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Updated: May 31, 2026
15:04
An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
Early Surgical Complication Rates Following Elective Minimally Invasive Surgery Hallux Valgus in Diabetic Patients: A
Virginia M Cafruni1, Ana C Parise1, Leonardo Conti1
1Hospital Italiano de Buenos Aires, Foot and Ankle Section, Orthopaedics Department, Buenos Aires, Argentina.
Foot & Ankle International
|May 30, 2026
Summary
Diabetic patients with well-controlled diabetes experienced similar early complication rates as non-diabetic patients after minimally invasive hallux valgus surgery. This exploratory study suggests comparable safety for this procedure in both groups.
Area of Science:
- Orthopedic Surgery
- Diabetic Foot Complications
- Minimally Invasive Procedures
Background:
- Hallux valgus (HV) surgery is common, but complication rates in diabetic patients require evaluation.
- Percutaneous surgery offers a minimally invasive approach for HV correction.
- Comparing early complication rates between diabetic and non-diabetic patients is crucial for surgical decision-making.
Purpose of the Study:
- To assess and compare the types and rates of early complications following elective percutaneous surgery for hallux valgus (HV).
- To evaluate outcomes in diabetic patients (DP) versus non-diabetic patients (NDP) undergoing this procedure.
Main Methods:
- Retrospective analysis of 874 feet undergoing percutaneous HV surgery (Oct 2017 - Aug 2020).
- Matched cohort study including 25 diabetic patients (controlled diabetes) and 50 age-matched non-diabetic controls.
- Minimum 6-month follow-up; complications defined as deviations from normal postoperative course.
Main Results:
- No significant demographic differences, though DP had higher BMI and Charlson Comorbidity Index.
- Diabetic patients showed greater postoperative radiographic correction.
- Overall complication rates were 24% in DP and 18% in NDP (P=.553), including infection, pain, and pseudarthrosis. Superficial infections in DP were managed with oral antibiotics.
Conclusions:
- No statistically significant difference in overall early complication rates between well-controlled diabetic and non-diabetic patients after percutaneous HV surgery.
- Findings are exploratory and suggest potential safety in diabetic populations.
- Larger studies are needed to confirm these hypothesis-generating results.
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