Study Evaluates MICA for Correcting Hallux Valgus Deformity and Postoperative Narcotic Use

“Clinical and Radiographic Outcomes of Percutaneous Chevron-Akin Osteotomies for the Correction of Hallux Valgus Deformity,” a case series in Foot and Ankle International by Dr. Ettore Vulcano et al., is yet another study with compelling outcomes in support of the pendulum shift back towards minimally invasive bunion surgery.

Are we all really headed back toward MIS?

Originally abandoned due to various technique concerns and inadequate fixation, industry innovation and patient enthusiasm have continued to grow over the past decade. Purported benefits include reduced soft tissues, improved wound healing, fewer postoperative complications, higher patient satisfaction and better cosmesis.

What the study showed us

To keep it concise, the report details the use of MIS correction in a total of 274 feet in 248 patients. Overall, the postoperative IMA and HVA reduced down 4.9 and 8.9 degrees, respectively, while the postoperative FFI reduced down to 43. Patient satisfaction was uniformly high (91.6%), but the most staggering result of all is perhaps how exceedingly low the postoperative opioid consumption was. The later alone could be enough for a compelling argument.