Minimally Invasive Surgery for Juvenile Hallux Valgus.

Abstract

In adults, minimally invasive surgery for surgical treatment of hallux valgus has become increasingly popular, with a growing body of literature showing safety and effectiveness comparable to open surgery. Minimally invasive techniques for the treatment of juvenile hallux valgus include Bosch, Reverdin-Isham, Chevron, Endolog, distal soft tissue release, and hemiepiphysiodesis procedures. Data comparing minimally invasive and open surgery for the treatment of juvenile hallux valgus in children and adolescents are limited. In this review, we provide an overview of juvenile hallux valgus, discuss the minimally invasive techniques available for surgical treatment, and review the data on safety and effectiveness associated with each technique. There is a need for larger-scale studies comparing minimally invasive and open surgery for the treatment of juvenile hallux valgus, as well as the development of a standardized set of clinical and radiographic outcomes to guide evidence-based surgical management of juvenile hallux valgus.

Key concepts: (1)Compared with data on managing hallux valgus in adults, information on the safety and effectiveness of minimally invasive surgery for treating juvenile hallux valgus is limited.(2)Minimally invasive techniques for treating juvenile hallux valgus include Bosch, Reverdin-Isham, Chevron, Endolog, distal soft tissue release, and hemiepiphysiodesis procedures.(3)In total, 10 studies have assessed outcomes, demonstrating varying degrees of radiographic and clinical improvement along with complication rates.(4)Future large-scale comparative studies and standardized outcomes are essential for informing evidence-based surgical management of juvenile hallux valgus.