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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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Percutaneous basal closing wedge osteotomy for hallux valgus deformity
Joel Vernois1,2, David Redfern3, Thomas Amouyel4
1Sussex Orthopaedic Treatment Centre (SOTC), Haywards Heath, UK. joel.vernois@sfr.fr.
Operative Orthopadie Und Traumatologie
|January 13, 2021
Summary
This study presents a minimally invasive surgical technique for correcting hallux valgus using a percutaneous basal closing wedge osteotomy. The procedure achieved significant correction of hallux valgus and intermetatarsal angles.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
- Minimally Invasive Procedures
Background:
- Hallux valgus is a common foot deformity.
- Severe cases often require surgical intervention.
- Minimally invasive techniques offer potential advantages over traditional open surgery.
Purpose of the Study:
- To describe the percutaneous technique of a minimally invasive basal closing wedge osteotomy for hallux valgus correction.
- To evaluate the efficacy of this approach for severe deformities.
Main Methods:
- A percutaneous basal closing wedge osteotomy is performed using specialized burrs.
- The osteotomy is fixed percutaneously under fluoroscopic guidance.
- Postoperative management includes a heel shoe for 6 weeks and restricted impact for 3 months.
Main Results:
- The study reports good to excellent outcomes.
- An average correction of the hallux valgus angle was 26 degrees.
- An average correction of the intermetatarsal angle was 8.2 degrees.
Conclusions:
- Percutaneous basal closing wedge osteotomy is an effective minimally invasive technique for correcting severe hallux valgus.
- This method allows for significant correction with a less invasive approach.
- Further research may explore long-term outcomes and patient satisfaction.
