The association between surgeon grade and clinical outcome in fourth-generation minimally invasive hallux valgus surgery.

IF 2.4 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2026-09-01 DOI:10.1016/j.fas.2026.08.011

B Lau, A Newton, T L Lewis, V Vignaraja, S Franklin, S Trowbridge, J Ayathamattam, P Lam, R Ray

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引用次数: 0

Abstract

Background: Fourth-generation minimally invasive techniques for hallux valgus correction have demonstrated positive clinical outcomes. However, incorporation into orthopaedic training remains unexplored. This study evaluated whether orthopaedic trainees, operating under direct supervision of an experienced MIS surgeon, achieve comparable outcomes to consultant-performed procedures.

Methods: A retrospective study of 100 MIS hallux valgus corrections compared consultant-performed (n = 50) and trainee-performed (n = 50) groups. Radiographic parameters (HVA, IMA, DMAA) and PROMs (MOXFQ, EQ-5D-5L) were compared.

Results: 47 consultant and 49 trainee procedures were analysed. Both groups demonstrated significant improvement in all radiographic parameters, MOXFQ and EQ-5D-5L index (P < 0.01). No significant differences were observed between consultant- and trainee-performed groups for postoperative HVA, IMA, MOXFQ, or EQ-5D-5L scores (P > 0.05). Complication rates were comparable (12 each, P > 0.05).

Conclusion: Trainees performing MIS hallux valgus correction under direct supervision achieved comparable radiographic correction, patient-reported outcomes, and complication rates to those of a consultant surgeon.

Level of evidence: Level III, Comparative study.

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第四代微创拇外翻手术中外科医生等级与临床结果的关系。

背景：第四代微创技术用于拇外翻矫正已显示出积极的临床效果。然而，将其纳入骨科训练仍未探索。本研究评估了在经验丰富的MIS外科医生的直接监督下进行手术的矫形外科受训者是否能达到与顾问执行手术相当的结果。方法：回顾性研究100例MIS拇外翻矫正，比较顾问组（n = 50）和培训组（n = 50）。比较影像学参数（HVA、IMA、DMAA）和PROMs （MOXFQ、EQ-5D-5L）。结果：分析了47例会诊手术和49例见习手术。两组影像学指标、MOXFQ、EQ-5D-5L指数均有显著改善（P  0.05）。并发症发生率比较（各12例，P > 0.05）。结论：在直接监督下进行MIS拇外翻矫正的受训者取得了与咨询外科医生相当的放射矫正、患者报告的结果和并发症发生率。证据等级：三级，比较研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.