Hallux Valgus Correction in Young Patients with Minimally Invasive Technique

Assessment of the efficacy of SERI osteotomy for hallux valgus correction

“…The HVA and the IMA normalized to < 15° and < 9°, respectively, in 69.0% and 86.2% of patients, respectively, whereas the DMAA decreased in only 4 patients (13.8%). Although the HVA, IMA, and DMAA measured radiographically before surgery are known indicators of the severity of HV, the DMAA is the most important for preoperative evaluation of the HV deformity because the DMAA determines the type of operative procedure that will be performed [18]. In comparison to the DMAA, the radiographically measured HVA and IMA measurements have been found to be more reliable in the assessment of HV [24].…”

“…Furthermore, because the SERI osteotomy is a short, day surgery and the only surgical device required is a K-wire, it is cost-effective, and the recovery period is relatively short [27, 28]. It is particularly advantageous for young patients, i.e., patients who may not tolerate pain well and may not carefully protect the treated foot/feet until healing is complete [18].…”

“…Whereas an HVA of < 15° is normal, 15 to 19° is regarded as mild deformity, 20 to 40° as moderate deformity, and > 40° as severe deformity. An IMA of < 9° is normal, whereas 9 to 11° is regarded as mild deformity, 11 to 16 o as moderate deformity, and > 16° as severe deformity; a DMAA of ≤ 8° is normal [18]. Studies have shown significant improvements in 4 of 5 American Academy of Orthopedic Surgeons and AOFAS scores, like those seen following other surgeries [19].…”