title: Percutaneous Surgery for Mild to Moderate Hallux Valgus.
abstract: Patients who undergo percutaneous chevron-Akin osteotomies have less pain at follow-up, greater correction of hallux valgus angle, and a shorter operation time compared with open osteotomies. Stable fixation of the chevron osteotomy allows early full weight bearing and mobilization of the first metatarsophalangeal joint. This article describes the surgery technique, including reduction of the first metatarsal head after translation, accurate positioning of the proximal first metatarsal fixation screw, and removal of the dorsomedial prominence of the first metatarsal head.
authors.affiliation: Orthopaedic and Arthritis Specialist Centre, Level 2, 445 Victoria Avenue, Chatswood, Sydney 2067, New South Wales, Australia. Electronic address: admin@peterlam.com.au.
authors.forename: Peter
authors.initials: P
authors.lastname: Lam
authors.affiliation: Department of Orthopedic Surgery, Yonsei Sarang Hospital, 478-3, Bangbae-dong, Seocho-gu, Seoul, Korea.
authors.forename: Moses
authors.initials: M
authors.lastname: Lee
authors.affiliation: Orthopaedic and Arthritis Specialist Centre, Level 2, 445 Victoria Avenue, Chatswood, Sydney 2067, New South Wales, Australia.
authors.forename: Jerry
authors.initials: J
authors.lastname: Xing
authors.affiliation: Orthopaedic and Arthritis Specialist Centre, Level 2, 445 Victoria Avenue, Chatswood, Sydney 2067, New South Wales, Australia.
authors.forename: Martin
authors.initials: M
authors.lastname: Di Nallo
mesh_terms: D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures; D010027:Osteotomy / Q000379:methods*
keywords: Akin; Chevron; Hallux valgus; Minimally invasive; Percutaneous