Intraoperative Considerations During Percutaneous Hallux Valgus Deformity Correction.

Area of Science:

• Orthopedic Surgery
• Foot and Ankle Surgery

Background:

• Percutaneous hallux valgus surgery has advanced significantly.
• The fourth generation incorporates specific osteotomy techniques.

Purpose of the Study:

• To detail the critical elements of fourth-generation percutaneous hallux valgus surgery.
• To emphasize the importance of technique for optimal patient outcomes.

Main Methods:

• Focus on metaphyseal extracapsular transverse osteotomy and akin osteotomy.
• Highlight the necessity of precise patient positioning and theater ergonomics.
• Stress the importance of accurate radiography and meticulous screw placement.

Main Results:

• Correct positioning minimizes fluoroscopy and ensures accurate pre-osteotomy imaging.
• Careful screw placement prevents osteotomy malunion and reduces fracture risk.
• Intraoperative assessment guides decisions like lateral release.

Conclusions:

• Fourth-generation percutaneous hallux valgus surgery demands attention to detail in positioning, osteotomy, and fixation.
• A controlled, accelerated rehabilitation protocol can be implemented postoperatively.