Assessment of the efficacy of SERI osteotomy for hallux valgus correction

Talal Almalki, Raheef Alatassi, Ahmad Alajlan, Khalid Alghamdi, Abdullah Abdulaal, Talal Almalki, Raheef Alatassi, Ahmad Alajlan, Khalid Alghamdi, Abdullah Abdulaal

Abstract

Background: SERI (Simple, Effective, Rapid, and Inexpensive) osteotomy is an accepted minimally invasive distal first metatarsal osteotomy performed to correct hallux valgus (HV). In the absence of reports of efficacy of the SERI technique in the Middle East, we studied 1-year outcomes of SERI osteotomy performed at our hospital in Saudi Arabia.

Methods: We reviewed the medical charts of patients aged 20 to 60 years who underwent SERI osteotomy for HV between August 2013 and September 2016 and identified 29 patients, 2 (6.9%) men and 27 (93.1%) women, who met the criteria for inclusion in the study. Patients' clinical and operative characteristics were examined, their pre- and postoperative (1-year) radiographic measurements were compared, and the occurrence of any postoperative complication/event was noted.

Result: Patients' mean age was 34.9 ± 13.6 years. Six patients (20.7%) were treated for severe HV. Mean operation time was 11.1 ± 2.3 min. Four patients (13.8%) reported postoperative pain. No revision surgery was done. Congruency of the hallux metatarsophalangeal joint increased significantly, documented in only 4 patients (13.8%) preoperatively but in 17 (58.6%) at 1 year. The mean hallux valgus angle (HVA), intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA) were significantly decreased at 1 year. The HVA normalized in 20 patients (69.0%), the IMA normalized in 25 patients (86.2%), but the DMAA normalized in only 4 patients (13.8%). The number of patients with sesamoid subluxation decreased from 29 (100%) to 13 (44.8%).

Conclusion: Our study data indicate that SERI osteotomy reliably reduces a wide spectrum of HV deformities and it is a safe procedure with very minimal complications.

Trial registration: This study is registered in ClinicalTrials.gov under the following reference number: NCT03669900 .

Keywords: Complications; Congruency; Correction surgery; Hallux valgus; Outcomes; Radiography; SERI; Sesamoid.

Conflict of interest statement

Ethics approval and consent to participate

We reviewed outcomes of surgery performed for hallux valgus in a series of patients under approval granted by our institutional review board in accordance with the National Committee of Bio Ethics (NCBE) guidelines. Reference number: 18–265 – 30. IRB approval number: H-01-R-069.

Consent for publication

Written informed consent was obtained from all patients for publication. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Anteroposterior radiographs of a patient’s left foot obtained before surgical correction of the hallux valgus (a, left panel) and 1 year after the surgery (b, right panel)

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