Clinical efficacy analysis of minimally invasive orthopedic segmented osteotomy for the treatment of hallux valgus
10.3969/j.issn.1673-9701.2025.04.010
- VernacularTitle:微创矫形分段截骨治疗外翻的临床疗效分析
- Author:
Zixing BAI
1
;
Long GONG
;
Ming HAO
;
Lei SHI
;
Peiyu SUN
;
Weidong SUN
Author Information
1. 北京中医医院顺义医院骨伤科,北京 101300
- Publication Type:Journal Article
- Keywords:
Hallux valgus;
Minimally invasive;
Osteotomy;
Clinical efficacy
- From:
China Modern Doctor
2025;63(4):40-43,47
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of minimally invasive orthopedics combined with Akin surgical segmental osteotomy in the treatment of hallux valgus.Methods Clinical data of hallux valgus patients who underwent minimally invasive orthopedics combined with Akin surgical segmental osteotomy in Wangjing Hospital of China Academy of Chinese Medical Sciences from June 2020 to June 2022 were collected.Hallux valgus angle(HVA),intermetatarsal angle(IMA),distal metatarsal articular angle(DMAA),visual analogue scale(VAS)score,American Orthopedic Foot and Ankle Society(AOFAS)scale score and complications were compared before and after surgery.Results A total of 186 patients with hallux valgus(328 feet)were included in the study.All patients successfully completed the operation and the follow-up period was 6 months.Six months after surgery,HVA,IMA and DMAA were significantly lower than before surgery,VAS score was significantly lower than before surgery,and AOFAS scale score was significantly higher than before surgery(P＜0.05).There were no postoperative complications such as wound infection,delayed union or nonunion of the osteotomy,and metastatic metatarsalgia.Conclusion Minimally invasive orthopedic combined with Akin surgical segmental osteotomy is safe and effective in treatment of hallux valgus,which has the advantages of less injury,good deformity correction and less postoperative complications,and is worthy of clinical application and promotion.
