Minimally Invasive Hallux Valgus Surgery—A Systematic Review and Assessment of State of the Art

Jeyaseelan, Luckshmana; Malagelada, Francesc

doi:10.1016/j.fcl.2020.05.001

Cited by 20 publications

(19 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is growing interest in the use of minimally invasive surgical techniques (MIS) for the treatment of hallux valgus (HV), with an increasing number of published studies including clinical series, radiologic validations, cadaveric studies, comparative studies, and technical reports on MIS techniques. 1,4,[8][9][10][15][16][17][18][19][20][21]23,[26][27][28][29][30][31][32][33][34][35][36][39][40][41][42][43]45,55,[59][60][61][62][63][64]66,70 Five recent systematic reviews concluded that MIS is a safe and reliable technique for hallux valgus correction. 6,11,28,44,65 Among the procedures to treat HV, the distal chevron metatarsal osteotomy was first described in 1962 and remains a widely accepted technique.…”

Section: Introductionmentioning

confidence: 99%

“…1,4,[8][9][10][15][16][17][18][19][20][21]23,[26][27][28][29][30][31][32][33][34][35][36][39][40][41][42][43]45,55,[59][60][61][62][63][64]66,70 Five recent systematic reviews concluded that MIS is a safe and reliable technique for hallux valgus correction. 6,11,28,44,65 Among the procedures to treat HV, the distal chevron metatarsal osteotomy was first described in 1962 and remains a widely accepted technique. It is indicated in the treatment of mild and moderate HV deformities, with satisfactory results in adult individuals of all age groups.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…1,4,8-10,15-21,23,26-36,39-43,45,55,59-64,66,70 Five recent systematic reviews concluded that MIS is a safe and reliable technique for hallux valgus correction. 6,11,28,44,65…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Minimally Invasive Chevron-Akin for Correction of Moderate and Severe Hallux Valgus Deformities: Clinical and Radiologic Outcomes With a Minimum 2-Year Follow-up

et al. 2022

View full text Add to dashboard Cite

Background: The minimally invasive chevron-Akin (MICA) technique has already demonstrated efficacy compared with other known surgical treatments for mild to moderate hallux valgus (HV). MICA combines percutaneous osteotomies with the benefits of modern, rigid internal fixation. The aim of study was to evaluate the radiographic parameters, clinical improvement, and potential complications in moderate to severe HV cases, operated using the MICA technique. Methods: Retrospective study including 70 feet with HV operated using the MICA technique. The AOFAS hallux MTP-IP score and radiographics for HV evaluation were applied preoperatively, and after 6 months, 1 year, and 2 years of follow-up. The following radiographic parameters were measured: metatarsophalangeal hallux valgus angle (HVA), distal metatarsal articular angle (DMAA), interphalangeal angle (IPA), and intermetatarsal angle (IMA). Results: The average preoperative VAS pain score was 8.2 ± 1.5, which improved to 1.2 ± 2.2 at 24 months. The mean preoperative IMA was 14.8 ± 3.6 degrees compared with a mean of 7.5 ± 2.1 degrees ( P < .01) at 24 months. The preoperative HVA value averaged 30.4 ± 9.8 degrees and at 6 months postoperatively 11.1 ± 6.8 degrees ( P < .01), which remained stable until measured at 24 months. The mean preoperative DMAA was 16.3 ± 8.6 degrees and at the 6-month follow-up was 7.8 ± 5.4 degrees ( P < .01). The mean preoperative IPA was 7.63 ± 4.4 degrees compared with a mean of 6.28 ± 3.5 degrees ( P > .05) at 24 months. Complications included painful hardware (14.28%), neuropathic pain (2.85%), and loss of correction (4.28%). Conclusion: In this retrospective review from a single center, we found the MICA technique to be an effective procedure for correcting moderate to severe HV, with a low rate of recurrence and an acceptable rate of complications. Patients undergoing the surgical procedure in our series showed a significant reduction in radiographic parameters and a significant improvement in clinical scores, maintaining these results over time. Level of Evidence: Level IV, retrospective study.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…1,4,8-10,15-21,23,26-36,39-43,45,55,59-64,66,70 Five recent systematic reviews concluded that MIS is a safe and reliable technique for hallux valgus correction. 6,11,28,44,65…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Minimally Invasive Chevron-Akin for Correction of Moderate and Severe Hallux Valgus Deformities: Clinical and Radiologic Outcomes With a Minimum 2-Year Follow-up

et al. 2022

View full text Add to dashboard Cite

show abstract

“…5 Nevertheless, these techniques have been popularized because of a potential improvement in recovery times, smaller scars, and high level of patient satisfaction, although recommendation was only for mild and moderate HV deformities. 15,22 Vernois and Redfern 34 in 2016 raised the possibility of correcting severe deformities with percutaneous surgery, either with a basal osteotomy or a modified chevron of the first metatarsal. The minimally invasive Chevron and Akin osteotomies (MICA), one of third-generation techniques, is an extraarticular osteotomy fixed with 2 special screws with an oblique profile to the head, resulting in greater stability than that achieved with earlier MIS techniques.…”

Section: Introductionmentioning

confidence: 99%

Clinical and Radiographic Outcomes of Percutaneous Third-Generation Double First Metatarsal Osteotomy Combined With Closing-Wedge Proximal Phalangeal Osteotomy for Moderate and Severe Hallux Valgus

Castellini¹,

Ratti

Gonzalez³

2022

Foot Ankle Int.

View full text Add to dashboard Cite

Background: The treatment for severe hallux valgus deformity presents a challenge with high risk of complications. Third generation MIS techniques have increased their publications in recent years. The aim was to compare clinical and radiologic outcomes in moderate and severe cases and report minor and major complications. Methods: Retrospective series of cases with prospective data collection of 156 consecutive feet that underwent percutaneous double first metatarsal osteotomy (PEDO) and first phalanx osteotomy between 2008 and 2019 for moderate (hallux valgus angle [HVA] between ≥20 and <40 degrees and/or intermetatarsal angle [IMA] <16 degrees) and severe (HVA ≥40 degrees and/or IMA ≥16 degrees) hallux valgus deformities. Primary outcomes included radiographic and clinical parameters. Secondary outcomes included minor and major complications. Results: A total of 156 procedures were performed in 128 patients. Mean age was 54.3 years (SD 14.3) (range, 19-82 years), median follow-up was 22.6 months (range, 12-96 months). Radiographic changes pre- to postoperation were as follows: HVA changed from 38.2 (SD 10.1) degrees to 11.2 (SD 8.3) degrees ( P < .001), IMA from 14.7 (SD 3.2) degrees to 7.9 (SD 3.7) degrees ( P < .001), and distal articular metatarsal angle from 19.7 (SD 6.3) degrees to 8.8 (SD 5.7) degrees ( P < .001) after PEDO technique. Clinical changes pre- to postoperation were as follows: American Orthopaedic Foot & Ankle Society ankle-hindfoot scale scores improved from 47.3 (SD 16.5) to 87 (SD 11.6) ( P < .001) and visual analog scale scores from 5 (2.7) to 0.9 (1.3) ( P < .001). The satisfaction rate was 97% in the total sample. Recurrence rate (HVA ≥20 degrees) was 7.7%. Hallux varus (HVA <0 degrees) occurred in 5.8%, acute osteomyelitis in 1.3%, partial avascular necrosis in 0.6%, screw removal in 0.6%, and reoperation in 1.9%. No nonunion was observed. Conclusions: Clinical and radiographic parameters improved significantly, with a minimum of 12 months of follow-up in moderate and severe hallux valgus. Long experience in percutaneous surgery and specific instruments are needed for this technique. Recurrence was linked to preoperative HVA ≥40 degrees and postoperative tibial sesamoid position; Hallux varus was linked to lateral soft tissue release. Level of Evidence: Level IV, case series.

show abstract

Hallux Deformities

Cafruni,

Migues,

Sotelano

2024

Orthopaedics and Trauma

View full text Add to dashboard Cite

Minimally Invasive Hallux Valgus Surgery—A Systematic Review and Assessment of State of the Art

Cited by 20 publications

References 39 publications

Minimally Invasive Chevron-Akin for Correction of Moderate and Severe Hallux Valgus Deformities: Clinical and Radiologic Outcomes With a Minimum 2-Year Follow-up

Minimally Invasive Chevron-Akin for Correction of Moderate and Severe Hallux Valgus Deformities: Clinical and Radiologic Outcomes With a Minimum 2-Year Follow-up

Clinical and Radiographic Outcomes of Percutaneous Third-Generation Double First Metatarsal Osteotomy Combined With Closing-Wedge Proximal Phalangeal Osteotomy for Moderate and Severe Hallux Valgus

Hallux Deformities

Contact Info

Product

Resources

About