Minimally invasive surgery for young female patients with mild-to-moderate juvenile hallux valgus deformity |
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| Institution: | 1. Trauma & Orthopaedic Surgery, University Hospitals of Leicester, Leicester, United Kingdom;2. The University of Northampton, Northampton, The County Clinic Northampton, England, United Kingdom;1. Department of Orthopaedic Surgery, Shanghai Tenth People’s Hospital Affiliated To Tongji University, 301 YanChang Zhong Road, Shanghai 200072, China;2. Department of Orthopaedics, The Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, 600 Yishan Road, Shanghai 200233, China;1. Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA;2. Department of Orthopaedics, Foot and Ankle, Hospital for Special Surgery, New York, NY, USA;1. Orthopaedic Research Institute, Bournemouth University, 6th Floor, Executive Business Centre, 89 Holdenhurst Road, Bournemouth, BH8 8EB, UK;2. Orthopaedic Department, The Royal Bournemouth Hospital, Castle Lane, Bournemouth, BH7 7DW, UK;1. Department of Clinical and Professional Practice, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa;2. Evolutionary Studies Institute, University of the Witwatersrand, Braamfontein, 2000 Johannesburg, South Africa;3. School of Geosciences, University of the Witwatersrand, Braamfontein, 2000 Johannesburg, South Africa;4. Research, M&E and Strategic Information, Enhancing Care Foundation, Durban, South Africa;1. Department of Orthopedics, Hospital Clinic, Universitat Barcelona, Carrer de Villarroel, 170, 08036 Barcelona, Spain;2. Department of Orthopedics, Hospital Clinico, University of Chile, Santiago 8380456, Chile;3. Department of Orthopedics, Hospital San Rafael, Passeig de la Vall d’Hebron, 107, 08035 Barcelona, Spain |
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| Abstract: | BackgroundWe aimed to compare the clinical and radiographic outcomes of minimally invasive surgery (MIS) and distal chevron metatarsal osteotomy (DCMO) for young female patients with mild-to-moderate juvenile hallux valgus deformity.MethodsWe retrospectively reviewed the radiographs and clinical findings of young female patients with mild-to-moderate juvenile hallux valgus who underwent MIS (25 feet) or DCMO (30 feet). In 12 of 25 MIS feet, 2.0-mm bio-absorbable pins were used as an additional fixation device crossing the osteotomy site, and 1.4-mm Kirschner wires were used in the remaining 13 feet.ResultsRadiographic and clinical parameters preoperatively and at the final follow-up were not significantly different between the 2 groups. There were no significant differences in the increments of hallux valgus angle (HVA), distal metatarsal articular angle, medial sesamoid position, first metatarsal length, metatarsal length index, or relative second metatarsal length. Two MIS subgroups according to the additional fixation device showed no significant differences in HVA, the first to second intermetatarsal angle lateral translation ratio, or plantar offset at the final follow-up.ConclusionsMIS for young female patients with mild-to-moderate juvenile hallux valgus deformity had similar radiographic and clinical outcomes compared to DCMO. Regarding additional fixation crossing the osteotomy site, both temporary Kirschner wires and absorbable pins showed no radiographic differences in terms of correction maintenance.Level of evidence: 3. |
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| Keywords: | Juvenile hallux valgus Minimally invasive surgery Distal chevron metatarsal osteotomy |
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