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Updated: Nov 21, 2025
An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
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.
Objective:
This article describes the percutaneous technique of a minimally invasive basal closing wedge osteotomy for correction of hallux valgus.
Indications:
This procedure allows correction of severe deformity with a minimally invasive approach.
Contraindications:
No specific contraindication; a fusion would be preferred for an arthritic tarsometatarsal or metatarsophalangeal joint.
Surgical Technique:
The surgical technique is based on the use of burrs specifically adapted for foot surgery. A basal closing wedge osteotomy is performed and fixed percutaneously. Each step is controlled under fluoroscopy.
Postoperative Management:
A postoperative heel shoe is prescribed for 6 weeks with crutches. The foot is elevated during the first 2 weeks. Impact is forbidden for 3 months.
Results:
The authors report good and excellent results with an average correction of the hallux valgus angle of 26° and an intermetatarsal angle of 8.2°.
