COMPARISON BETWEEN OPEN AND MINIMALLY INVASIVE TECHNIQUES IN HALLUX VALGUS CORRECTION
DOI:
https://doi.org/10.56238/levv16n53-114Keywords:
Hallux Valgus, Minimally Invasive Surgery, Osteotomy, Treatment Outcome, Postoperative ComplicationsAbstract
Introduction: Hallux valgus is one of the most common forefoot deformities, with significant functional and aesthetic impact. This study aimed to compare clinical, radiographic, and functional outcomes between open and minimally invasive surgical techniques for hallux valgus correction. Methods: A systematic search was conducted in the PubMed/MEDLINE database from 2015 to 2025, including randomized clinical trials, cohort studies, and systematic reviews. Fifteen studies comparing open techniques (Chevron, Scarf, Akin, and Lapidus) and minimally invasive approaches (MICA, PECA, SERI, and DMMO) were selected. The main outcomes analyzed were radiographic angles (HVA, IMA, DMAA), functional scores (AOFAS, MOXFQ), recovery time, and complications. Results: The mean angular correction was similar between techniques, with reductions of 19.5° for HVA and 7° for IMA. Functional scores improved significantly in both groups, with slightly superior early recovery in minimally invasive procedures. Complication rates were lower in the percutaneous group, mainly mild paresthesia and low recurrence. The mean time to return to daily activities was 6–8 weeks for minimally invasive surgeries and 10–12 weeks for open procedures. Conclusion: Minimally invasive techniques provide clinical and radiographic outcomes equivalent to open approaches, with advantages in morbidity, pain reduction, and faster rehabilitation. Open techniques remain essential for severe deformities. The proper selection of surgical approach and surgeon experience are key determinants of successful outcomes.
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References
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