WAGNER HITSCHFFELD, EMILIO
Preferred name
WAGNER HITSCHFFELD, EMILIO
Main Affiliation
Email
e.wagner@udd.cl, emiliowagner@gmail.com
ORCID
0000-0002-7498-7480
Scopus Author ID
16445066700
36 results
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Item type:Publication, Proximal Rotational Metatarsal Osteotomy for Hallux Valgus (PROMO)(2018); <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>Scopus© Citations 22 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Biomechanical comparison in a cadaveric flatfoot model between different calcaneal osteotomies with and without transfer from the peroneus brevis to the longus(Elsevier BV, 2025-09); ; 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 6 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 3 1Scopus© Citations 9 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 21 1Scopus© Citations 24 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Cost effectiveness of different techniques in hallux valgus surgery(2016); 9Scopus© Citations 19 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Biomechanical Cadaveric Evaluation of Partial Acute Peroneal Tendon Tears(2018); ; 15 1Scopus© Citations 7 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The double posteromedial portals endoscopy for posterior ankle impingement syndrome in athletes(2022); Amol Saxena<jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Posterior ankle impingement syndrome (PAIS) may result from flexor hallucis longus tendinopathy, compression of the posterior process of the talus from the presence of an os trigonum, soft-tissue impingement, or a combination of these. Posterior extra-articular endoscopy performed with the patient supine through the double posteromedial portals, with excision of adhesions, excision of the posterior process of the talus or an os trigonum, and decompression of the tendon of the flexor hallucis longus (FHL), can be used in athletes with PAIS.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>Thirty-four athletes with PAIS in whom conservative management had failed underwent posterior ankle endoscopy in the supine position using the double posteromedial portals. The patients were assessed pre- and postoperatively using the American Orthopaedic Foot and Ankle Society hindfoot scale score, the Tegner scale, and the simple visual analogue scale. Time of surgery, return to sports, patient satisfaction, and complications were recorded and analysed. The average length of postoperative follow-up was 26.7 ± 12.6 (range 24 to 72) months.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>The mean Tegner activity scale score improved to 9 ± 0.2 postoperatively (<jats:italic>p</jats:italic> < 0.05), while the mean American Orthopaedic Foot and Ankle Society scale score improved to 96 ± 5.1 (range 87 to 100) postoperatively, with 29 of 34 patients (85.3%) achieving a perfect score of 100 (<jats:italic>p</jats:italic> < 0.05). The mean time to return to sports was 8.7 ± 0.7 (range 8 to 10) weeks. The complication rate was low, with no superficial wound infections or venous thromboembolism events; only two patients (5.9%) reported pain and tenderness by 3 months after the index procedure.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>Posterior ankle endoscopy for the resection of a posterior process of the talus or an os trigonum and decompression of the tendon of FHL is safe and allows excellent outcomes with low morbidity in athletes with PAIS.</jats:p> </jats:sec>Scopus© Citations 4 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 3