2021
DOI: 10.1177/10711007211008498
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Percutaneous Chevron and Akin (PECA) Osteotomies for Severe Hallux Valgus Deformity With Mean 3-Year Follow-up

Abstract: Background: Patients with severe hallux valgus deformity present technical and operative challenges with high rates of recurrence and residual deformity. The clinical and radiologic outcomes of percutaneous surgery for severe hallux valgus are not known. Methods: A retrospective review of consecutive patients with a hallux valgus angle (HVA) >40 degrees or intermetatarsal angle (IMA) >20 degrees who underwent third-generation percutaneous chevron and Akin osteotomy (PECA) for hallux valgus deformity corr… Show more

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Cited by 36 publications
(44 citation statements)
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“…One potential disadvantage of this technique is the decreased stability of the metatarsal osteotomy fixation with only 1 dorsal screw. 13 Recent literature supports the use of the increasingly popular MICA technique as described by Redfern et al, 23-25,42 and our study provides a timely comparison of this technique against the well-established scarf-Akin osteotomy.…”
Section: Discussionsupporting
confidence: 58%
See 1 more Smart Citation
“…One potential disadvantage of this technique is the decreased stability of the metatarsal osteotomy fixation with only 1 dorsal screw. 13 Recent literature supports the use of the increasingly popular MICA technique as described by Redfern et al, 23-25,42 and our study provides a timely comparison of this technique against the well-established scarf-Akin osteotomy.…”
Section: Discussionsupporting
confidence: 58%
“…8,15,19 The latest third-generation (3G) MIS techniques include the minimally invasive chevron-Akin (MICA) technique, 42 which has been reported to yield good clinical outcomes including significantly reduced pain scores. 21,23,24,25,29…”
Section: Introductionmentioning
confidence: 99%
“…The standard radiographic cutoff was HVA <15 degrees and an IMA <9 degrees. 36,38,49,56 The indications for surgery were painful HV with failed conservative management. The exclusion criteria were rheumatoid arthritis, severe vascular disorders, neuromuscular disease, and patients with recurrent HV after prior surgery.…”
Section: Methodsmentioning
confidence: 99%
“…Most report high satisfaction (greater than 90%) and low complication rates. 14 , 16 , 20 , 22 The most common reason for reoperation has been for removal of hardware. 19 Rates of nonunion are variably reported, but range from 0% to 2.8%.…”
Section: Discussionmentioning
confidence: 99%