Third-generation minimally invasive correction of hallux valgus: technique and early outcomes

Brogan, Kit; Völler, Tom; Gee, Chris; Borbely, Tamas; Palmer, Sylvain

doi:10.1007/s00264-014-2500-1

Cited by 81 publications

(88 citation statements)

References 19 publications

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“…This technique has evolved from the first generation (osteotomy held in position by dressing alone without internal fixation) 1 to the third generation (percutaneous osteotomy with stable fixation of the osteotomy with screws). 2 Despite the popularity of this technique, only a few studies have documented its ability to correct the IM and HV angles, produce good patient outcomes, and avoid complications. 9,17 In the current study, the average HV and IM angle correction was 24.8 degrees and 8.4 degrees, respectively, and the mean postoperative AOFAS score was 81.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Basal Closing Wedge Osteotomy of the First Metatarsal in the Treatment of Moderate to Severe Hallux Valgus and Its Short-Term Clinical Outcomes

Chan

Yeung

2018

Foot & Ankle Orthopaedics

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Background: Although percutaneous surgery for the treatment of hallux valgus is popular in Europe, there is sparse English written literature documenting its efficacy. This study described the operative techniques using percutaneous basal closing wedge osteotomy of the first metatarsal in correction of moderate to severe hallux valgus (HV) and its short-term clinical outcomes. We postulated that satisfactory correction of hallux valgus (HV) angle, intermetatarsal (IM) angle, and patients' clinical outcomes could be achieved with this technique. 2) degrees postoperatively (P < .05). IM angle improved from 14.9 (range, 6.7-22.4) degrees to 6.6 (range, 0.9-14.8) degrees (P < .05). The average absolute shortening was 3.8 (range, 0.27-12.91) mm and the relative shortening was 0.8 (range, 0.05-1.91) mm. There was no delayed union or malunion at the osteotomy site. The average AOFAS score improved from 39 (range, 12-50) to 81 (range, 70-93) (P < .05). Conclusions: Satisfactory hallux valgus deformity correction and patients' outcomes were achieved with this technique. Our results are similar to results reported in other studies using open techniques. There was no malunion or delayed union of the osteotomy. Level of Evidence: Level IV, case series study.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Basal Closing Wedge Osteotomy of the First Metatarsal in the Treatment of Moderate to Severe Hallux Valgus and Its Short-Term Clinical Outcomes

Chan

Yeung

2018

Foot & Ankle Orthopaedics

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“…The last two decades have brought an increasing appeal for minimally invasive https://doi.org/10.37358/RC.20.2.7891 surgical techniques like Bosch or SERI techniques, which promise consistent results with least complications. Despite the promising results longstanding and comparative evaluation of this group of interventions needs to be performed [33][34][35].…”

Section: Resultsmentioning

confidence: 99%

Results of Hallux Abducto Valgus Surgical Correction Using Two 1.1mm Mini TightRope Constructs

Nica¹,

Panaitescu²,

Creţu³

et al. 2020

Rev. Chim.

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Hallux valgus represents an acquired foot deformity defined by medial deviation of the first metatarsal bone combined with lateral shift of the hallux and medial metatarsophalageal joint eminence enlargement. The functional impairment and metatarsalgia generated stem from the biomechanical imbalance which does not allow for normal transfer of weight trough the first ray during walking. The results generated with our experience with the 1.1mm Mini TightRope® Disposable Kitin the treatment of hallux valgus are analyzed in this paper. A total number of 24 feet (12 bilateral cases) with hallux valgus, surgically treated in our department were followed for a period of minimum twelve months and evaluated. The results showed an improvement of the mean preoperative IMA 14.6°to 7.9° postoperatively and 9.2° at six months after surgery. The preoperative measured HVA was reduced from 28.4to 14.2° at once and 16.1° after six months. The AOFAS hallux metatarsophalangeal-interphalangeal score resulted improvement reflects the functional benefits. These results confirm the good correction potential of the technique and support it as avalid treatment option for mild to moderate severity hallux valgus.

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“…The third-generation (TG) MIS involves procedures based on the design of chevron osteotomies with the need of screw fixation that has added extra stability and minor complications [45,46].…”

Section: History and Generationsmentioning

confidence: 99%

“…Additionally, cadaveric results [51,52], technique reports [53], and radiological validations [54,55] have been described. Despite the fact that for some authors percutaneous surgery of the forefoot lacks scientific support [56][57][58], recently two systematic reviews published support its indication in hallux valgus surgery [43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59].…”

Section: Current Situation and Indicationsmentioning

confidence: 99%

Third-Generation Percutaneous Forefoot Surgery

Vecchio¹,

Dalmau-Pastor²,

EstebanGhioldi³

2018

Update in Management of Foot and Ankle Disorders

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Hallux valgus is one of the most common diseases that affects the foot. The primary symptom of this disease is usually pain. Although non-operative treatment should be attempted, some patients eventually need surgical treatment. There are numerous surgical procedures for correction of HV deformities. Some of these surgeries may be performed through open or percutaneous surgery (MIS). Distal metatarsal chevron osteotomy is an excellent treatment option in mild-to-moderate deformities, providing good results in the correction of deformities and symptoms. This technique can also be done by percutaneous or MIS surgeries; the set of these surgeries are called Third generation procedures. They have been showed to be useful, effective and (maybe) easier than open procedures.

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Third-generation minimally invasive correction of hallux valgus: technique and early outcomes

Abstract: The short-term results of this third-generation technique show that it is a safe procedure with good clinical outcomes and compares favourably with earlier techniques.

Cited by 81 publications

References 19 publications

Percutaneous Basal Closing Wedge Osteotomy of the First Metatarsal in the Treatment of Moderate to Severe Hallux Valgus and Its Short-Term Clinical Outcomes

Percutaneous Basal Closing Wedge Osteotomy of the First Metatarsal in the Treatment of Moderate to Severe Hallux Valgus and Its Short-Term Clinical Outcomes

Results of Hallux Abducto Valgus Surgical Correction Using Two 1.1mm Mini TightRope Constructs

Third-Generation Percutaneous Forefoot Surgery

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