Treatment of Mild to Moderate Hallux Valgus, Percutaneous Osteotomy versus Distal Chevron Osteotomy

Othman, Ahmed; Hegazy, Islam Hassan Ali

doi:10.4236/ojo.2016.66023

Cited by 5 publications

(6 citation statements)

References 12 publications

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“…Among the included studies, 8 studies ( 15 , 17 , 24 , 26 , 28 , 29 , 31 , 35 ) were RCTs, 2 studies ( 4 , 14 ) were prospective comparative studies, and 12 studies ( 5 , 13 , 16 , 18 , 22 , 23 , 25 , 27 , 30 , 32 – 34 ) were retrospective comparative studies. A total of 10 studies ( 13 , 17 , 22 – 28 , 32 ) reported on the 2G percutaneous hallux valgus surgery, in which 7 studies ( 13 , 22 – 25 , 28 ) involved Bösch osteotomy and 3 studies ( 17 , 26 , 27 ) involved a simple, an effective, a rapid, and an inexpensive (SERI) technique. Roth et al ( 22 ) conducted a retrospective comparative study to compare between Bösch and Kramer osteotomies.…”

Section: Resultsmentioning

confidence: 99%

“…Poggio et al ( 27 ) conducted a retrospective study to compare between the SERI technique and open scarf technique for hallux valgus. Othman and Hegazy ( 28 ) performed a RCT to compare between Bösch surgery and open Chevron osteotomy. Choi et al ( 13 ) performed a retrospective comparison between the Bösch technique and Chevron surgery.…”

Section: Resultsmentioning

confidence: 99%

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Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis

Wang

Ding

et al. 2022

Front. Surg.

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PurposeIn recent years, minimally invasive surgery (MIS) for hallux valgus has emerged and gained popularity. To date, evidence on the benefits of MIS for hallux valgus is still controversial. This updated meta-analysis aimed to comprehensively evaluate the efficiency of MIS vs. open surgery for hallux valgus.MethodsA systematic literature search of PubMed, Embase, and the Cochrane Library was performed. Two independent reviewers conducted data extraction and analyzed data with R software. Data were presented with risk ratio (RR) and standardized mean difference (SMD) along with 95% confidence interval (CI).ResultsA total of 22 studies in which there were 790 ft treated with the MIS procedure and 838 ft treated with an open procedure were included. The correction of sesamoid position was better in the MIS group. The post-operative distal metatarsal articular angle (DMAA) of the MIS group was lower. There was less pain at the early phase in the MIS group. The MIS group had a shorter surgery time and shorter hospitalization time compared with the open group. Our meta-analysis revealed no statistically significant difference in hallux valgus angle (HVA), first intermetatarsal angle (IMA), the first metatarsal shortening, the American Orthopedic Foot and Ankle Society (AOFAS) score, visual analog scale (VAS) score at the final follow-up or complication rate (when all studies were considered). When taking into consideration only randomized controlled trial (RCT), the AOFAS score was higher in the MIS group while HVA, IMA, DMAA, and complication rate remained no significance. Post-operative IMA of the MIS group was significantly lower when only studies reporting the second-generation (2G) MIS were included. When just studies adopting the third-generation (3G) MIS were included, the HVA and DMAA were lower in the MIS group.ConclusionThe MIS procedures were more effective than open surgeries in the treatment of hallux valgus. Moreover, the MIS group achieved better radiologic and clinical outcomes compared with the open group.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis

Wang

Ding

et al. 2022

Front. Surg.

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“…1 The investigations in this meta-analysis were either second or third-generation techniques. 1,[16][17][18] Although these findings established a benefit to utilizing minimally invasive techniques compared with open, a large variation of minimally invasive techniques was seen within the analysis. Although the chevron and akin osteotomies are the staple of the third-generation minimally invasive the abundance of techniques described in the literature highlights the difficulty that may be encountered when attempting to achieve strong fixation with the chevron osteotomy.…”

Section: Possible Concerns Future Of the Techniquementioning

confidence: 98%

Fourth Generation Hallux Valgus Correction

Acevedo,

Garcia,

Queen

et al. 2023

Techniques in Foot &Amp; Ankle Surgery

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The surgical method described in this paper has shown numerous benefits when compared with traditional minimally invasive surgery (MIS) techniques for the correction of hallux valgus. Although modern, third-generation MIS techniques have been widely adopted for this purpose due to perceived improvements in patient outcomes, those can be largely attributed to the incorporation of a novel system of rigid internal fixation allowing for a reduced risk of surgical complications. By incorporating the second-generation MIS technique of transverse osteotomy with third-generation fixation techniques, the authors have been able to devise a hybrid, fourth-generation MIS technique that shows improvements both in terms of patient recovery and ease of surgical operation. Level of Evidence: The mechanism-based reasoning used in this study classifies it as diagnostic level V in accordance with the OCEBM 2011 Levels of Evidence. For a complete description of levels of evidence, see Instructions for Authors.

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“…The ethology of HV is complex and multifactorial and might be caused by wearing improper footwear, abnormalities in foot anatomy and foot biomechanics, limb inequality, inflammatory joint diseases and genetic factors [ 8 ]. HV may lead to limitation of physical activities and foot pain [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Development of a Manual Measurement Device for Measuring Hallux Valgus Angle in Patients with Hallux Valgus

Shen

Smith

et al. 2022

IJERPH

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Background: Hallux valgus (HV) is one of the most common forefoot deformities, and its prevalence increases with age. HV has been associated with poor foot function, difficulty in fitting footwear and poor health-related quality of life. The aims of this study were to design and develop an easy-to-use measurement device for measuring hallux valgus angle (HVA) in patients with HV and to assess the measurement reliability of the newly designed measurement device. Methods: A manual measurement device for measuring HVA was designed and developed to test on patients with HV. Two measuring methods, i.e., test–retest and intra-observer measurements, were used to evaluate the repeatability and reliability of the newly designed measurement device. In the test–retest measurements, a total of 42 feet from 26 patients with HV were repeatedly measured by the same researcher using the manual measurement device every 3 weeks over a period of 12 months. The measurement reliability of the newly designed measurement device was analysed based on the collected HVA data. In the intra-observer measurements, a total of 22 feet from the same group of HV patients were measured by the same researcher using the manual measurement device and by a consultant using X-ray measurement for comparison. The intraclass correlation coefficient (ICC) was used to determine the correlation of measurements between the manual measurement device and X-ray measurement. Results: The mean of the difference between the two repeat measurements of HVA using the newly designed manual device was 0.62°, and the average of ICC was 0.995, which indicates excellent reliability. The ICC between X-ray and the average of twice-repeated manual measurements was 0.868, with 95% CI (0.649, 0.947) (p = 0.000). When the relationship in HVA between X-ray measurement and manual measurement using the new device was regressed as a linear relationship, the regression equation was y = 1.13x − 4.76 (R2 = 0.70). Conclusions: The newly designed measurement device is easy to use, with low-cost and excellent reliability for HVA measurement, with the potential for use in clinical practice.

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Treatment of Mild to Moderate Hallux Valgus, Percutaneous Osteotomy versus Distal Chevron Osteotomy

Cited by 5 publications

References 12 publications

Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis

Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis

Fourth Generation Hallux Valgus Correction

Development of a Manual Measurement Device for Measuring Hallux Valgus Angle in Patients with Hallux Valgus

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