Temporal Changes in Clinical Outcomes after Minimally Invasive Surgery for Hallux Valgus Correction in Women without Postoperative Complications

Abstract

Minimally invasive surgery (MIS) is currently used to correct hallux valgus deformities. Most studies reporting on MIS techniques to correct hallux valgus deformities included patients with postoperative complications. These reported complications, with an average rate of 23%, had significant negative effects on the clinical outcomes in this patient population. In the present study, a cohort of 63 women who underwent MIS hallux valgus correction was assessed preoperatively and at a mean follow-up of 1.0, 4.7, and 6.5 years using the American Orthopaedic Foot and Ankle Society (AOFAS) scale and the Manchester Oxford Foot Questionnaire (MOXFQ). The main criterion for inclusion in this cohort was a lack of complications during the entire follow-up period. The results showed significant improvements in both AOFAS and MOXFQ scores between the preoperative and 1-year follow-up assessments. By contrast, clinically small and nonsignificant changes were observed among postoperative follow-up values. The number of enrolled patients needs to be increased in future studies, with different surgeons and techniques included. Nevertheless, our study findings will inform patients about the outcomes they can expect over the years if no complications occur.

Improving the Accuracy of Metatarsal Osteotomies in Minimally Invasive Foot Surgery Using a Digital Inclinometer: Preliminary Study

“…The realm of minimally invasive foot surgery (MIS) is already recognized for its multitude of advantages, including swifter recovery periods [4][5][6] and less scarring [10,17]. The introduction of this innovative technology into MIS procedures holds the promise of further enhancing clinical outcomes for patients undergoing such interventions.…”

“…The surgical approach involves performing osteotomies on the affected metatarsal bones [2,3]. Capital osteotomy, performed by minimally invasive surgery, represents a modern surgical procedure, widely employed to treat a variety of forefoot pathologies [2], offering significant advantages in terms of postoperative recovery [4][5][6] compared to traditional surgical approaches [7].…”