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Updated: May 13, 2026
An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
Is it feasible to rely on intraoperative X ray in correcting hallux valgus?
N Gutteck1, D Wohlrab, F Radetzki
1Department of Orthopaedic Surgery, Martin Luther University Halle Wittenberg, Magdeburger Straße 22, 06112, Halle (Saale), Germany. natalia@gutteck.com
Background:
The aim of the study was to prove whether the intraoperatively taken fluoroscopy pictures compared to the X rays taken 8 weeks and 3 months postoperatively picture the achieved correction reliably.
Method:
In a prospective study, the pre- and postoperative standing foot X rays as well as the intraoperatively taken fluoroscopy pictures of 31 patients were analysed. The intermetatarsal angle (IMA) and the hallux valgus angle (HVA) were measured. In all cases, a tarso-metatarsal joint I arthrodesis combined with a distal soft tissue release was performed. The mean age was 54 (17-73) years.
Results:
There was no significant difference between the measured angles in intraoperative fluoroscopy and standing X rays postoperatively taken.
Conclusions:
Despite the consideration that fluoroscopic pictures lack the loading criteria, we found reliable results in IMA and HVA.
