Related Experiment Video
Updated: Jun 12, 2026
15:04
An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
Percutaneous hallux valgus correction using the Reverdin-Isham osteotomy
T Bauer1, D Biau, A Lortat-Jacob
1Orthopedic and Traumatologic Surgery Department, Ambroise-Paré Hospital, Paris Area West University, Boulogne, France. thomas.bauer@apr.aphp.fr
Summary
Percutaneous Reverdin-Isham osteotomy effectively corrects hallux valgus, improving function and patient satisfaction. However, it requires expertise and is best suited for isolated cases to avoid joint complications.
Area of Science:
- Orthopedics
- Foot and Ankle Surgery
- Surgical Techniques
Background:
- Hallux valgus is a common foot deformity.
- Percutaneous Reverdin-Isham osteotomy is a surgical technique for hallux valgus correction.
- Understanding the clinical and radiological outcomes and indications is crucial.
Purpose of the Study:
- To assess the 2-year clinical and radiological results of percutaneous Reverdin-Isham osteotomy for hallux valgus.
- To identify predictive factors for correction and mobility.
- To clarify the indications for this percutaneous technique.
Main Methods:
- A prospective study of 104 patients with medium-to-moderate hallux valgus.
- All patients underwent percutaneous Reverdin-Isham osteotomy by the same surgeon.
- Median 2-year follow-up with uni- and multivariate analysis of predictive factors.
Main Results:
- Significant improvement in American Orthopedic Foot and Ankle Society (AOFAS) scores (49 to 87.5).
- High patient satisfaction (89%).
- Significant reduction in hallux valgus and distal metatarsal articular angle (DMAA); associated lateral surgery increased MTP1 joint incongruence risk.
Conclusions:
- Percutaneous Reverdin-Isham osteotomy is effective for isolated medium-to-moderate hallux valgus.
- The technique has a learning curve and precision issues with associated lateral osteotomies.
- Indications are limited to isolated hallux valgus with specific angular parameters and a congruent MTP1 joint.
