ArticleFoot & ankle orthopaedics2026
Recurrence After Combined Minimally Invasive Transverse-Akin and Distal Minimally Invasive Metatarsal Osteotomies: Association With Preoperative Deformity Severity in a Multicentre Retrospective Cohort Study.
Article in Foot & ankle orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Recurrence after minimally invasive hallux valgus correction remains a concern, particularly following combined minimally invasive transverse-Akin (META) and distal minimally invasive metatarsal osteotomies (DMMOs). The influence of deformity severity on recurrence remains unclear. Methods: This retrospective multicentre cohort study included 120 patients treated with combined META and DMMO between 2019 and 2024. Patients were stratified into mild, moderate, and severe deformity groups (n = 40 each). Radiographic outcomes and PROMIS scores were assessed preoperatively and at 3 and 12 months. Recurrence was defined as hallux valgus angle (HVA) > 20°. Multivariable logistic regression identified predictors of recurrence. Results: All groups demonstrated significant radiographic correction and clinically meaningful PROMIS improvement. Recurrence rates at 12 months were 0% in mild, 30% in moderate, and 42.5% in severe deformities ( Conclusion: Combined META+DMMO was associated with substantial functional outcomes; however, recurrence increases substantially with deformity severity. Level of Evidence: Level III, retrospective cohort study.
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