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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
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[Distal soft-tissue procedure in hallux valgus deformity]
D Arbab1, C Wingenfeld2, D Frank3
1LVR Klinik Orthopädie, Mitglied der Fakultät Gesundheit Universität Witten/Herdecke, Viersen, Deutschland. darbab@gmx.de.
Operative Orthopadie Und Traumatologie
|July 23, 2015
Summary
This study demonstrates that distal, lateral soft tissue release effectively corrects hallux valgus (HV) deformity. The procedure achieved significant improvements in intermetatarsal (IMA) and HV angles, with high patient satisfaction.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
Background:
- Hallux valgus (HV) deformity is a common condition affecting the first metatarsophalangeal (MTP) joint.
- Restoring mediolateral balance of the MTP joint is crucial for successful HV correction.
Purpose of the Study:
- To evaluate the efficacy of distal, lateral soft tissue release in correcting hallux valgus deformity.
- To assess the restoration of mediolateral balance in the first MTP joint.
Main Methods:
- A surgical technique involving longitudinal, dorsal incision and release of the adductor hallucis tendon, lateral capsule, lateral collateral ligament, and lateral metatarsosesamoid ligament.
- Combined with Chevron and Akin osteotomies in 31 patients with isolated hallux valgus deformity.
Main Results:
- Mean preoperative intermetatarsal (IMA) angle was 12.3°, and hallux valgus (HV) angle was 28.2°.
- Mean postoperative IMA correction was 5.2°, and HV correction was 15.5°.
- 93% of patients reported satisfaction with outcomes; no infections or avascular necrosis observed.
Conclusions:
- Distal, lateral soft tissue release is a safe and effective procedure for correcting hallux valgus deformity.
- The technique successfully restores MTP joint balance, leading to high patient satisfaction and minimal complications.
