Are two incisions necessary for hallux valgus correction?

Foot Ankle Surg. 2018 Apr;24(2):128-130. doi: 10.1016/j.fas.2017.01.001. Epub 2017 Jan 17.

Abstract

Background: Soft tissue release for hallux valgus correction is traditionally performed through a dorsal first web space incision. We performed a single surgeon series review of hallux valgus correction with Scarf±Akin osteotomy and lateral release using a single medial incision.

Methods: 192 feet were included. Patient satisfaction survey was conducted at the time of study. Pre-operative and final post-operative radiographic data obtained.

Results: All radiological parameters had statistically significant improvement [p<0.05 for each variable]. Response rate was 71% (completely satisfied 69%, satisfied with minor reservation 14%, satisfied with major reservation 11%, dissatisfied 6%). There was no correlation of any preoperative or postoperative radiographic measure with satisfaction grade. No patient required revision procedure.

Conclusions: Single medial incision surgery for hallux valgus correction is a simple, safe and effective technique with very high satisfaction. The results are comparable to traditional two-incision surgery.

Keywords: Hallux valgus correction; Scarf; Single incision.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Hallux Valgus / surgery*
  • Health Care Surveys
  • Humans
  • Male
  • Metatarsal Bones / surgery*
  • Middle Aged
  • Osteotomy / methods*
  • Patient Satisfaction
  • Retrospective Studies
  • Surgical Wound
  • Young Adult