Recurrence After Combined Minimally Invasive Transverse-Akin and Distal Minimally Invasive Metatarsal Osteotomies: Association With Preoperative Deformity Severity in a Multicentre Retrospective Cohort Study.

Foot & Ankle Orthopaedics Pub Date : 2026-08-21 eCollection Date: 2026-07-01 DOI:10.1177/24730114261471555

Gil Genuth, Nadav Moses, Chris Brown, Peter Stavrou, Lukas D Iselin

{"title":"Recurrence After Combined Minimally Invasive Transverse-Akin and Distal Minimally Invasive Metatarsal Osteotomies: Association With Preoperative Deformity Severity in a Multicentre Retrospective Cohort Study.","authors":"Gil Genuth, Nadav Moses, Chris Brown, Peter Stavrou, Lukas D Iselin","doi":"10.1177/24730114261471555","DOIUrl":null,"url":null,"abstract":"Background: Recurrence after minimally invasive hallux valgus correction remains a concern, particularly following combined minimally invasive transverse-Akin (META) and distal minimally invasive metatarsal osteotomies (DMMOs). The influence of deformity severity on recurrence remains unclear.Methods: This retrospective multicentre cohort study included 120 patients treated with combined META and DMMO between 2019 and 2024. Patients were stratified into mild, moderate, and severe deformity groups (n = 40 each). Radiographic outcomes and PROMIS scores were assessed preoperatively and at 3 and 12 months. Recurrence was defined as hallux valgus angle (HVA) > 20°. Multivariable logistic regression identified predictors of recurrence.Results: All groups demonstrated significant radiographic correction and clinically meaningful PROMIS improvement. Recurrence rates at 12 months were 0% in mild, 30% in moderate, and 42.5% in severe deformities (P < .0001). Baseline HVA independently predicted recurrence (OR: 1.13 per degree; 95% CI: 1.07-1.21; P < .001).Conclusion: Combined META+DMMO was associated with substantial functional outcomes; however, recurrence increases substantially with deformity severity.Level of evidence: Level III, retrospective cohort study.","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"11 3","pages":"24730114261471555"},"PeriodicalIF":0.0000,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498826/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot & Ankle Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/24730114261471555","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/7/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Recurrence after minimally invasive hallux valgus correction remains a concern, particularly following combined minimally invasive transverse-Akin (META) and distal minimally invasive metatarsal osteotomies (DMMOs). The influence of deformity severity on recurrence remains unclear.

Methods: This retrospective multicentre cohort study included 120 patients treated with combined META and DMMO between 2019 and 2024. Patients were stratified into mild, moderate, and severe deformity groups (n = 40 each). Radiographic outcomes and PROMIS scores were assessed preoperatively and at 3 and 12 months. Recurrence was defined as hallux valgus angle (HVA) > 20°. Multivariable logistic regression identified predictors of recurrence.

Results: All groups demonstrated significant radiographic correction and clinically meaningful PROMIS improvement. Recurrence rates at 12 months were 0% in mild, 30% in moderate, and 42.5% in severe deformities (P < .0001). Baseline HVA independently predicted recurrence (OR: 1.13 per degree; 95% CI: 1.07-1.21; P < .001).

Conclusion: Combined META+DMMO was associated with substantial functional outcomes; however, recurrence increases substantially with deformity severity.

Level of evidence: Level III, retrospective cohort study.

查看原文本刊更多论文

在一项多中心回顾性队列研究中，微创横向和远端微创跖骨截骨术后复发与术前畸形严重程度的关系。

背景：微创拇外翻矫正术后复发仍然是一个值得关注的问题，特别是在微创横向- akin （META）和远端微创跖骨截骨（DMMOs）联合手术后。畸形严重程度对复发的影响尚不清楚。方法：这项回顾性多中心队列研究纳入了2019年至2024年间接受META和DMMO联合治疗的120例患者。将患者分为轻度、中度和重度畸形组（n = 40）。术前、3个月和12个月评估影像学结果和PROMIS评分。复发定义为拇外翻角（HVA）大于20°。多变量逻辑回归确定了复发的预测因子。结果：所有组均表现出明显的影像学矫正和临床意义的PROMIS改善。12个月时，轻度畸形的复发率为0%，中度畸形为30%，重度畸形为42.5% （P P）结论：META+DMMO联合治疗与大量功能预后相关；然而，随着畸形严重程度的增加，复发率显著增加。证据等级：III级，回顾性队列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊