJ
    Kaohsiung J Med Sci. 2015 Apr;31(4):203-7
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Mitchell's osteotomy for hallux valgus using 1–0 Vicryl for stabilisation
    Gani Naseemul et al
    Indian Journal of Orthopaedics Surgery; Year : 2015, Volume : 1, Issue : 2
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Preservation of the Length of the First Metatarsal after Modified Mitchell’s Osteotomy for Hallux Valgus Deformity. Overview, Technique and Preliminary Results.
    John V, Panagiotis KK, Polizois V, Dimitrios ES, Spyridon PG
    Clin Res Foot Ankle 3:164. 2015 doi: 10.4172/2329-910X.1000164
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    COMPARATIVE RADIOGRAPHIC ANALYSIS OF THE RESULTS
    OF TREATMENT OF HALLUX VALGUS DEFORMITY ACCORDING
    TO MITCHELL AND KELLER OPERATIVE METHODS

    Georgieva Daniela et al
    Sanamed; 2016; 11(1): 47?52
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Classical Mitchell's osteotomy in the management of symptomatic
    hallux vulgus

    Naveed B. Wani, Abdul R. Badoo
    Int J Res Orthop. 2016 Dec;2(4):366-370
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Mitchell’s osteotomy augmented with bio-absorbable pins
    for the treatment of hallux valgus:
    A comparative finite element study

    Emmanouil V. Brilakis et al
    J Musculoskelet Neuronal Interact 2019
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Mitchell Osteotomy for Hallux Valgus Using Trans-Osseous
    Capsulorrhaphy for Stabilization

    Adnan A Faraj
    Int J Foot Ankle 2019, 3:026
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Mitchell's osteotomy augmented with bio-absorbable pins for the treatment of hallux valgus: A comparative finite element study.
    Brilakis EV et al
    J Musculoskelet Neuronal Interact. 2019 Jun 1;19(2):234-244.
     
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