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Description of the surgical technique for condylectomy with minimally invasive surgery to treat interdigital helomas on the lesser toes: a Delphi study


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Título :
Description of the surgical technique for condylectomy with minimally invasive surgery to treat interdigital helomas on the lesser toes: a Delphi study
Autor :
Marti-Martinez, Luis Miguel  
Gracia Sánchez, Alba
Ferrer-Torregrosa, Javier  
Lorca Gutierrez, Rubén
Garcia-Campos, Jonatan  
Sánchez Pérez, Salvador P.  
Editor :
BMC
Departamento:
Departamentos de la UMH::Ciencias del Comportamiento y salud
Fecha de publicación:
2019-02-14
URI :
https://hdl.handle.net/11000/31086
Resumen :
Background: Descriptions of the techniques for condylectomies via minimally invasive surgery (MIS) to treat interdigital helomas of the lesser toes are scarce in the literature. This study aimed to define and describe this surgical technique. Methods: This observational study was performed using the Delphi method. We collected the anonymous opinions of a multidisciplinary international panel of ten experts by answering a 43-items questionnaire via e-mail. Statements with an average score ≥ 3 were included in the next round, as were those in which none of the three statements reached the minimum score of 3 within the same item. Results: Response rate: 90%. Three rounds were needed to reach consensus on proposed items. A new statement that combined two statements was proposed in round 3. Eleven recommendations regarding the incision and instruments used to perform this surgical technique were obtained based on the expert consensus. Conclusions: A longitudinal incision to the distal pulp of the toe or an incision to the centre of the plantar aspect of the head of the proximal phalanx should be performed according to the affectation, and a Beaver 64 scalpel blade, a blunt elevator and a Shannon-Isham burr are the most acceptable tools for this kind of surgery.
Palabras clave/Materias:
Podiatry
Foot
Surgical procedures
Delphi technique
Tipo documento :
application/pdf
Derechos de acceso:
info:eu-repo/semantics/openAccess
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
DOI :
https://doi.org/10.1186/s13047-019-0322-5
Aparece en las colecciones:
Artículos Ciencias del Comportamiento y Salud



Creative Commons La licencia se describe como: Atribución-NonComercial-NoDerivada 4.0 Internacional.