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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
12.8K
Risk of Damaging Anatomical Structures During Minimally Invasive Hallux Valgus Correction (Bösch Technique): An
Martin Kaipel1, Lukas Reissig2, Lukas Albrecht2
11 Lorenz Böhler/Trauma Center Vienna of the AUVA, Vienna, Austria.
Foot & Ankle International
|July 19, 2018
Summary
Surgeons performing percutaneous hallux valgus surgery should be aware of potential nerve damage. Increased surgeon experience significantly reduces complications, highlighting the need for thorough training in minimally invasive foot procedures.
Area of Science:
- Orthopedic Surgery
- Anatomy
- Minimally Invasive Procedures
Background:
- The Bösch technique, a percutaneous osteotomy for hallux valgus, is widely used.
- Potential risks to anatomical structures during this procedure remain largely unquantified.
Purpose of the Study:
- To investigate the risk of anatomical structure injury during percutaneous hallux valgus correction.
- To assess the impact of surgeon experience on complication rates in this procedure.
Main Methods:
- Forty human cadaveric foot specimens with hallux valgus were utilized.
- Specimens were divided into two groups: Group A (experienced surgeon) and Group B (untrained residents).
- A percutaneous corrective osteotomy was performed on all specimens.
Main Results:
- Injury to the dorsal cutaneous nerve occurred in 1/20 specimens in Group A versus 6/20 in Group B (P = .037).
- A statistically significant difference in overall complication rates was observed between the experienced and untrained groups (P = .043).
Conclusions:
- Percutaneous hallux valgus surgery carries a risk of injury to the dorsal cutaneous branch of the deep peroneal nerve.
- Surgeon experience is a critical factor influencing the overall complication rate in this minimally invasive procedure.
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