Abstract
Purpose
The current trend in hallux valgus surgery is directed toward percutaneous procedures. However, no evidence that any of these methods of treatment are superior to the others has been described, excepting studies in the long term. The aim of this study was to analyse a series of patients who had undergone a percutaneous distal retrocapital osteotomy of the first metatarsal, and had been followed up for ten years.
Methods
We carried out a clinical and radiological evaluation of 115 feet ten years after surgery.
Results
The AOFAS scale results in the tenth postoperative year remained significantly favourable compared to their corresponding values in the preoperative period, yielding an improvement of 42.2 points overall on average. In relation to radiological findings, the mean hallux angle was maintained below 20 °, with a mean intermetatarsal angle of 8.1 °.
Conclusion
Percutaneous retrocapital metatarsal osteotomy for treatment of mild to moderate hallux valgus is effective in the long term, with the advantages of a minimally invasive procedure.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Robinson AH, Limbers JP (2005) Modern concepts in the treatment of hallux valgus. J Bone Joint Surg 87:1038–1045
Magnan B, Pezzé L, Rossi N, Bartolozzi P (2005) Percutaneous distal metatarsal osteotomy for correction of hallux valgus. J Bone Joint Surg Am 87:1191–1199
Enan A, Abo-Hegy M, Seif H (2010) Early results of distal metatarsal osteotomy through minimally invasive approach for mild-moderate hallux valgus. Acta Orthop Belg 76:526–535
Klosok JK, Pring DJ, Jessop JH, Maffulli N (1993) Chevron or Wilson metatarsal osteotomy for hallux valgus. A prospective randomised trial. J Bone Joint Surg Br 75:825–829
Saro C, Andrén B, Wildemyr Z, Felländer-Tsai L (2007) Outcome after distal metatarsal osteotomy for hallux valgus: a prospective randomized controlled trial of two methods. Foot Ankle Int 28:778–787
Lucijanic I, Bicanic G, Sonicki Z, Mirkovic M, Pecina M (2009) Treatment of hallux valgus with three-dimensional modification of Mitchell’s osteotomy. Technique and results. J Am Podiatr Med Assoc 99(2):162–172
Chuckpaiwong B (2012) Comparing proximal and distal metatarsal osteotomy for moderate to severe hallux valgus. Int Orthop 36:2275–2278
Fuhrmann RA, Zollinger-Kies H, Kundert HP (2010) Mid-term results of scarf osteotomy in hallux valgus. Int Orthop 34:981–989
Jawish R, Assoum H, Saliba E (2010) Opening wedge osteotomy of the first cuneiform for the treatment of hallux valgus. Int Orthop 34:361–368
Nikolaou VS, Korres D, Xypnitos F, Lazarettos J, Lallos S, Sapkas G, Efstathopoulos N (2009) Fixation of Mitchell’s osteotomy with bioabsorbable pins for treatment of hallux valgus deformity. Int Orthop 33:701–706
Radl R, Leithner A, Zacherl M, Lackner U, Egger J, Windhager R (2004) The influence of personality traits on the subjective outcome of operative hallux valgus correction. Int Orthop 28:303–306
Maffulli N, Longo UG, Oliva F, Denaro V, Coppola C (2009) Bosch osteotomy and scarf osteotomy for hallux valgus correction. Orthop Clin N Am 40:515–524
Ferrari J, Higgins JP, Prior TD (2004) Interventions for treatment of hallux valgus and bunions. Cochrane Database Syst Rev 1:CD000964
Kitaoka HB, Alexander IJ, Adelar RS, Nunley JA, Myerson MS, Sanders M (1994) Clinical rating systems for the ankle-hindfoot, midfoot, hallux and lesser toes. Foot Ankle Int 15:349–353
Bösch P, Wanke S, Legenstein R (2000) Hallux valgus correction by the method of Bosch: a new technique with 7 to 10 year follow up. Foot Ankle Clin 5:485–498
Smith RW, Reynolds JC, Stewart MJ (1984) Hallux valgus assessment: report of research committee of American Orthopaedic Foot and Ankle Society. Foot Ankle 5:92–103
Huang PJ, Lin YC, Fu YC, Yang YH, Cheng YM (2001) Radiographic evaluation of minimally invasive distal metatarsal osteotomy for hallux valgus. Foot Ankle Int 32:503–507
Kadaia AR, Smerek JP, Myerson MS (2007) Radiographic results after percutaneous distal metatarsal osteotomy for correction of hallux valgus deformity. Foot Ankle Int 28:355–360
Johnson KA, Cofield RH, Morrey BF (1979) Chevron osteotomy for hallux valgus. Clin Orthop Relat Res 142:44–47
Hawkins FB, Mitchel CL, Hedrick DW (1945) Correction of hallux valgus by metatarsal osteotomy. J Bone Joint Surg Am 37:387–394
Lamprecht E, Kramer J (1984) Die retrokapitale osteotomie nach Kramer und ihre stabitisierung ohne schraube, platte oder gips. Z Orthop 122:607–611
Valles-Figueroa JF, Rodríguez-Reséndiz F, Caleti-del Mazo E, Malacara-Becerra M, Suárez-Ahedo CE (2010) Percutaneous distal metatarsal osteotomy for the correction of hallux valgus. Acta Ortop Mex 24:385–389
Jones KJ, Feiwell LA, Freedman EL, Cracchiolo A (1995) The effect of chevron osteotomy with lateral capsular release on the blood supply to the first metatarsal head. J Bone Joint Surg Am 77:197–204
Coughlin MJ (1996) Hallux valgus. J Bone Joint Surg 78:932–966
Shereff MJ, Yang QM, Kummer FJ (1987) Extraosseous and intraosseous arterial supply to the first metatarsal and metatarsophalangeal joint. Foot Ankle 8:81–93
Conflict of interest
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Faour-Martín, O., Martín-Ferrero, M.Á., Valverde García, J.A. et al. Long-term results of the retrocapital metatarsal percutaneous osteotomy for hallux valgus. International Orthopaedics (SICOT) 37, 1799–1803 (2013). https://doi.org/10.1007/s00264-013-1934-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-013-1934-1