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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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Treating Hallux Valgus Associated Metatarsus Adductus by Minimally Invasive Surgery: A Simple Solution for a
Alon Burg1, Rutenberg Tal Frenkel1, Meir Nyska2
1Rabin Medical Center Petach Tikva, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Summary
A novel minimally invasive surgery effectively corrects hallux valgus with metatarsus adductus. This percutaneous osteotomy technique significantly reduces deformities and improves patient function and satisfaction.
Area of Science:
- Orthopaedic Surgery
- Foot and Ankle Surgery
- Minimally Invasive Procedures
Background:
- Hallux valgus and metatarsus adductus are common foot deformities.
- Corrective surgery for combined deformities can be complex.
- Minimally invasive techniques offer potential advantages.
Purpose of the Study:
- To evaluate a novel percutaneous osteotomy for hallux valgus with metatarsus adductus.
- To assess radiographic and clinical outcomes of the new surgical technique.
- To determine patient satisfaction and complication rates.
Main Methods:
- Retrospective analysis of 20 patients (21 feet) undergoing percutaneous osteotomy.
- Radiographic assessment of hallux valgus angle, intermetatarsal angle, and metatarsal angle.
- Comparison of pre- and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) scores.
Main Results:
- Significant reductions in hallux valgus angle (31.62°), intermetatarsal angle (3.86°), and metatarsal angle (14.69°) (p < .001).
- Mean AOFAS score improved by 44.53 points (p < .001).
- High patient satisfaction reported; mild, transient midfoot pain; no nonunions.
Conclusions:
- Proximal minimally invasive metatarsal osteotomy is effective for correcting hallux valgus with metatarsus adductus.
- The technique offers significant radiographic correction and functional improvement.
- High patient satisfaction and a low complication profile support its use.
