Revision of Recurrent Hallux Valgus Deformity Using a Percutaneous Distal Transverse Osteotomy : Surgical Considerations and Early Results - 30/05/24

Doi : 10.1016/j.fcl.2024.04.010

Thomas L. Lewis, FRCS (Tr & Orth), MFSTEd ^a,^⁎ , Robbie Ray, MB ChB, ChM (T&O), FRCS (Tr & Orth), FEBOT ^a, Peter Lam, FRACS ^b
^a Department of Trauma and Orthopaedic Surgery, King’s Foot and Ankle Unit, King’s College Hospital NHS Foundation Trust, London, SE5 9RS, UK
^b Orthopaedic and Arthritis Specialist Centre, Chatswood, Sydney, Australia

^∗Corresponding author. King’s Foot and Ankle Unit, King’s College Hospital NHS Foundation Trust, London, UK.King’s Foot and Ankle UnitKing’s College Hospital NHS Foundation TrustLondonUK

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Thursday 30 May 2024

Résumé

Hallux valgus (HV) is a common forefoot deformity that can cause pain and difficulty with walking. There are a range of surgical techniques to treat HV deformity, but there is a risk of recurrence. This article reviews the clinical assessment and management of recurrent HV as well as a detailed description of how percutaneous surgical techniques can be used to treat recurrent HV. Overall, percutaneous surgical techniques using a transverse osteotomy and distal screw fixation can successfully treat a wide range of recurrent deformity severities with significant improvement in clinical and radiographic outcomes.

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Keywords : Hallux valgus, Revision surgery, Forefoot deformity, Percutaneous surgery, Transverse osteotomy, Hallux valgus recurrence