Are Two Incisions Necessary for Hallux Valgus Correction?

NewsBot · Jan 18, 2017

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Are Two Incisions Necessary for Hallux Valgus Correction?
Sultan Naseer Qasim et al
Foot and Ankle Surgery; 17 January 2017

Highlights
•Single Surgeon Series of 192 consecutive patients with well established inclusion and exclusion criteria.
•All underwent single medial incision Scarf +/− Akin Osteotomy and Soft Tissue Release.
•All Radiological measures showed statistically significant improvement in each parameter.
•Validated Patient Satisfaction Survery with very good results with a 71% response rate.
•No correlation of any radiological measure to patient satisfaction.
•No significant complication and none of the cases required revision.
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Background
Soft tissue release for Hallux Valgus correction is traditionally performed through a dorsal first web space incision. We performed a single surgeon series review of Hallux Valgus correction with Scarf +/− Akin osteotomy and lateral release using a single medial incision.

Materials and methods
192 feet were included. Patient satisfaction survey was conducted at the time of study. Pre-operative and final post-operative radiographic data obtained.

Results
All Radiological Parameteres had statistically significant improvement [p < 0.05 for each variable]. Response rate was 71% (Completely satisfied 69%, Satisfied with minor reservation 14%, Satisfied with major reservation 11%, Dissatisfied 6%). There was no correlation of any preoperative or postoperative radiographic measure with satisfaction grade. No patient required revision procedure.

Conclusion
Single medial incision surgery for Hallux Valgus Correction is a simple, safe and effective technique with very high satisfaction. The results are comparable to traditional two-incision surgery.
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Admin2 · Jan 18, 2017

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Trevor Prior · Jan 18, 2017

Always good to have some evidence but I have never used a two incision technique and. to my knowledge, no Podiatric Surgeons in the UK use two incisions. Indeed, I rarely release Adductor Hallucis, lateral sesamoid release, through the medial incision, is usually sufficient.

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