Post-surgical clinical and radiological assessment of a minimally invasive distal metatarsal osteotomy
DOI:
https://doi.org/10.1016/j.rccot.2015.04.002Keywords:
hallux valgus/surgery, metatarsal bones/surgery, minimally invasive surgical procedures, retrospective studiesAbstract
Background: Hallux valgus is the most common disease of the forefoot and for its correction there have been described more than 150 procedures. Our goal was to describe the clinical and radiological outcomes of minimally invasive techniques for the correction of hallux valgus.
Methods: A case series was studied between January 2011 and December 2012, in patients with hallux valgus, who underwent to surgery for a minimally invasive distal metatarsal osteotomy with a minimum follow up of a year. Clinical records, AOFAS scale, hallux valgus angle, and intermetatarsal angle were accurately evaluated.
Results: The procedure was performed on 20 feet in 17 patients, with a satisfaction rate of 90% according to AOFAS scale. The average score on the AOFAS scale was 82.2 points, mainly supported by the improvement in pain and functional outcome. Furthermore, we evidenced a significant improvement of the three angles analyzed.
Discussion: Minimally invasive technique forthe treatment of hallux valgus, allows a predictable correction of the deformity, with good results according to the AOFAS functional scale. However, comparative prospective studies including large patient cohorts and longer follow-up times should be performed.
Evidence level: IV
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