Hallux Valgus Correction Using Transarticular Lateral Release with Distal Chevron Osteotomy

Abstract

Hallux valgus correction using transarticular lateral release, distal chevron metatarsal osteotomy and Akin phalangeal osteotomy through one medial incision was found to be effective and safe. The advantages include that the procedure is simple, early ambulation is possible, and there is no dorsal scarring.

Chevron Versus Mitchell Osteotomy in Hallux Valgus Surgery: A Comparative Study

“…An incidence of 5% to 45% has been reported after the Mitchell osteotomy (1,6,11,12). In contrast, the reported incidence of transfer metatarsalgia after chevron osteotomy has been 0% to 5% (13,14). In our clinic, the indications for both distal metatarsal osteotomies have been similar.…”

The Relationship Between the Sesamoid Complex and the First Metatarsal After Hallux Valgus Surgery Without Lateral Soft-Tissue Release: A Prospective Study

“…However, the poor results from the technique he described led many investigators to prefer osteotomy and to consider the release and soft tissue procedure as a part of the surgery (1,(30)(31)(32). Several surgical techniques and soft tissue procedures have since been described to reposition the sesamoid complex (12,13,15,(33)(34)(35), including fibular sesamoidectomy (36), extracapsular release, intracapsular release, tendon transposition (13,37,38), and the lateral transarticular release recently described by Choi et al (39).…”

Distal soft tissue procedure in hallux valgus surgery: biomechanical background and technique

“…This potential risk can be avoided completely by a double incision technique-one medial incision for the bony procedure and the medial capsular repair and one via the first web space for the lateral release. In contrast to these two outside-in-techniques, an inside-out transarticular approach [1,21] can be used for releasing the lateral structures. But according to anatomical studies, a transarticular approach bears the risk of incomplete transection of the ligament, damage to the articular cartilage and damage of neurovascular structures in the first web space [22].…”

“…This soft tissue procedure aims to restore the physiological balance of capsular, ligamentous and muscular structures around the first metatarsophalangeal (MTP) joint. During the last decades worldwide scientific discussions, clinical surveys [1][2][3][4][5][6][7][8], anatomical studies [9,10] and experimental set-ups [11][12][13][14] have helped to clarify open questions about soft tissue procedures: is it necessary in every case of bunion surgery and is there a technique superior in respect of high efficiency and low risk? Certain reservations exist regarding the combination of distal soft tissue procedures and distal metatarsal osteotomies.…”