Outcomes of Akin osteotomy in terms of infection rate, consolidation rate, and reoperation requirement in two university hospitals in Bogotá, Colombia
DOI:
https://doi.org/10.58814/01208845.53Keywords:
Hallux Valgus, Osteotomy, Orthopedic Fixation Devices, Infections, ReoperationAbstract
Introduction: With the development of various osteosynthesis tools, the original Akin osteotomy technique has been modified without compromising its results in terms of occurrence of osteotomy consolidation and low infection rates. However, there is no consensus on the use of internal fixation in this procedure.
Objective: To describe the outcomes of Akin osteotomy in terms of consolidation rate, infection rate, and need for reoperation for osteosynthesis material removal in two university hospitals.
Methodology: Retrospective multicenter case series performed in 177 patients undergoing Akin osteotomy for hallux valgus correction between 2013 and 2020 in two university hospitals of Bogotá D.C., Colombia. Demographic, clinical variables and clinical outcomes (osteotomy’s consolidation, infection, and need for reoperation) were evaluated.
Results: The average age was 55.2 years, 88.1% were women, and the average follow-up time was 7.9 months. Internal fixation was performed in 27.7% of the participants (n=49) using K-wires (59.2%), cannulated screws (36.8%), and absorbable sutures (4.1%). The non-union, infection and surgical reoperation requirement rates were 4.1%, 6.1% and 13.95% when fixation was used, and 1.6%, 3.1% and 4.7% in the non-fixation group, respectively.
Conclusion: Since the non-union, infection, and reoperation requirement rates were low in this study, Akin osteotomy is considered to be a safe technique that provides optimal consolidation outcomes, regardless of whether or not internal fixation is used.
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