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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
[Proximal corrective osteotomy : Correction of hallux valgus deformity]
1Abteilung für Fuß- und Sprunggelenkschirurgie, Hessingpark-Clinic, Hessingstr. 17, 86199, Augsburg, Deutschland. manfred.thomas@hessingpark-clinic.de.
Der Orthopade
|April 7, 2017
Summary
Surgical correction for severe hallux valgus focuses on restoring foot mechanics. Techniques like proximal osteotomy or Lapidus arthrodesis are key for severe cases, aiming for stable, mobile first MTP joints.
Area of Science:
- Orthopedic Surgery
- Podiatric Surgery
- Biomechanics
Background:
- Severe symptomatic hallux valgus often requires surgical intervention for long-term relief.
- Conservative treatments are typically insufficient for severe, long-term hallux valgus deformities.
Purpose of the Study:
- To provide an overview of surgical techniques for severe hallux valgus correction.
- To discuss osteosynthesis methods, postoperative care, and compare advantages/disadvantages of osteotomy techniques.
Main Methods:
- Review of current literature and author experience on surgical interventions for severe hallux valgus.
- Focus on proximal first metatarsal osteotomy and Lapidus arthrodesis (TMT-1 joint fusion).
- Discussion of osteosynthesis techniques and postoperative regimens.
Main Results:
- Proximal or basal osteotomy is recommended for hallux valgus with intact MTP-1 and TMT-1 joints.
- Arthrodesis of the TMT-1 joint (Lapidus arthrodesis) is indicated for instability or degenerative changes.
- Midshaft osteotomies are only suitable for specific metatarsal anatomies.
Conclusions:
- Surgical correction aims for mechanical restitution of the first ray with preserved MTP-1 joint mobility.
- Proximal osteotomy and Lapidus arthrodesis are primary surgical principles for severe hallux valgus.
- The choice of technique depends on joint stability and deformity severity.
