J Korean Foot Ankle Soc.  2019 Sep;23(3):135-138. 10.14193/jkfas.2019.23.3.135.

Minimally Invasive Surgery for Hallux Valgus Deformity Using Intramedullary Low Profile Plate Fixation: A Case Report

• Cho ST
• Suh JS
• Choi JY

• KMID: 2458016
• DOI: http://doi.org/10.14193/jkfas.2019.23.3.135

Abstract

According to a recent systemic review, hallux valgus deformity has a prevalence rate of about 23% among adults aged 18 to 65 years. To date, more than 100 operative methods have been reported for the correction of hallux valgus deformity. For young female with mild to moderate hallux valgus deformity, minimally invasive surgery can be considered for aesthetic demands. Here, we report a case of a young female patient with mild hallux valgus deformity treated by minimally invasive surgery using intramedullary low profile plate fixation. This can be the favorable method for secure fixation of the osteotomy site and prevention of medial skin irritation symptoms derived from a sharp osteotomy margin.

Keyword

Forefoot; Young female; Hallux valgus; Minimal invasive surgery

MeSH Terms

Adult
Congenital Abnormalities*
Female
Hallux Valgus*
Hallux*
Humans
Methods
Minimally Invasive Surgical Procedures*
Osteotomy
Prevalence
Skin

Figure

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  Figure 1 Bilateral hallux valgus deformity with mild plantar keratosis was noted. (A) Right foot. (B) Left Foot.

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  Figure 2 On the weight bearing anteroposterior foot radiograph, bilateral mild hallux valgus deformity was seen.

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  Figure 3 (A) Through the 8 mm medial incision, transverse osteotomy on the metatarsal neck was performed with oscillating saw. (B) By inserting the curved Kelly forcep to the medullary space, distal fragment was spontaneously translated to the lateral side. (C) Then Low profile locking plate was put intramedullary and locking screws were fixed to secure the osteotomy site. (D) Additional Akin procedure was done with 3.0 cannulated screw fixation.

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  Figure 4 Postoperative scar formation at 1-year follow-up.

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  Figure 5 At postoperative 1 year, weight bearing foot anteroposterior radiograph (A) and right (B) and left (C) lateral radiographs show the adequate correction of the deformity.

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