Minimally invasive surgery for hallux valgus: a systematic review of current surgical techniques.

Malagelada, Francesc; Sahirad, Cyrus; Dalmau-Pastor, Miki; Vega, Jordi; Bhumbra, Rej; Manzanares-Céspedes, María Cristina; Laffenêtre, O.

doi:10.1007/s00264-018-4138-x

Cited by 108 publications

(75 citation statements)

References 40 publications

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“…The Reverdin-Isham technique was reported to vary from a 5% [24] to a 73% [25] rate of complications. The Endolog technique was reported to have a range from 0 to 10% complication rates and in the distal soft tissue release group from 0 to 4% of cases [12]. During the third-generation technical literatures, the rate of complication was also varied from a 24% [11] or 15.5% [7] or 14% [14] or 10% [16] or 2% [15].…”

Section: Clinical Outcomes Clinicalmentioning

confidence: 99%

“…To date, many studies have evaluated the results of MIS techniques and open therapeutic surgeries for hallux valgus [8,11]. Meanwhile, systematic reviews have been reported to estimate the results of MIS techniques for treating the hallux valgus [1,12]. Those reviews pinpointed limitations of the achievable evidence to determine clear proposals for MIS in hallux valgus correction.…”

Section: Introductionmentioning

confidence: 99%

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A New Minimally Invasive Surgery of Hallux Valgus: Technique and Preliminary Outcomes

Guo

et al. 2020

Preprint

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PurposeThis study aimed to present a new minimally invasive surgery (MIS) technique and evaluate the safety and efficacy for correction of hallux valgus deformity at a preliminary follow-up.Methods48 consecutive feet that underwent a new MIS of hallux valgus with a mean 17.6 months follow-up (range 9 to 28 months). This technique uses a new osteotomy of the first metatarsal with screw fixation and percutaneous Weil osteotomy of lesser metatarsal without fixation. All patients were clinically evaluated using the Manchester-Oxford Foot Questionnaire (MOXFQ), American Orthopedic Foot & Ankle Society Hallux Metatarsophalangeal-Interphalangeal score (AOFAS HMI) and visual analogue scale (VAS). Radiographic measures included hallux valgus angle (HVA), intermetatarsal angle (IMA) and the length of the first metatarsal. ResultsThere was significant improvement in the radiographic parameters(P<0.001). The IMA decreased from 13.3° to 9.8°, the HVA improved from 35.9° to 17.9° and the mean MT length decreased by 4 mm. There was significant improvement of VAS in the postoperative 2 weeks (P < .001). There were significant improvements in the MOXFQ scores and AOFAS HMI scores, respectively. The total rate of complication was 10.4%.ConclusionThe preliminary radiographic and clinical outcomes of this new minimally invasive surgery show that it is a safe procedure and had significantly less pain in the first 2 weeks following surgery.

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Section: Clinical Outcomes Clinicalmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A New Minimally Invasive Surgery of Hallux Valgus: Technique and Preliminary Outcomes

Guo

et al. 2020

Preprint

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“…A promising procedure that combines the advantages of a minimally invasive surgery with the corrective power of metatarsal osteotomies is the Minimally Invasive Chevron-Akin (MICA) technique. It consists of a distal soft tissue release, an Akin phalangeal osteotomy and an extracapsular, distal, chevron osteotomy of the first metatarsal fixed with compression screws [46,47].…”

Section: Minimally Invasive and Novel Proceduresmentioning

confidence: 99%

Review of current hallux valgus management options

Nica

Creţu

Ene

et al. 2019

Romanian Journal of Orthopaedic Surgery and Traumatology

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Hallux valgus is one of the most common forefoot pathologies, with a multifactorial etiology that causes important functional impairment and metatarsalgia. The characteristic deformity originates from a biomechanical imbalance induced by the disruption of first metatarsophalangeal joint alignment and manifests as an abnormal weight transfer on the first ray during walking. Conservative treatment is unable to correct the deformity or stop the evolution of the disease but can distinctly control the symptoms. With time, a myriad of surgical correction techniques have been developed but no definitive surgical treatment algorithm has been generally accepted. Nonetheless, the decision process for choosing the suitable technique must be completed on an individual basis after considering the deformity severity stratification, status of the metatarsophalangeal and tarsometatarsal joints, bone anatomy, and associated comorbidities. In spite of a large variety of surgical options, there are a few main strategies that incorporate these variations: metatarsophalangeal and/or tarsometatarsal joint fusion, metatarsal osteotomies and soft tissue procedures. Nowadays, the surgical management of hallux valgus is dominated by first metatarsal osteotomies performed through open surgery or minimally invasive techniques. Hallux valgus angle has been found to be the single most important parameter for surgical outcome prognostic.

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“…[5] However, the reported outcomes of these procedures have varied. [1,[6][7][8][9] Among these techniques, the minimally invasive chevron and akin (MICA) procedure, which was described primarily by Vernois and Redfern, [9] has become widely used. The main advantage of this procedure is that it is extraarticular, which probably reduces the incidence of postoperative complications affecting range of motion and plantar exion power.…”

Section: Introductionmentioning

confidence: 99%

A Modified Minimally Invasive Osteotomy for Hallux Valgus Allows Reduction of Malpositioned Sesamoid Bones

Palmanovich

Ohana

Slevin

et al. 2020

Preprint

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Background: Current minimally invasive distal metatarsal osteotomy for hallux valgus (HV) is V-shaped, which prevents correcting the rotational metatarsal head deformity and reduction of sesamoid bones. Methods: We retrospectively reviewed the records of 53 patients that underwent HV surgery by a single surgeon from 2017 to 2019 to compare outcomes of three techniques: open chevron osteotomy (n=19), minimally invasive V-shaped osteotomy (n=18), and a modified, straight minimally invasive osteotomy (n=16). Sesamoid position was graded using the Hardy and Clapham method based on standing radiographs. Results: Postoperative sesamoid position scores were significantly lower (better) following the modified osteotomy, compared with the two other techniques (1.44±0.81 vs 3.74±1.48 and 4.61±1.09, P<0.001), and mean change in score was greater (P<0.001). The modified technique yielded the largest improvements in inter-metatarsal and HV angles (P<0.05).Conclusion: The modified minimally invasive osteotomy was superior in the correction of HV deformity in all planes, including sesamoid reduction.Level of Evidence: IV

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Minimally invasive surgery for hallux valgus: a systematic review of current surgical techniques.

Cited by 108 publications

References 40 publications

A New Minimally Invasive Surgery of Hallux Valgus: Technique and Preliminary Outcomes

A New Minimally Invasive Surgery of Hallux Valgus: Technique and Preliminary Outcomes

Review of current hallux valgus management options

A Modified Minimally Invasive Osteotomy for Hallux Valgus Allows Reduction of Malpositioned Sesamoid Bones

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