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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

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Minimally Invasive Versus Open Hammertoe Correction: A Retrospective Comparative Study.

Sara Mateen¹, Shehryar Raja², Dominick J Casciato³

¹International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons

|October 8, 2023

Summary

This summary is machine-generated.

Minimally invasive surgery (MIS) and open surgery for hammertoe correction show similar outcomes regarding bone healing and return to activity. While MIS had slightly more recurrences and hardware removals, these differences were not statistically significant.

Keywords:

K-wire fixation arthrodesis interphalangeal joint fusion pinning screw fixation

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Area of Science:

Orthopedic surgery
Foot and ankle pathology
Surgical techniques

Background:

Hammertoe deformity is a common forefoot issue.
Open surgical techniques are well-documented.
Minimally invasive techniques for hammertoe correction lack extensive literature.

Purpose of the Study:

To compare minimally invasive surgery (MIS) versus open surgery for hammertoe correction.
To evaluate outcomes including time to bone union, complications, recurrence, and return to activity.

Main Methods:

Retrospective comparative study.
Inclusion criteria applied to 68 feet from 41 patients.
54 feet underwent MIS hammertoe correction, 14 feet underwent open hammertoe correction.

Main Results:

Time to osseous union was similar: 8.76 weeks (MIS) vs. 8.42 weeks (open).
Return to activity was comparable: 10.47 weeks (MIS) vs. 9.92 weeks (open).
Recurrence rates (3.23% MIS vs. 0% open) and unplanned hardware removal (4.03% MIS vs. 0% open) showed no statistical significance.

Conclusions:

Both minimally invasive and open hammertoe correction techniques yield comparable results.
No statistically significant differences were found in key outcome measures between the two surgical approaches.