Early Outcomes of Minimally Invasive Surgery Using Percutaneous Technique for Hallux Valgus

Category: Bunion; Midfoot/Forefoot Introduction/Purpose: There are myriad procedures for hallux valgus deformity. Minimally invasive Surgery (MIS) using percutaneous technique has been recently introduced for the treatment of hallux valgus. The purpose of this study was to evaluate early radiologica...

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Main Authors: Jae Han Park MD, Kwang Hwan Park MD, PhD, Yoo Jung Park MD, Seung Hwan Han MD, PhD, Sang B. Kim, Jin Woo Lee MD, PhD
Format: Article
Language:English
Published: SAGE Publishing 2020-10-01
Series:Foot & Ankle Orthopaedics
Online Access:https://doi.org/10.1177/2473011420S00376
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author Jae Han Park MD
Kwang Hwan Park MD, PhD
Yoo Jung Park MD
Seung Hwan Han MD, PhD
Sang B. Kim
Jin Woo Lee MD, PhD
author_facet Jae Han Park MD
Kwang Hwan Park MD, PhD
Yoo Jung Park MD
Seung Hwan Han MD, PhD
Sang B. Kim
Jin Woo Lee MD, PhD
author_sort Jae Han Park MD
collection DOAJ
description Category: Bunion; Midfoot/Forefoot Introduction/Purpose: There are myriad procedures for hallux valgus deformity. Minimally invasive Surgery (MIS) using percutaneous technique has been recently introduced for the treatment of hallux valgus. The purpose of this study was to evaluate early radiological and clinical outcomes of MIS using percutaneous technique for hallux valgus deformity. Methods: This was a prospective cohort study of 19 feet (13 patients) undergoing operative correction of hallux valgus using MIFS technique with minimum 2-year of follow-up. Outcome measures include the visual analogue scale (VAS) for pain and the American Orthopaedic Foot & Ankle Society Hallux-Metatarsophalangeal-Interphalangeal (AOFAS-HMI) scale, Foot Function Index (FFI), hallux valgus angle (HVA), 1-2 intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA). Results: All patients were traced for a mean of 27.2 (range 24.7 - 30.4) months. The VAS, AOFAS-HMI scale and FFI were improved respectively with significance after operation (p<0.05). The mean HVA and 1-2 IMA showed significant improvements from 37.5’+-9.2 and 14.0+-3.1’ to 11.5+-7.9’ and 5.8+-3.6’ (p<0.05, p<0.05). The DMAA was decreased from 16.5+-3.9’ to 5.1+- 2.5’ (p<0.05). One patient underwent a revision surgery because of a screw loosening. Conclusion: The MIS using percutaneous technique for hallux valgus deformity achieved enough correction and relief of pain. All patients were satisfied with the clinical assessments. However, a long-term study is necessary to compare with other techniques.
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spelling doaj.art-058a134bbb454da3804b12589423fda12022-12-22T00:27:58ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142020-10-01510.1177/2473011420S00376Early Outcomes of Minimally Invasive Surgery Using Percutaneous Technique for Hallux ValgusJae Han Park MDKwang Hwan Park MD, PhDYoo Jung Park MDSeung Hwan Han MD, PhDSang B. KimJin Woo Lee MD, PhDCategory: Bunion; Midfoot/Forefoot Introduction/Purpose: There are myriad procedures for hallux valgus deformity. Minimally invasive Surgery (MIS) using percutaneous technique has been recently introduced for the treatment of hallux valgus. The purpose of this study was to evaluate early radiological and clinical outcomes of MIS using percutaneous technique for hallux valgus deformity. Methods: This was a prospective cohort study of 19 feet (13 patients) undergoing operative correction of hallux valgus using MIFS technique with minimum 2-year of follow-up. Outcome measures include the visual analogue scale (VAS) for pain and the American Orthopaedic Foot & Ankle Society Hallux-Metatarsophalangeal-Interphalangeal (AOFAS-HMI) scale, Foot Function Index (FFI), hallux valgus angle (HVA), 1-2 intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA). Results: All patients were traced for a mean of 27.2 (range 24.7 - 30.4) months. The VAS, AOFAS-HMI scale and FFI were improved respectively with significance after operation (p<0.05). The mean HVA and 1-2 IMA showed significant improvements from 37.5’+-9.2 and 14.0+-3.1’ to 11.5+-7.9’ and 5.8+-3.6’ (p<0.05, p<0.05). The DMAA was decreased from 16.5+-3.9’ to 5.1+- 2.5’ (p<0.05). One patient underwent a revision surgery because of a screw loosening. Conclusion: The MIS using percutaneous technique for hallux valgus deformity achieved enough correction and relief of pain. All patients were satisfied with the clinical assessments. However, a long-term study is necessary to compare with other techniques.https://doi.org/10.1177/2473011420S00376
spellingShingle Jae Han Park MD
Kwang Hwan Park MD, PhD
Yoo Jung Park MD
Seung Hwan Han MD, PhD
Sang B. Kim
Jin Woo Lee MD, PhD
Early Outcomes of Minimally Invasive Surgery Using Percutaneous Technique for Hallux Valgus
Foot & Ankle Orthopaedics
title Early Outcomes of Minimally Invasive Surgery Using Percutaneous Technique for Hallux Valgus
title_full Early Outcomes of Minimally Invasive Surgery Using Percutaneous Technique for Hallux Valgus
title_fullStr Early Outcomes of Minimally Invasive Surgery Using Percutaneous Technique for Hallux Valgus
title_full_unstemmed Early Outcomes of Minimally Invasive Surgery Using Percutaneous Technique for Hallux Valgus
title_short Early Outcomes of Minimally Invasive Surgery Using Percutaneous Technique for Hallux Valgus
title_sort early outcomes of minimally invasive surgery using percutaneous technique for hallux valgus
url https://doi.org/10.1177/2473011420S00376
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