Purpose: There is growing evidence supporting minimally invasive surgical (MIS) techniques for correction of symptomatic hallux valgus. The aim of this study was to present a hybrid third-generation technique and assess the safety and efficacy from the first 45 procedures.
Methods: Forty-five consecutive feet underwent a third-generation MIS distal chevron osteotomy with a minimum six month follow-up (range six to 17 months). This technique uses both first- and second-generation techniques plus a distal chevron osteotomy and screw for improved control and stabilisation of the metatarsal head. All patients were clinically assessed using the Manchester-Oxford Foot Questionnaire (MOXFQ). Radiographic measures included hallux valgus angle (HVA), intermetatarsal angle (IMA), first metatarsal length and overall toe length.
Results: There were significant improvements in all three domains of the MOXFQ (p <0.001). There was also significant improvement in all radiographic parameters (p < 0.001). Mean HVA decreased from 30.54° to 10.41°, and the mean IMA decreased from 14.55° to 7.11°. Shortening of the first metatarsal had no effect on clinical outcomes. There was a very low rate of complications.
Conclusion: The short-term results of this third-generation technique show that it is a safe procedure with good clinical outcomes and compares favourably with earlier techniques.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00264-014-2500-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Treatment of Irreducible Second Metatarsophalangeal Joint Dislocation by Double Percutaneous Osteotomy: Haspell and Distal Metatarsal Mini-Invasive Osteotomy.
J Foot Ankle Surg
January 2025
Clinical Orthopeadics, University of Campania Luigi Vanvitelli, Vico L. de Crecchio, 80128 Naples Italy.
Subluxation or dislocation of the second metatarsophalangeal joint may be commonly associated with crossover toe, metatarsalgia, and painful calluses. This retrospective study aims to evaluate the clinical and functional results in patients with irreducible second metatarsophalangeal joint dislocation treated by double percutaneous osteotomy in one step: Haspell's osteotomy and Distal Metatarsal Mini-Invasive Osteotomy. A total of 39 patients were included in this study.
View Article and Find Full Text PDFFirst Metatarsal Osteotomy with an Intramedullary Locking Plate is a Good Alternative for the Reintervention of Recurrent Hallux Valgus.
J Foot Ankle Surg
January 2025
Orthopedic Surgery and Traumatology Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
This study describes the results of first metatarsal (M1) distal osteotomy with an intramedullary locking plate in persistent/recurrent painful hallux valgus (HV) deformity (without advanced degenerative changes) after primary surgery. Outcomes included postoperative incidences of HV angle (HVA)<16°, intermetatarsal angle (IMA)<9°, proximal articular set angle (PASA)<10°, and the American Orthopedic Foot and Ankle Society (AOFAS) score. Data normality was assessed with the Shapiro-Wilk test, and preoperative vs.
View Article and Find Full Text PDFBiokinetic gait differences between Hallux valgus patients and asymptomatic subjects.
Gait Posture
December 2024
Internal Medicine Research Unit, Department of Internal Medicine, Hospital Italiano de Buenos Aires, Argentina; CONICET (Consejo Nacional de Investigaciones Científicas y Técnicas), Hospital Italiano de Buenos Aires, Argentina.
Background: Hallux valgus (HV) is the most prevalent foot condition, associated with a decline in quality of life and a high rate of complications. Pedobarography can be a diagnostic tool, although controversies exist due to differences in measurement scales, type of capture, software, and hardware used. Deformity level differences have not been thoroughly explored.
View Article and Find Full Text PDFThe association between varus knee deformity and morphological changes in the foot and ankle in patients with end-stage varus knee osteoarthritis.
J Orthop Surg Res
January 2025
Department of Joint Surgery, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, 266000, China.
Background: This study aimed to (1) determine the association between varus knee deformity and ipsilateral foot and ankle morphology, and (2) evaluate the relationship between varus knee deformity and foot and ankle pain in patients with end-stage varus knee osteoarthritis (KOA).
Methods: A total of 213 patients who underwent primary total knee arthroplasty for end-stage varus KOA were enrolled in this study and divided into a 'severe varus group' (n = 119) and a 'mild varus group' (n = 94) based on preoperative knee varus degree. Morphological parameters and pain incidence in the foot and ankle were compared between the two groups.
Results of Modified Minimally Invasive Hallux Valgus Surgery, Factors for the First Metatarsal Shortening, and Patients' Satisfaction.
J Clin Med
December 2024
Department of Orthopedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong 18450, Republic of Korea.
: Hallux valgus is a prevalent foot deformity conventionally treated with open surgical techniques, which carry risk of complications due to extensive soft tissue dissection. Minimally invasive surgeries (MISs) as alternatives offer comparable outcomes, reduced pain, and faster recovery; however, their challenges include the risk of shortening of the first metatarsal. This study aimed to assess the efficacy of our modified MIS hallux valgus correction technique and investigate the factors that affect first metatarsal shortening.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!