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Related Experiment Video

Updated: Jun 20, 2026

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
15:04

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

Published on: February 17, 2018

Routine histopathologic evaluation in hallux valgus surgery.

Irvin C Oh1, Scott J Ellis, Martin J O'Malley

  • 1Hospital for Special Surgery, New York, NY 10021, USA.

Foot & Ankle International
|September 9, 2009
PubMed
Summary
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Routine histopathologic examination of tissue from hallux valgus surgery is not cost-effective. The analysis rarely yields new diagnoses or alters postoperative management, making it an unnecessary procedure.

Area of Science:

  • Orthopedic Surgery
  • Pathology
  • Health Economics

Background:

  • Hallux valgus surgery specimens often show degenerative changes.
  • The cost-effectiveness of routine histopathologic examination is questioned.
  • Hypothesis: examination rarely diagnoses new conditions or alters care.

Purpose of the Study:

  • Evaluate the cost-effectiveness of routine tissue examination in hallux valgus surgery.
  • Determine if histopathologic findings alter postoperative management.
  • Assess the diagnostic yield of routine specimen analysis.

Main Methods:

  • Retrospective analysis of 315 primary hallux valgus reconstructions.
  • Chart review to identify new diagnoses or treatment alterations.
  • Calculation of reimbursement costs versus diagnostic/management changes.

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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
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Main Results:

  • Degenerative changes were found in 97.5% of specimens.
  • New diagnoses were rare (0.3%, one case of pseudogout).
  • Postoperative management remained unchanged in all cases.

Conclusions:

  • Routine histopathologic examination of hallux valgus surgery specimens is not cost-effective.
  • The diagnostic yield is minimal, with rare new findings.
  • Routine analysis does not impact patient treatment or outcomes.