Objective To study the clinical efficacy of minimally Juvara combined with Akin osteotomy on severe hallux valgus. Methods Forty-five patients (50 feet) with severe hallux valgus treated by minimally Juvara combined with Akin osteotomy in Eight Department of Orthopaedics, Foshan Hospital of Traditional Chinese Medicine from August 2016 to August 2018 were collected in this study. Hallux valgus Angle (HVA), intermetatarsal angle (IMA), distal metatarsal angle (DMAA), distal metatarsophalangeal angle (DASA), interphalangeal angle (IPA) were measured by X-ray examination preoperatively and 3, 6 and 12 months after operation. The efficacy was evaluated in accordance with the American Orthopaedic Foot and Ankle Society (AOFAS) score and the Olerud-Molander Ankle (OMA) Score. Results All patients were followed up within 12～17 months (mean, 14.20±1.55 months). There was no recurrence during follow-up period. In terms of HVA, IMA, DMAA, DASA, IPA, AOFAS and OMA, there were significant differences in postoperative 3, 6 and 12 months and before operation (P<0.01). There were no significant differences among before operation and 3, 6 and 12 months postoperatively (P>0.01). Conclusions For severe hallux valgus, minimally Juvara combined with Akin osteotomy can effectively correct the hallux valgus deformity with small surgical incision, high safety and curative effect, which is worthy of popularization and application in clinical.
Key words
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Severe hallux valgus /
Juvara osteotomy /
Akin osteotomy /
Minimal incision treatment
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