Distal Akin osteotomy for hallux valgus interphalangeus.

Background: The aim of this study was to assess clinical and radiological outcomes in patients who underwent distal Akin osteotomy for hallux valgus interphalangeus (HVI).

Methods: A series of 15 consecutive patients (17 feet) was retrospectively reviewed. All the patients were preoperatively and post-operatively evaluated with a physical and radiographic assessment (HVI angle). Satisfaction has been assessed through a satisfaction survey, the scale used consisted in three possible choice: very satisfied, satisfied, not satisfied.

Results: Among 15 patients the 52.9% (9 patients) stated to be "very satisfied", the 41.2% (7 patients) "satisfied" and just a 5.9% (one patient) was "not satisfied". The mean HVI value decreased from 24.9°±7.8° preoperatively to 13.1°±5.8° postoperatively at last follow up (p<0.05).

Conclusions: Based on these findings we can conclude that the distal Akin osteotomy can be considered safe and effective in the surgical correction of symptomatic HVI deformities.