Clinical efficacy of hallux valgus under the guiding of minimally invasive hallux valgus diagnosis and treatment system.
10.12200/j.issn.1003-0034.20250505
- Author:
Pei-Biao CAI
1
;
Yi-Biao DOU
2
;
Chuang-Jian LIN
1
;
Guan-Nan WEN
3
;
Hai-Bo CHEN
1
;
Chuang-Ming WANG
1
Author Information
1. Shantou Hospital of Traditional Chinese Medicine, Shantou 515041, Guangdong, China.
2. Beijing Hospital of Tibetan Medicine of China Tibetology Research Center, Beijing 100029, China.
3. Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China.
- Publication Type:Journal Article
- Keywords:
External fixation;
Hallux valgus;
Integrated Chinese and Western medicine;
Minimally invasive;
Vein thrombosis
- MeSH:
Humans;
Hallux Valgus/diagnosis*;
Male;
Female;
Middle Aged;
Adult;
Aged;
Minimally Invasive Surgical Procedures/methods*;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2025;38(6):566-571
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore short-term clinical efficacy of minimally invasive diagnosis and treatment system for hallux valgus in guiding the treatment of hallux valgus.
METHODS:From March 2021 to November 2023, 68 patients (136 feet) with hallux valgus were treated under guidance of minimally invasive diagnosis and treatment system, including 12 males and 56 females;aged from 25 to 68 years old with an average of (42.5±8.5) years old, the course of disease ranged from 3.2 to 15.6 years with an average of (10.3±2.6) years. The changes of hallux valgus angle (HVA) and intermetatarsal angle (IMA), visual analog scale (VAS) and American Orthopaedic Foot Ankle Society (AOFAS) forefoot score were recorded and compared before operation and 12 months after operation.
RESULTS:Sixty-five patients (130 feet) were followed up for 12 to 15 months with an average of (13.8±0.5) months, 3 patients (6 feet) were not followed up as required. HVA and IMA improved from (35.5±3.5) ° and (12.5±2.0) ° before operation to (10.5±2.5) ° and (8.5±1.5) °12 months after operation, respectively, with statistically significant differences (P<0.05);VAS decreased from (5.5±1.2) before operation to (1.2±0.5) at 12 months after operation, and the difference was statistically significant (P<0.05);AOFAS forefoot score increased from (50.6±5.1) before operation to (93.8±5.6) at 12 months after operation, with a statistically significant difference (P<0.05). Among them, 102 feet were got excellent result, 24 feet good, and 4 feet fair. Two patients were developed calf intermuscular vein thrombosis, and were cured after 3 months of symptomatic treatment.
CONCLUSION:Under the guidance of minimally invasive diagnosis and treatment system for hallux valgus, the treatment of HV could obviously improve HVA and IMA, and significantly alleviate pain symptoms, and accelerate functional recovery.
