CC BY-NC-ND 4.0 · Joints 2019; 07(01): 025-030
DOI: 10.1055/s-0039-3401821
Technical Note
Georg Thieme Verlag KG Stuttgart · New York

Piezosurgery in Hallux Valgus Correction: Distal Linear Osteotomy Operative Technique Using Piezoelectric Tools

1  Laboratory of Nano Biotechnology (NaBi), IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
,
Silvio Caravelli
2  II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
,
Massimiliano Mosca
2  II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
,
Mauro Girolami
3  Department of Orthopaedics and Traumatology, Ospedale Bentivoglio, Bentivoglio, Italy
,
Alessandro Ortolani
4  Department of Orthopaedics and Traumatology, Ospedale Maggiore “Pizzardi,” Bologna, Italy
,
Simone Massimi
2  II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
,
Mario Fuiano
2  II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
,
Stefano Zaffagnini
2  II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
› Author Affiliations
Further Information

Publication History

09 October 2017

04 November 2019

Publication Date:
13 December 2019 (online)

  

Abstract

Purpose Piezoelectric and ultrasonic vibrations have been used to cut tissues for three decades, in particular, in periodontics. The increasing use of piezosurgery is based on its clinical advantages such as selective cutting, precision, and low-temperature work rates. The authors applied this concept to a new operative field, the foot and ankle pathology and surgery, such as hallux valgus corrective distal linear osteotomy.

Methods The osteotome equipped was the Surgysonic Moto-II model (Esacrom, Imola, Italy), a system recently developed for cutting bone withmicrovibrations. Tips used in author’s case series were a high-efficiency five teeth piezoelectric saw and a high-efficiency flat scalpel shaped on three edges. Operative technique is described.

Discussion and Conclusion Piezoelectric techniques were developed in response to the need for great precision and safety in bone surgery that was availavle with other manual and rmotorised instruments. Piezo-technology allows minimally-invasive and percutaneous surgery, with reduced trauma on periostium, bone, and soft tissues, reduced healing time of the osteotomy due to the absence of bony necrosis and debris formation and major precision.