The development and current status of minimally invasive hallux valgus surgery technology
10.3760/cma.j.cn121113-20241107-00633
- VernacularTitle:微创 外翻手术技术的发展与现状
- Author:
Xin MA
1
;
Xu WANG
;
Xiang GENG
Author Information
1. 上海交通大学附属上海市第六人民医院骨科，上海 200233
- Publication Type:Journal Article
- Keywords:
Hallux valgus;
Osteotomy;
Minimally invasive surgical procedures
- From:
Chinese Journal of Orthopaedics
2025;45(3):133-136
- CountryChina
- Language:Chinese
-
Abstract:
With the continuous development of minimally invasive technique and people's increasing health awareness, the demand for minimally invasive hallux valgus surgery has continued to rise in recent years. Minimally invasive hallux valgus surgery techniques have also evolved from mere bone grinding advertised by informal healthcare institutions in the early years, to continuous development, improvement, and iteration. From the first generation of osteotomies without internal fixation, to the second generation of linear osteotomies with intramedullary fixation using Kirschner's pins inserted into the proximal metatarsal after pushing the metatarsal head laterally, to the third generation, which utilizes milling drills for minimally invasive Chevron osteotomy, employing a lever for reduction and strong fixation with cannulated screws, their correction capability has been continuously improved, their strength of internal fixation has gradually increased, and the balance of soft tissues has also been improved. Notably, there are also certain complications of minimally invasive hallux valgus surgery, such as malunion, recurrence, vascular nerve injury, and hallux varus, etc. Furthermore, it is more difficult to control the metatarsal head position and the metatarsophalangeal joint congruency under the minimally invasive incision, and the special minimally invasive instruments require certain experience to use, which makes minimally invasive hallux valgus surgery have a learning curve. Many scholars have introduced their own experiences and tips during their practice, such as recommendations on osteotomy direction, recommendation of using a Kirschner pin to assist metatarsal head three-dimensional correction, and optimization of percutaneous screw placement, which will help more doctors better carry out this surgery, and also promote further technical improvement to serve more patients.
