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Percutaneous basal closing wedge osteotomy for hallux valgus deformity

Perkutane basale Closing-Wedge-Osteotomie bei Hallux-valgus-Deformität

  • Surgical Techniques
  • Published:
Operative Orthopädie und Traumatologie Aims and scope Submit manuscript

Abstract

Objective

This article describes the percutaneous technique of a minimally invasive basal closing wedge osteotomy for correction of hallux valgus.

Indications

This procedure allows correction of severe deformity with a minimally invasive approach.

Contraindications

No specific contraindication; a fusion would be preferred for an arthritic tarsometatarsal or metatarsophalangeal joint.

Surgical technique

The surgical technique is based on the use of burrs specifically adapted for foot surgery. A basal closing wedge osteotomy is performed and fixed percutaneously. Each step is controlled under fluoroscopy.

Postoperative management

A postoperative heel shoe is prescribed for 6 weeks with crutches. The foot is elevated during the first 2 weeks. Impact is forbidden for 3 months.

Results

The authors report good and excellent results with an average correction of the hallux valgus angle of 26° and an intermetatarsal angle of 8.2°.

Zusammenfassung

Ziel

Im vorliegenden Beitrag wird die perkutane Technik einer miminal-invasiven basalen Closing-Wedge-Osteotomie zur Korrektur eines Hallux valgus beschrieben.

Indikationen

Dieses Verfahren ermöglicht die Korrektur schwerer Deformitäten mithilfe eines miminal-invasiven Ansatzes.

Kontraindikationen

Spezifische Kontraindikationen bestehen nicht, bei arthritischen tarsometatarsalen oder metatarsophalangealen Gelenken würde eine Fusion bevorzugt.

Chirurgische Technik

Die chirurgische Technik basiert auf der Verwendung von Bohrern, die speziell auf die Fußchirurgie ausgerichtet sind. Eine basale Closing-Wedge-Osteotomie wird perkutan durchgeführt und fixiert. Jeder Schritt wird unter Durchleuchtung kontrolliert.

Postoperatives Management

Ein postoperativ zu tragender Verbandsschuh und Gehstützen werden für 6 Wochen verordnet. Der Fuß wird in den ersten 2 Wochen hochgelagert. Belastung ist 3 Monate lang verboten.

Ergebnisse

Die Autoren berichten über gute und ausgezeichnete Ergebnisse bei einem durchschnittlichen Korrekturwinkel von 26° für den Hallux valgus und einem Intermetatarsalwinkel von 8,2°.

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Author information

Authors and Affiliations

  1. Sussex Orthopaedic Treatment Centre (SOTC), Haywards Heath, UK

    Joel Vernois

  2. Institut de Chirurgie du Pied (ICP), Clinique Blomet, 136 rue Blomet, 75015, Paris, France

    Joel Vernois

  3. London Foot & Ankle Centre, Hospital St John & St Elizabeth, 60 Grove End Road, NW8 9NH, London, UK

    David Redfern

  4. Centre Hospitalier Universitaire de Lille (CHU Lille), Cite Hospitaliere, 2 Avenue Oscar Lambret (HOP SALENGRO—HOPITAL B CHR LILLE), 59000, Lille, France

    Thomas Amouyel

Authors
  1. Joel Vernois
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  2. David Redfern
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  3. Thomas Amouyel
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Corresponding author

Correspondence to Joel Vernois.

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Conflict of interest

J. Vernois, D. Redfern and T. Amouyel declare that they have no competing interests.

All procedures performed in studies involving human participants or on human tissue were in accordance with the ethical standards of the institutional and/or national research committee and with the 1975 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

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Editor

H. Waizy, Hannover

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Vernois, J., Redfern, D. & Amouyel, T. Percutaneous basal closing wedge osteotomy for hallux valgus deformity. Oper Orthop Traumatol 33, 358–363 (2021). https://doi.org/10.1007/s00064-020-00691-7

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  • DOI: https://doi.org/10.1007/s00064-020-00691-7

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