[Simple osteotomy for correct hallux valgus with increased I, II intermetatarsal angle]

Area of Science:

• Orthopedic Surgery
• Podiatric Medicine
• Surgical Innovation

Background:

• Hallux valgus is a common foot deformity characterized by lateral deviation of the big toe.
• Traditional treatments sometimes involve complex procedures, prompting investigation into simpler alternatives.
• Understanding the primary pathological changes is crucial for effective surgical intervention.

Purpose of the Study:

• To evaluate the efficacy of simple osteotomy in correcting hallux valgus.
• To determine the optimal conditions and scope for utilizing this surgical technique.
• To assess patient satisfaction and clinical outcomes following the procedure.

Main Methods:

• A cohort of 20 patients (32 feet) with hallux valgus underwent simple osteotomy.
• Pre- and post-operative measurements included Hallux Valgus Angle (HVA) and Intermetatarsal Angle (IMA).
• Patient outcomes were assessed based on deformity correction, joint function, and overall satisfaction.

Main Results:

• Significant improvements were observed in HVA (33.4° to 11.9°) and IMA (12.3° to 6.3°).
• Patient satisfaction was high at 95.1%, with a notable increase in AOFAS scores (53.1 to 93.1).
• No complications such as infection or necrosis were reported, and tibial sesamoid position improved.

Conclusions:

• Simple osteotomy is an effective treatment for hallux valgus, particularly when metatarsal adduction is the primary issue.
• The procedure yields satisfactory results in patients with normal lateral soft tissue tension.
• Adductor muscle release is not necessary when employing simple osteotomy for this patient group.