Minimally invasive hallux valgus correction, perspective 1

Sandro Giannini, Roberto Bevoni, Francesca Vannini, Matteo Cadossi

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The main goal of surgical correction of hallux valgus is the morphologic and functional rebalance of the first ray, correcting all other characteristics of the deformity [1]. Historically, distal metatarsal osteotomies have been indicated in cases of mild or moderate deformity with an intermetatarsal angle as large as 15°. Using certain osteotomies, it is possible to correct intermetatarsal angles as large as 20°. Distal osteotomies may also be used to correct deformities characterized by deviation of the distal metatarsal articular angle (DMAA) or to address concomitant stiffness [2]. Since the first operation published by Reverdin [3] in 1881, many authors have reported their experiences using different operations, each of them characterized by different indications, approaches, designs, and fixations [4-12]. Several comparative studies have been reported comparing radiographic and clinical results among many different techniques, and a review of the literature reveals the satisfaction with all operations to be in the upper 80% level or higher [2, 13]. In 1983, New (personal communication) reported a percutaneous technique for hallux valgus correction. This technique was then reported by Bosh et al. [14], who performed a Hohmann-type [4] osteotomy fixed by only one K-wire, as described by Lamprecht and Kramer [15] in 1982, and, more recently, Magnan et al. [16] reported a description of his experience. These percutaneous operations reduce the surgical trauma because they are performed without large incisions and soft tissue procedures. They require, on the other hand, the use of particular instrumentation, such as Lindemann’s osteotrite, manipulators, or dislocators. Furthermore, with these percutaneous techniques, the correction is performed blindly, and the intraoperative use of fluoroscopy is needed. The minimally invasive bunion correction used by us is not a new technique [17, 18] because it uses an osteotomy and a stabilization method already reported by other authors, making the surgical technique usable in accordance with current concepts in hallux valgus surgery.

Original languageEnglish
Title of host publicationMinimally Invasive Surgery in Orthopedics
PublisherSpringer International Publishing
Pages811-821
Number of pages11
ISBN (Electronic)9783319341095
ISBN (Print)9783319341071
DOIs
Publication statusPublished - Jan 1 2016

Keywords

  • Distal metatarsal articular angle (DMAA)
  • Hallux valgus surgery
  • Minimally invasive bunion correction
  • Osteotomy
  • Simple, effective, rapid, inexpensive (SERI) technique

ASJC Scopus subject areas

  • Medicine(all)

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