Technique Tip: Medial prominence bone spur resection in the third-generation percutaneous Chevron-Akin Osteotomy Technique (PECA) for hallux valgus correction |
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| Affiliation: | 1. Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, Brazil;2. Department of Orthopaedics and Traumatology, Hospital Santa Luzia Rede D´Or, Brasília, Brazil;3. Department of Orthopaedics and Traumatology Unit, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil;4. Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom;5. Orthopaedic and Arthritis Specialist Centre, Chatswood, Sydney, Australia;6. Head of Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, Brazil;7. Minimally Invasive Foot Ankle Society (MIFAS by GRECMIP), Brazil;8. Instituto Vita, São Paulo, Brazil;1. IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedic and Traumatologic Clinic, Via Giulio Cesare Pupilli 1, 40136 Bologna, Italy;2. Department of Biomedical and Neuromotor Sciences, University of Bologna, 40123 Bologna, Italy;1. Department of Orthopaedics and Trauma Surgery, Torrejón University Hospital, C/Mateo Inurria. 28850, Torrejón de Ardoz, Madrid, Spain;2. Department of Orthopaedics and Trauma Surgery, ‘Gregorio Marañon’ University Hospital, C/Dr. Esquerdo 46, 28007, Madrid, Spain;1. Valdoltra Orthopedic Hospital, Ankaran, Slovenia;2. Clínica Cándido Guillén, Vigo, Spain;3. Clínica Pereira, Vigo, Spain;4. Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA;5. Department for Foot and Ankle Surgery, Rummelsberg and Nuremberg, Germany;1. Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, 170 Juhwa-ro, Ilsanseo-gu, Goyang-si, Gyeonggi-do, South Korea;2. College of Medicine, Medical Research Information Center, Chungbuk National University, 1 Chungdae-ro, Seowon-gu, Cheongju-si, Chungcheongbuk-do, South Korea;3. Health Care Center, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Bucheon-si, Gyeonggi-do, South Korea |
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| Abstract: | The third-generation percutaneous chevron and Akin osteotomy (PECA) technique for surgical management of hallux valgus has shown improvement in clinical and radiographic outcomes. During this procedure, lateral translation and fixation of the first metatarsal head results in the formation of a bony prominence on the medial side of the distal aspect of the first metatarsal which can cause pain and discomfort to the patient. We describe two techniques to address this bony prominence; either i) excision osteotomy and removal of the fragment or ii) a dorsal closing wedge osteotomy retaining the bony fragment.Level of EvidenceLevel V, expert opinion |
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| Keywords: | Hallux valgus Minimally invasive Bunion Percutaneous surgery |
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