Abstract
The main goal of surgical correction of hallux valgus is the morphologic and functional rebalance of the first ray, correcting all other characteristics of the deformity [1]. Historically, distal metatarsal osteotomies have been indicated in cases of mild or moderate deformity with an intermetatarsal angle as large as 15°. Using certain osteotomies, it is possible to correct intermetatarsal angles as large as 20°. Distal osteotomies may also be used to correct deformities characterized by deviation of the distal metatarsal articular angle (DMAA) or to address concomitant stiffness [2]. Since the first operation published by Reverdin [3] in 1881, many authors have reported their experiences using different operations, each of them characterized by different indications, approaches, designs, and fixations [4–12]. Several comparative studies have been reported comparing radiographic and clinical results among many different techniques, and a review of the literature reveals the satisfaction with all operations to be in the upper 80% level or higher [2, 13]. In 1983, New (personal communication) reported a percutaneous technique for hallux valgus correction. This technique was then reported by Bosh et al. [14], who performed a Hohmann-type [4] osteotomy fixed by only one K-wire, as described by Lamprecht and Kramer [15] in 1982, and, more recently, Magnan et al. [16] reported a description of his experience. These percutaneous operations reduce the surgical trauma because they are performed without large incisions and soft tissue procedures. They require, on the other hand, the use of particular instrumentation, such as Lindemann’s osteotrite, manipulators, or dislocators. Furthermore, with these percutaneous techniques, the correction is performed blindly, and the intraoperative use of fluoroscopy is needed. The minimally invasive bunion correction used by us is not a new technique [17, 18] because it uses an osteotomy and a stabilization method already reported by other authors, making the surgical technique usable in accordance with current concepts in hallux valgus surgery.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Giannini S, Ceccarelli F, Mosca M, et al. Algoritmo nel trattamento chirurgico dell’alluce valgo. In: Malerba F, Dragonetti L, Giannini S, editors. Progressi in medicina e chirurgia del piede, “L’alluce valgo.”. Bologna: Aulo Gaggi; 1997. p. 155–65.
Chang JT. Distal metaphyseal osteotomies in hallux abducto valgus surgery. In: Banks AS, Downey MS, Martin DE, et al., editors. McGlamry’s comprehensive textbook of foot and ankle surgery. Philadelphia: Lippincott; 2001. p. 505–27.
Revenrdin J. De la deviation en dehors du gros orteil (hallux valgus. Vulg. “oignon” “bunions” “ballen”) et de son traitment chirurgical. Trans Int Med Congr. 1881;2:406–12.
Hohmann G. Symptomatische oder Physiologische Behandlung des Hallux Valgus? Munch Med Wochenschr. 1921;33:1042–5.
Mitchell CL, Fleming JL, Allen R, et al. Osteotomy bunionectomy for hallux valgus. J Bone Joint Surg Am. 1958;40:41–60.
Wilson JN. Oblique displacement osteotomy for hallux valgus. J Bone Joint Surg (Br). 1963;45:552–6.
Austin DW, Leventen EO. A new osteotomy for hallux valgus: a horizontally directed “V” displacement osteotomy of the metatarsal head for hallux valgus and primus varus. Clin Orthop Relat Res. 1981;157:25–30.
Youngswick FD. Modifications of the Austin bunionectomy for treatment of metatarsus primus elevatus associated with hallux limitus. J Foot Surg. 1982;21:114–6.
Magerl F. Stabile osteotomien zur Behandlung des Hallux valgus und Metatrsale varum. Orthopade. 1982;11:170–80.
Kalish SR, Spector JE. The Kalish osteotomy: a review and retrospective analysis of 265 cases. J Am Podiatr Med Assoc. 1994;84:237–49.
Lair PO, Sirvers SH, Somdhal J. Two Reverdin-Laird osteotomy modifications for correction of hallux abducto valgus. J Am Podiatr Med Assoc. 1988;78:403–5.
Elleby DH, Barry LD, Helfman DN. The long plantar wing distal metaphyseal osteotomy. J Am Podiatr Med Assoc. 1992;82:501–6.
Grace DL. Metatarsal osteotomy: which operation? J Foot Surg. 1987;36:46–50.
Bosh P, Markowski H, Rannicher V. Technik und erste Ergebnisse der subkutanen distalen Metatarsale -I-Osteotomie. Orthopaedische Praxis. 1990;26:51–6.
Lamprecht E, Kramer J. Die Metatarsale -I- Osteotomie nach Behandlung des Hallux valgus. Orhopaedische Praxis. 1982;8:636–45.
Magnan B, Bortolazzi R, Samaila E, Pezze L, Rossi N, Bartolozzi P. Percutaneous distal metatarsal osteotomy for correction of hallux valgus. Surgical technique. J Bone Joint Surg Am. 2006;88(Suppl 1 Pt 1):135–48.
Giannini S. Indications, techniques and results of minimal incision bunion surgery. Presented at the 32nd annual meeting of the American Orthopaedic. Foot and Ankle Society, Dallas, 16 Feb 2002.
Giannini S, Ceccarelli F, Bevoni R, Vannini F. Hallux valgus surgery: the minimally invasive bunion correction (S.E.R.I.). Tech Foot Ankle Surg. 2003;2(1):11–20.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this entry
Cite this entry
Giannini, S., Bevoni, R., Vannini, F., Cadossi, M. (2016). Minimally Invasive Hallux Valgus Correction, Perspective 1. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_71
Download citation
DOI: https://doi.org/10.1007/978-3-319-34109-5_71
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-34107-1
Online ISBN: 978-3-319-34109-5
eBook Packages: MedicineReference Module Medicine