ArticleFoot & ankle orthopaedics2026
Increased Risk of Recurrence in Severe Hallux Valgus Associated With Inability to Passively Correct Deformity Prior to Surgery: A Comparative Study of Transverse vs Chevron Osteotomy Minimally Invasive Surgery Techniques.
Article in Foot & ankle orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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8 authors.
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Abstract
Background: The optimal osteotomy technique for severe hallux valgus deformity using minimally invasive surgery remains unknown. This study aimed to explore the clinical and radiographic outcomes between chevron and transverse osteotomies in patients with severe hallux valgus deformity. Methods: A retrospective cohort study was conducted including 131 feet (109 patients) with complete radiographic follow-up who underwent hallux valgus correction using either percutaneous chevron and Akin osteotomy (PECA) (n = 43 patients, 50 feet) or metaphyseal extra-articular transverse and Akin osteotomy (META) (n = 66 patients, 81 feet) techniques. Radiographic parameters including hallux valgus angle (HVA) and intermetatarsal angle (IMA) were measured at baseline, 6 weeks, and final follow-up. Patient-reported outcome measures were assessed using the Manchester-Oxford Foot Questionnaire (MOXFQ), visual analog scale (VAS) for pain, and EuroQol 5 dimension-5 level questionnaire. Recurrence was defined as a final HVA exceeding 20°. Complication rates and passive correctability were also analyzed. Results: Baseline characteristics were similar between groups, except for significantly higher initial IMA in the PECA group (17.8° vs 15.8°, Conclusion: Both PECA and META techniques provide effective correction of hallux valgus deformity. The higher recurrence rate observed in the META group was associated with a significantly lower rate of pre-operative passive correctability in that cohort. Level of Evidence: Level III, retrospective comparative study.
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