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    Scopus© Citations 1
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    Republication of “Proximal Rotational Metatarsal Osteotomy for Hallux Valgus (PROMO): Short-term Prospective Case Series With a Novel Technique and Topic Review”
    (2023)
    WAGNER HITSCHFELD, PABLO  
    ;
    WAGNER HITSCHFFELD, EMILIO  
    <jats:sec><jats:title>Background:</jats:title><jats:p> Hallux valgus deformity consists of a lateral deviation of the great toe, metatarsus varus, and pronation of the first metatarsal. Most osteotomies only correct varus, but not the pronation of the metatarsal. Persistent postoperative pronation has been shown to increase deformity recurrence and have worse functional outcomes. The proximal rotational metatarsal osteotomy (PROMO) technique reliably corrects pronation and varus through a stable osteotomy, avoiding fusing any healthy joints. The objective of this research is to show a prospective series of the PROMO technique. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Twenty-five patients (30 feet) were operated with the PROMO technique. The sample included 22 women and 3 men, average age 46 years (range 22-59), for a mean prospective follow-up of 1 year (range 9-14 months). Inclusion criteria included symptomatic hallux valgus deformities, absence of severe joint arthritis, or inflammatory arthropathies, with a metatarsal malrotation of 10 degrees or more, with no tarsometatarsal subluxation or arthritis on the anteroposterior or lateral foot radiograph views. The mean preoperative and postoperative Lower Extremity Functional Scale (LEFS) score, metatarsophalangeal angle, intermetatarsal angle, metatarsal malrotation, complications, satisfaction, and recurrence were recorded. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> The mean preoperative and postoperative LEFS scores were 56 and 73. The median pre-/postoperative metatarsophalangeal angle was 32.5/4 degrees and the intermetatarsal angle 15.5/5 degrees. The metatarsal rotation was satisfactorily corrected in 24 of 25 patients. An Akin osteotomy was needed in 27 of 30 feet. All patients were satisfied with the surgery, and no recurrence or complications were found. </jats:p></jats:sec><jats:sec><jats:title>Conclusions:</jats:title><jats:p> PROMO is a reliable technique, with good short-term results in terms of angular correction, satisfaction, and recurrence. Long-term studies are needed to determine if a lower hallux recurrence rate occurs with the correction of metatarsal rotation in comparison with conventional osteotomies. </jats:p></jats:sec><jats:sec><jats:title>Level of evidence:</jats:title><jats:p> IV, prospective case series. </jats:p></jats:sec>
      9Scopus© Citations 5
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    RAI Modificado, una herramienta validada en Chile para tamizaje de fragilidad preoperatoria
    (2023)
    Javiera Vargas
    ;
    Maricarmen Andrade
    ;
    Macarena Honorato
    ;
    Mariana Rojas
    ;
    María de los Ángeles Gálvez
      22
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      29
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    Karydakis Technique for the Treatment of Pilonidal Disease
    (2023)
    Ernesto Melkonian
    ;
    Eduardo Mordojovich
    ;
    Pablo Baeza
    Scopus© Citations 2
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    A Novel Technique for Medial Patellofemoral Ligament Reconstruction Using Vertical Patellar Tunnels and Use of a Single Implant. Technical Note
    (2022)
    Diego Edwards
    ;
    Juan Pablo Casas-Cordero
    ;
    Julián Alonso
    ;
    Daniel Cerda
    ;
    Francisco Cornejo
      1
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    5,926 hysterectomies: complications described by Clavien–Dindo classification
    (2021)
    Rodrigo I. Alliende
    ;
    Álvaro M. Carrasco
    ;
    Marco Levancini
    ;
    Elias Kovoor
    ;
    GUZMAN ROJAS, RODRIGO ARTURO  
      3Scopus© Citations 15
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      4Scopus© Citations 4
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    Protocol for outpatient management in cleft lip and palate repair
    (2021)
    María Santos
    ;
    Jacqueline García
    ;
    Stephanie Graf
    ;
    Carlos Giugliano
      11Scopus© Citations 7
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    Development of a Health Information Technology Tool for Behavior Change to Address Obesity and Prevent Chronic Disease Among Adolescents: Designing for Dissemination and Sustainment Using the ORBIT Model
    (2021)
    Maura M. Kepper
    ;
    Callie Walsh-Bailey
    ;
    Ross C. Brownson
    ;
    Bethany M. Kwan
    ;
    Elaine H. Morrato
    <jats:p>Health information technology (HIT) has not been broadly adopted for use in outpatient healthcare settings to effectively address obesity in youth, especially among disadvantaged populations that face greater barriers to good health. A well-designed HIT tool can deliver behavior change recommendations and provide community resources to address this gap, and the Obesity-Related Behavioral Intervention Trials (ORBIT) model can guide its development and refinement. This article reports the application of the ORBIT model to (1) describe the characteristics and design of a novel HIT tool (the PREVENT tool) using behavioral theory, (2) illustrate the use of stakeholder-centered “designing for dissemination and sustainability” principles, and (3) discuss the practical implications and directions for future research. Two types of stakeholder engagement (customer discovery and user testing) were conducted with end users (outpatient healthcare teams). Customer discovery interviews (<jats:italic>n</jats:italic> = 20) informed PREVENT tool components and intervention targets by identifying (1) what healthcare teams (e.g., physicians, dietitians) identified as their most important “jobs to be done” in helping adolescents who are overweight/obese adopt healthy behaviors, (2) their most critical “pains” and “gains” related to overweight/obesity treatment, and (3) how they define success compared to competing alternatives. Interviews revealed the need for a tool to help healthcare teams efficiently deliver tailored, evidence-based behavior change recommendations, motivate patients, and follow-up with patients within the constraints of clinic schedules and workflows. The PREVENT tool was developed to meet these needs. It facilitates prevention discussions, delivers tailored, evidence-based recommendations for physical activity and food intake, includes an interactive map of community resources to support behavior change, and automates patient follow-up. Based on Self-Determination Theory, the PREVENT tool engages the patient to encourage competence and autonomy to motivate behavior change. The use of this intentional, user-centered design process should increase the likelihood of the intended outcomes (e.g., behavior change, weight stabilization/loss) and ultimately increase uptake, implementation success, and long-term results. After initial tool development, user-testing interviews (<jats:italic>n</jats:italic> = 13) were conducted using a think-aloud protocol that provided insight into users' (i.e., healthcare teams) cognitive processes, attitudes, and challenges when using the tool. Overall, the PREVENT tool was perceived to be useful, well-organized, and visually appealing.</jats:p>
    Scopus© Citations 19  1