Are two incisions necessary for hallux valgus correction?

Qasim, Sultan N.; Elzubeir, Lee; Bhatia, Maneesh

doi:10.1016/j.fas.2017.01.001

Cited by 2 publications

(6 citation statements)

References 11 publications

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“… 35 , 36 Recently, single medial incision is becoming more and more popular in a LSTR and has been described in some studies. 15 , 19 It can avoid some problems that are caused by dorsal first web incision. And it can also bring better cosmetic results.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies proposed the risk of avascular necrosis when the soft tissue was released through the first dorsal web 35,36 . Recently, single medial incision is becoming more and more popular in a LSTR and has been described in some studies 15,19 . It can avoid some problems that are caused by dorsal first web incision.…”

Section: Discussionmentioning

confidence: 99%

“…So, it is effective and safe to conduct the SAO combined with a LSTR-SMI-DFFM. Qasim et al 19 treated hallux valgus by using scarf with or without Akin osteotomy though a single medial incision via a trans-articular approach for a LSTR. The results were with very low incidence of complications and very high patient satisfaction in this study.…”

Section: Sao Combined With a Lstrmentioning

confidence: 99%

“…In addition, a single medial incision is also easy to perform the LSTR adequately. 19 , 20 , 21 The SAO for moderate to severe hallux valgus was described by many studies with pretty good results. The LSTR was conducted in a single medial incision without changing the traditional medial incision of scarf + Akin osteotomy.…”

Section: Introductionmentioning

confidence: 99%

“…The single medial incision can achieve a pleasant looking foot and great satisfaction according to most surgeons and patients. In addition, a single medial incision is also easy to perform the LSTR adequately 19–21 . The SAO for moderate to severe hallux valgus was described by many studies with pretty good results.…”

Section: Introductionmentioning

confidence: 99%

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A Better Treatment for Moderate to Severe Hallux Valgus: Scarf + Akin Osteotomy Combined with Lateral Soft Tissue Release in a Single Medial Incision

Xie

Lü

Zhan

et al. 2022

Orthopaedic Surgery

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Objective Traditional lateral soft tissue release (LSTR) was conducted by an additional dorsal first web incision, as the malformed thick scar and neuritis were common after surgery. A new method of lateral soft tissue release in a single medial incision via dorsal flap over the first metatarsal (LSTR‐SMI‐DFFM) should be recommended. The objective is to investigate the clinical effectiveness and safety of scarf + Akin osteotomy (SAO) combined with lateral soft tissue release in a single medial incision via dorsal flap over the first metatarsal (LSTR‐SMI‐DFFM) for moderate to severe hallux valgus. Methods Patients who were performed surgery for hallux valgus from April 2014 to June 2020 were retrospectively reviewed. The visual analog scale (VAS) was recorded before surgery and during follow‐up, as well as the forefoot score of the American Orthopaedic Foot and Ankle Society (AOFAS). Patient satisfaction was evaluated at the follow‐up time. The preoperative and follow‐up weightbearing X‐ray were conducted in all patients. The radiological parameters of hallux valgus angle (HVA), intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA) were measured. Tibial sesamoid position (TSP) was also recorded according to seven‐part grading system. The quantitative data were performed as mean ± standard deviation or median ± interquartile range. Student's t test was performed in HVA, IMA, and DMAA. The TSP, VAS, and AOFAS were statistical analyzed by Mann–Whitney U test. p value of <0.05 was considered significant. Results There were 123 feet conducted surgery in 96 patients. The AOFAS score improved a lot which was preoperative 39 to 100 at the follow‐up time and VAS was 4 to 0 (p < 0.001). A total of 63 (51.2%) patients were very satisfied, 47 (38.2%) were satisfied, five (4.1%) were undecided and eight (6.5%) were not satisfied. The HVA, IMA, DMAA, and TSP were all decreased after surgery and were statistically significant (p < 0.001). Conclusion The SAO combined with a LSTR‐SMI‐DFFM for moderate to severe hallux valgus is effective and safe with pretty good clinical and radiographic results, as well as minimal complications. The corrections of AOFAS and VAS conformed to the minimum clinically important difference (MCID).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Sao Combined With a Lstrmentioning

confidence: 99%