Single Dorsal Incision Technic for Hallux Valgus Surgery

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  • Song, Kyung-Won (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Park, In-Heon (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Kim, Gab-Lae (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Lee, Seung-Yong (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Hyun, Youn-Seok (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Seo, Eun-Ho (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine)
  • 송경원 (한림대학교 강동성심병원 정형외과학교실) ;
  • 박인헌 (한림대학교 강동성심병원 정형외과학교실) ;
  • 김갑래 (한림대학교 강동성심병원 정형외과학교실) ;
  • 이승용 (한림대학교 강동성심병원 정형외과학교실) ;
  • 현윤석 (한림대학교 강동성심병원 정형외과학교실) ;
  • 서은호 (한림대학교 강동성심병원 정형외과학교실)
  • Published : 2007.06.01

Abstract

Purpose: In this study, we introduced a newly developed technique of operation for hallux valgus. We used a single dorsal incision to correct major components of Bunion in stead of two or three incisions, which had been used by most of surgeons for long time. Materials and Methods: Between 2003 and 2005, 27 feet with hallux valgus deformity were operated through single dorsal incision. 10 out of 17 patients underwent operation on both feet, 5 patient underwent operation on left feet, remaining 2 underwent operation on right. There were 16 women and 1 man. Average age of patients was 45 (range, 21-59). Post operatively all feet were evaluated by physical examination, Maryland Foot score profile, radiographic measurements and complication. Results: Maryland foot score profile increased from preoperative 67/100 to postoperative 95/100. Most patients satisfied pain relieve and cosmesis. Average preoperative intermetatarsal angle was 15 degrees, which were decreased to 9 degrees after operation and average preoperative hallux valgus angle was 32 degrees, which were decreased to 12 degrees after operation. Conclusion: According to our experience, the single dorsal incision technic for correction of moderate to severe hallux valgus deformities was rather safe and easily performed without noticeable complication with almost same results as multiple incisions technics. We highly recommend this technic to be tried by foot surgeons without hesitation.

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