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Modified Medial Capsulorrhaphy Using Figure-of-Eight Suture in Hallux Valgus Correction Surgery
Raden Andri Primadhi1, Ghuna Arioharjo Utoyo1, Muhammad Naseh Sajadi Budi1
1Department of Orthopaedics and Traumatology, Universitas Padjadjaran Medical School/Hasan Sadikin Hospital, Bandung, Indonesia.
Advances in Orthopedics
|January 7, 2025
Summary
A modified figure-of-eight suture technique for medial capsulorrhaphy in hallux valgus surgery effectively maintained the corrected hallux valgus angle (HVA) six months post-operation. This simpler, efficacious method is recommended for hallux valgus correction.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
Background:
- Medial capsulorrhaphy is crucial for hallux valgus correction.
- Limited studies exist on specific capsulorrhaphy techniques.
Purpose of the Study:
- To compare the efficacy of modified medial capsulorrhaphy using figure-of-eight sutures versus conventional longitudinal capsulorrhaphy for hallux valgus.
- To evaluate the maintenance of corrected hallux valgus angle (HVA) post-surgery.
Main Methods:
- Retrospective analysis of 34 hallux valgus patients.
- Group 1: Conventional longitudinal capsulorrhaphy.
- Group 2: Modified figure-of-eight suture capsulorrhaphy.
- Comparison of preoperative, immediate, and 6-month postoperative HVA.
Main Results:
- No significant differences in immediate postoperative HVA between groups.
- Modified figure-of-eight technique showed significantly better maintenance of HVA correction at 6 months (p=0.048).
- Average HVA change from immediate to 6-month postoperative: 1.73° (Group 1) vs. 0.33° (Group 2).
Conclusions:
- Both techniques effectively reduce HVA.
- Modified figure-of-eight capsulorrhaphy offers superior long-term maintenance of HVA correction.
- The figure-of-eight technique is recommended for its efficacy and simplicity in hallux valgus surgery.
