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Foot Ankle Clin. 2016 Sep;21(3):459-77. doi: 10.1016/j.fcl.2016.04.001.

Percutaneous Surgery for Mild to Moderate Hallux Valgus.

Author information

1
Orthopaedic and Arthritis Specialist Centre, Level 2, 445 Victoria Avenue, Chatswood, Sydney 2067, New South Wales, Australia. Electronic address: admin@peterlam.com.au.
2
Department of Orthopedic Surgery, Yonsei Sarang Hospital, 478-3, Bangbae-dong, Seocho-gu, Seoul, Korea.
3
Orthopaedic and Arthritis Specialist Centre, Level 2, 445 Victoria Avenue, Chatswood, Sydney 2067, New South Wales, Australia.

Abstract

Patients who undergo percutaneous chevron-Akin osteotomies have less pain at follow-up, greater correction of hallux valgus angle, and a shorter operation time compared with open osteotomies. Stable fixation of the chevron osteotomy allows early full weight bearing and mobilization of the first metatarsophalangeal joint. This article describes the surgery technique, including reduction of the first metatarsal head after translation, accurate positioning of the proximal first metatarsal fixation screw, and removal of the dorsomedial prominence of the first metatarsal head.

KEYWORDS:

Akin; Chevron; Hallux valgus; Minimally invasive; Percutaneous

PMID:
27524701
DOI:
10.1016/j.fcl.2016.04.001
[Indexed for MEDLINE]

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