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Minimally invasive hallux valgus surgery: a critical review of the evidence

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Abstract

This systematic review aims to illustrate the published results of “minimally invasive” procedures for correction of hallux valgus. Based on former systematic reviews on that topic, the literature search was organised by two independent investigators. MEDLINE was systematically searched for available studies. The keywords used were “hallux valgus”, “bunion”, “percutaneous surgery”, “minimally invasive surgery”, “arthroscopy”, “Bosch” and “SERI”. Studies were assessed using the level of evidence rating. A total of 21 papers were included in this review. These studies described a total of 1,750 patients with 2,195 instances of percutaneous, minimally invasive or arthroscopic hallux valgus surgery. Clinical reports of results after minimally invasive hallux valgus surgery at meetings are common. Published results in peer-reviewed journals are less common and the majority of papers are level IV studies according to the level of evidence ratings. We found one level II and three level III studies. Reported complications seem to be less than one may see in one’s own clinical practice. This possible bias may be related to the fact that most studies are published by centres performing primarily minimally invasive hallux valgus surgery.

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Authors and Affiliations

  1. Orthopaedic Hospital Speising, Speisingerstrasse 109, 1130, Vienna, Austria

    Hans-Joerg Trnka & Sabine Krenn

  2. Department of Orthopaedics, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria

    Reinhard Schuh

Authors
  1. Hans-Joerg Trnka
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  2. Sabine Krenn
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  3. Reinhard Schuh
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Correspondence to Hans-Joerg Trnka.

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Trnka, HJ., Krenn, S. & Schuh, R. Minimally invasive hallux valgus surgery: a critical review of the evidence. International Orthopaedics (SICOT) 37, 1731–1735 (2013). https://doi.org/10.1007/s00264-013-2077-0

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  • DOI: https://doi.org/10.1007/s00264-013-2077-0

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