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Hallux valgus correction using transarticular lateral release with distal chevron osteotomy
Young Rak Choi1, Ho Seong Lee, Jae Jung Jeong
1CHA Bandang Medical Center, CHA University, Seoul, Korea.
Foot & Ankle International
|October 12, 2012
Summary
This study shows that a single medial incision for hallux valgus correction, including transarticular lateral release and osteotomies, effectively improves foot alignment and reduces pain. The procedure is safe, with no major complications reported.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
Background:
- Transarticular lateral release via a medial incision offers an alternative to dorsal approaches for hallux valgus correction.
- This approach aims to simplify the surgical procedure and potentially reduce complications associated with dorsal incisions.
Purpose of the Study:
- To investigate the outcomes of hallux valgus correction using a combined transarticular lateral release, distal chevron metatarsal osteotomy, and Akin phalangeal osteotomy performed through a single medial incision.
Main Methods:
- A consecutive series of 103 feet (68 patients) underwent the described surgical technique between June 2004 and May 2009.
- The average patient age was 51 years, with an average follow-up of 27 months.
Main Results:
- Significant improvements were observed in hallux valgus angle (29° to 5°), intermetatarsal angle (13° to 5°), and medial sesamoid bone position (3 to 1).
- American Orthopaedic Foot and Ankle Society (AOFAS) scores improved from 49 to 92, and Visual Analog Scale (VAS) pain scores decreased from 7 to 1.
- No serious complications such as infection, avascular necrosis, nonunion, or first MTP joint arthritis were reported.
Conclusions:
- Hallux valgus correction utilizing transarticular lateral release and osteotomies through a single medial incision is an effective and safe surgical option.
- Advantages include procedural simplicity, potential for early ambulation, and avoidance of dorsal scarring.
