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Updated: May 25, 2026
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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
Intraoperative imaging in hallux valgus surgery
R R Elliot1, T S Saxby, S L Whitehouse
1Brisbane Foot and Ankle Centre, 259, Wickham Terrace, Brisbane, QLD 4000, Australia. rre72@yahoo.co.uk
Summary
Intraoperative fluoroscopy is reliable for hallux valgus surgery but not routinely recommended. It may aid surgeons new to the procedure or those performing it infrequently.
Area of Science:
- Orthopedic Surgery
- Surgical Imaging
Background:
- The utility of intraoperative fluoroscopy in hallux valgus surgery remains largely unexamined.
- This study addresses the benefit and reliability of intraoperative fluoroscopy in this surgical context.
Purpose of the Study:
- To investigate the reliability and impact of intraoperative fluoroscopy during hallux valgus surgery.
- To compare intraoperative fluoroscopic findings with postoperative weight-bearing radiographs.
Main Methods:
- A prospective study involving 28 consecutive hallux valgus surgery cases (excluding Akin osteotomies).
- Intraoperative fluoroscopic images were analyzed for significant findings.
- Comparison of intraoperative images with weight-bearing films taken 6 weeks postoperatively.
Main Results:
- No unforeseen intraoperative events or surgical modifications were prompted by fluoroscopy.
- Intraoperative fluoroscopy reliably represented postoperative weight-bearing films.
- A minor increase in the hallux valgus angle at 6 weeks was observed, attributed to soft tissue repair stretching.
Conclusions:
- Intraoperative fluoroscopy is a reliable imaging technique in hallux valgus surgery.
- Its routine use is not recommended, but it may benefit surgeons early in their learning curve or those performing the surgery infrequently.
- Findings should be considered within the context of a high-volume surgical center.
