Journal of Foot & Ankle Surgery最新文献

{"title":"Inflammatory biomarkers and risk of re-amputation after transtibial or transfemoral amputation in diabetic patients","authors":"Tolgahan Korkmaz,&nbsp;Mete Özer,&nbsp;Ersin Taşkın,&nbsp;Lezgin Mert,&nbsp;Yener İnce,&nbsp;Mehmet Ali Talmaç","doi":"10.1053/j.jfas.2026.07.007","DOIUrl":"10.1053/j.jfas.2026.07.007","url":null,"abstract":"<div><h3>Background</h3><div>Re-amputation after transtibial or transfemoral amputation may compromise healing and rehabilitation. Inflammatory markers may aid risk stratification.</div></div><div><h3>Purpose</h3><div>To evaluate associations between preoperative inflammatory biomarkers, especially systemic immune-inflammation index (SII) and systemic inflammation response index (SIRI), and re-amputation risk.</div></div><div><h3>Study Design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>We included 146 consecutive diabetic patients who underwent transtibial or transfemoral amputation for diabetic foot-related complications from January 2021 to December 2023. Patients with documented or imaging-confirmed peripheral arterial disease were excluded. Laboratory values within 48 hours before surgery were analyzed. Re-amputation was defined as additional bone resection at the same or a more proximal level. Patients without re-amputation were censored at death or last follow-up. Cox regression and receiver operating characteristic analyses were performed.</div></div><div><h3>Results</h3><div>Re-amputation occurred in 26 patients (17.8%). Re-amputation was associated with higher white blood cell, neutrophil, monocyte, platelet, C-reactive protein (CRP), SII, SIRI, neutrophil-to-lymphocyte ratio, and platelet-to-lymphocyte ratio values. In exploratory multivariable Cox models adjusted for age and amputation level, SIRI (hazard ratio [HR], 1.048; 95% confidence interval [CI], 1.022–1.076; p &lt; .001), SII per 1,000-unit increase (HR, 1.066; 95% CI, 1.011–1.123; p = .018), and CRP per 10 mg/L increase (HR, 1.094; 95% CI, 1.053–1.137; p &lt; .001) remained associated with re-amputation. CRP had the highest area under the curve (0.762), followed by SII (0.746) and SIRI (0.740).</div></div><div><h3>Conclusions</h3><div>Higher preoperative systemic inflammatory burden was associated with re-amputation. CRP performed best, while SII and SIRI showed moderate complementary value. External validation is required.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 5","pages":"Pages 171.e1-171.e7"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of postoperative weight-bearing timing on functional and radiological outcomes in distal tibial metaphyseal fractures: A retrospective cohort study","authors":"Mustafa Bulut MD,&nbsp;Furkan Soy MD","doi":"10.1053/j.jfas.2026.04.006","DOIUrl":"10.1053/j.jfas.2026.04.006","url":null,"abstract":"<div><h3>Background</h3><div>The optimal timing of postoperative weight bearing after distal tibial metaphyseal fractures remains controversial, particularly in patients treated with plate fixation.</div></div><div><h3>Purpose</h3><div>To evaluate the effect of postoperative weight-bearing timing on functional and radiological outcomes in distal tibial metaphyseal fractures treated with minimally invasive percutaneous plate osteosynthesis (MIPPO).</div></div><div><h3>Study Design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included adult patients who underwent MIPPO plating for distal tibial metaphyseal fractures between 2019 and 2024. Fractures were classified as AO 43-A1, AO 43-A2, or AO 43-A3. Weight-bearing progression was documented from electronic records. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) score at 6 and 12 months. Radiological outcomes included medial distal tibial angle (MDTA), anterior distal tibial angle (ADTA), time to union, and return to work. Multivariable linear regression identified predictors of 12-month AOFAS scores.</div></div><div><h3>Results</h3><div>Fifty-eight patients were included. AOFAS scores at 6 months were comparable among AO subgroups, whereas a significant difference was observed at 12 months, with AO 43-A3 fractures demonstrating poorer outcomes. Time to union did not differ among groups, whereas return to work was delayed in AO 43-A3 fractures. In multivariable analysis, time to weight bearing was not independently associated with 12-month AOFAS scores, while fracture complexity and higher BMI were independent predictors of poorer outcome.</div></div><div><h3>Conclusions</h3><div>In distal tibial metaphyseal fractures treated with MIPPO plating, postoperative weight-bearing timing was not independently associated with functional outcomes. Long-term recovery was primarily influenced by fracture complexity and patient-related factors.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 5","pages":"Pages 152.e1-152.e5"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demographic and geographic characterization of the podiatric specialty through the CMS National Downloadable File","authors":"Courtney Chandler Dorliea DPM,&nbsp;Kavya Ajbani DPM,&nbsp;Jeneen Elagha DPM,&nbsp;Andrew J. Meyr DPM, FACFAS","doi":"10.1053/j.jfas.2026.03.008","DOIUrl":"10.1053/j.jfas.2026.03.008","url":null,"abstract":"<div><h3>Background</h3><div>Workforce data analyses of contemporary US podiatric physicians might be relatively lacking in comparison to other specialties. This information is important given concerns for the aging US population and predicted long-term physician shortages.</div></div><div><h3>Purpose</h3><div>The objective of this investigation was to provide a comprehensive contemporary demographic and geographic descriptive analysis of the podiatric specialty in the US.</div></div><div><h3>Study Design</h3><div>Epidemiologic descriptive analysis.</div></div><div><h3>Methods</h3><div>The National Downloadable File produced by the Centers for Medicare &amp; Medicaid Services (CMS) was accessed in July 2025. Demographic and geographic data related to those physicians with a credential of “DPM” was extracted and analyzed.</div></div><div><h3>Results</h3><div>The number of podiatric physicians with an active NPI was 15658. Of these, 70.9% were male. 22.8% graduated from podiatric medical school prior to 1991, while 31.6% graduated after 2011. Podiatric physicians with an active NPI billed within 6678 different zip codes and at 26386 different billing addresses. Although it was most frequent for DPMs with an active NPI to bill from one address (37.8%), the mean±standard deviation (range) of billing addresses per NPI was 1.7 ± 1.5 (<span><span>1</span></span>-50).</div></div><div><h3>Discussion</h3><div>The results of this investigation provide unique information on the demographic and geographic characteristics of podiatric physicians with an active NPI. It is our hope that this primarily descriptive raw data is utilized by state and national organizations for improved work force analyses for the podiatric specialty.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 5","pages":"Pages 147.e1-147.e14"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated endoscopic flexor hallucis longus transfer versus open primary repair for Acute Achilles tendon ruptures: a retrospective comparative study","authors":"Vahdet Ucan MD,&nbsp;Bilal Sulak MD,&nbsp;Ahmet Can Erdem MD,&nbsp;Ali Toprak PhD,&nbsp;Gokcer Uzer MD,&nbsp;Nurzat Elmali MD","doi":"10.1053/j.jfas.2026.05.003","DOIUrl":"10.1053/j.jfas.2026.05.003","url":null,"abstract":"<div><h3>Background</h3><div>Open primary repair is widely used for acute Achilles tendon rupture but is associated with wound-related complications. Endoscopic flexor hallucis longus (FHL) transfer has been proposed as an alternative strategy to reduce soft-tissue morbidity.</div></div><div><h3>Purpose</h3><div>To compare clinical outcomes and complication rates between open primary repair and isolated endoscopic FHL transfer in acute Achilles tendon ruptures.</div></div><div><h3>Methods</h3><div>Patients who underwent surgical treatment within 7 days of injury between 2023 and 2024 were retrospectively reviewed. All ruptures involved the watershed region. Patients underwent either open primary repair using a Krackow technique or isolated endoscopic FHL transfer. Outcomes included ATRS, AOFAS score, VAS pain score, return to activity, and complications.</div></div><div><h3>Results</h3><div>Fifty-four patients were included (32 open, 22 FHL). No statistically significant differences were detected between groups in functional outcome scores or return-to-activity times. The overall complication rate was significantly higher in the open repair group compared with the FHL group (28.1% vs 4.5%, <em>p</em> = 0.03), mainly due to wound-related complications. Hallux-related complaints did not affect daily activities in the FHL group.</div></div><div><h3>Conclusion</h3><div>Isolated endoscopic FHL transfer was associated with similar functional outcome scores and a lower complication rate compared with open repair. This technique may represent a potential alternative in selected acute Achilles tendon ruptures.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 5","pages":"Pages 143.e1-143.e4"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In response to letter to the editor by M Vijayasimha and RP Jayaswal","authors":"Jason George DeVries DPM, FACFAS,&nbsp;Brandon M. Scharer DPM, FACFAS","doi":"10.1053/j.jfas.2025.10.011","DOIUrl":"10.1053/j.jfas.2025.10.011","url":null,"abstract":"","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 5","pages":"Page 177"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148924915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric comorbidities, postoperative pain, and healthcare utilization after ankle repair: A propensity-matched analysis","authors":"Brendon Wang,&nbsp;Irene Wang,&nbsp;Ian Rodriguez,&nbsp;Alex Burton,&nbsp;Jonathan Kraus","doi":"10.1053/j.jfas.2026.05.006","DOIUrl":"10.1053/j.jfas.2026.05.006","url":null,"abstract":"<div><h3>Background</h3><div>Psychiatric comorbidities, including post-traumatic stress disorder (PTSD), generalized anxiety disorder (GAD), and depression, are common among patients with orthopedic trauma and may negatively affect postoperative recovery; however, their impact after ankle repair is not well defined.</div></div><div><h3>Purpose</h3><div>To evaluate whether adults undergoing ankle repair with preexisting PTSD, GAD, or depression have increased risks of postoperative opioid exposure, chronic pain, emergency department (ED) utilization, and short-term complications compared with matched controls.</div></div><div><h3>Study design</h3><div>Retrospective propensity score–matched cohort study.</div></div><div><h3>Methods</h3><div>Using the TriNetX US Collaborative Network, adults ≥18 years who underwent ankle repair (2005–2025) were identified. Patients with PTSD, GAD, or depression were matched 1:1 to controls without psychiatric diagnoses based on demographic and clinical factors. The primary outcome was opioid exposure within 30 days postoperatively. Secondary outcomes included chronic pain, surgical site infection, sepsis, delirium, ED visits, and reoperation.</div></div><div><h3>Results</h3><div>After matching, 2,864 PTSD, 6,993 GAD, and 4,595 depression patients were analyzed. Psychiatric cohorts had higher 30-day opioid exposure, three- to fivefold higher chronic pain, and increased ED utilization (all <em>P</em> &lt; 0.001). PTSD was associated with higher reoperation rates, and GAD with increased delirium. Infection and sepsis rates were similar.</div></div><div><h3>Conclusions</h3><div>Preexisting PTSD, GAD, and depression are independently associated with increased opioid exposure, chronic pain, and ED utilization after ankle repair, supporting targeted perioperative risk stratification and multidisciplinary care.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 5","pages":"Pages 166.e1-166.e6"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of weight-bearing restriction periods using a patellar tendon-bearing brace after arthroscopic and open ankle arthrodesis","authors":"Taihei Miura MD, PhD,&nbsp;Yasuyuki Jujo MD,&nbsp;Kai Man Chu MBChB, FHKCOS, FHKAM (Ortho), FRCSEd (Ortho),&nbsp;Mary Kathleen Cabling MD,&nbsp;Norapon Pornsamutsin MD,&nbsp;Seiji Okada MD, PhD,&nbsp;Masato Takao MD, PhD","doi":"10.1053/j.jfas.2026.05.001","DOIUrl":"10.1053/j.jfas.2026.05.001","url":null,"abstract":"<div><h3>Background</h3><div>After ankle arthrodesis (AA), a postoperative non–weight-bearing period is generally required. A patellar tendon–bearing (PTB) brace allows ambulation while reducing load transmission to the ankle joint; however, its role in supporting early postoperative weight-bearing (within 6 weeks) after AA remains unclear.</div></div><div><h3>Purpose</h3><div>To determine whether early weight-bearing after AA using a PTB brace is feasible in patients with end-stage ankle osteoarthritis by comparing clinical outcomes and bone union between 6-week and 8-week non–weight-bearing protocols.</div></div><div><h3>Study design</h3><div>Retrospective comparative cohort study.</div></div><div><h3>Methods</h3><div>Sixty-seven patients with end-stage ankle osteoarthritis who underwent arthroscopic (<em>n</em> = 41) or open (<em>n</em> = 26) AA were retrospectively reviewed. All patients used a PTB brace postoperatively to allow ambulation with reduced ankle loading. Thirty-six patients followed a 6-week non–weight-bearing protocol, and 31 followed an 8-week protocol. Clinical outcomes were assessed using the Self-Administered Foot Evaluation Questionnaire (SAFE-Q) preoperatively and at final follow-up. Complications, including bony nonunion, were evaluated. Outcomes were compared between groups and by surgical approach.</div></div><div><h3>Results</h3><div>Both groups showed significant postoperative improvement in all SAFE-Q domains compared with preoperative scores (all <em>P &lt;</em> 0.001). The 8-week group demonstrated significantly higher SAFE-Q scores and a higher bone union rate than the 6-week group (both <em>P</em> = 0.04). No significant differences in complication rates, including bony nonunion, were observed between arthroscopic and open AA.</div></div><div><h3>Conclusions</h3><div>Ambulation with ankle load reduction using a PTB brace resulted in favorable clinical outcomes; however, early weight-bearing after AA may not be optimal for all patients and should be considered individually.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 5","pages":"Pages 162.e1-162.e7"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coronal plane alignment influences medial and lateral malleolus bone density in ankle patients with arthritis","authors":"Saul W. Fredrickson MD,&nbsp;David S. Clark BS,&nbsp;Megna Panchbhavi BS,&nbsp;Vinod K. Panchbhavi MD, FACS,&nbsp;Jie Chen MD, MPH","doi":"10.1053/j.jfas.2026.04.017","DOIUrl":"10.1053/j.jfas.2026.04.017","url":null,"abstract":"<div><h3>Background</h3><div>The effect of coronal plane deformity in ankle arthritis on the bone mineral density of the medial and lateral malleolus has not been previously studied.</div></div><div><h3>Purpose</h3><div>We aimed to identify whether the coronal plane deformity has an influence on the medial and lateral malleolus bone mineral density in patients.</div></div><div><h3>Study Design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>We performed a retrospective review at our institution from 2013 to 2023 to identify patients with end-stage ankle arthritis with a preoperative computer tomography (CT) scan undergoing either ankle arthroplasty or ankle arthrodesis. Patients were stratified into varus or valgus (tibiotalar angle &gt; 5 degrees) and neutral ankle alignments. Bone mineral density measurements were taken of the medial and lateral malleolus on CT scan and the medial and lateral ratio was obtained and compared to the tibiotalar angle.</div></div><div><h3>Results</h3><div>There was a statistically significant difference between the medial/lateral bone mineral density ratio in valgus vs neutral patients (<em>P</em> = 0.003) as well as between varus vs valgus patients (<em>P</em> &lt; 0.001). There was no significant difference between medial/lateral malleolus bone mineral density ratio in varus vs neutral patients (<em>P</em> = 0.514).</div></div><div><h3>Conclusion</h3><div>Valgus deformity in patients with ankle arthritis influences bone mineral density in the medial and lateral malleolus.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 5","pages":"Pages 161.e1-161.e4"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Maisonneuve type” fracture patients return to activity quicker than patients with other PER III/IV fractures","authors":"Natalie H. Vu BA,&nbsp;Jacob Linker MD,&nbsp;Abhishek Ganta MD,&nbsp;Sanjit R. Konda MD,&nbsp;Kenneth A. Egol MD,&nbsp;Nirmal C. Tejwani MD","doi":"10.1053/j.jfas.2026.04.010","DOIUrl":"10.1053/j.jfas.2026.04.010","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare clinical characteristics and outcomes of Maisonneuve fractures, as defined as syndesmotic disruption with or without proximal fibula fracture, to other pronation-external rotation (PER) stage III/IV fractures.</div></div><div><h3>Methods</h3><div>A retrospective review of an IRB-approved database of ankle fractures from a single orthopedic department identified patients with surgically treated PER stage III/IV fractures, including those meeting radiographic criteria for Maisonneuve fracture. Data collected included patient demographics, injury mechanism, surgical details, and Lauge-Hansen classification. Maisonneuve fractures were compared to other PER III/IV fractures requiring fibular fixation with syndesmotic stabilization. Outcomes included total complications, fracture-related infection, hardware removal, and nonunion. Patients were seen for standard follow up for 12 months post-operatively with clinical healing defined as non-tenderness about the ankle. Statistical analyses included Chi square analysis, ANOVA, and multivariable regression analysis.</div></div><div><h3>Results</h3><div>64 patients with operatively repaired Maisonneuve fractures were identified (mean follow-up of 10 months). These patients were more often male compared to other PER III/IV fractures (p &lt; 0.05). Maisonneuve fractures were associated with a faster time to clinical healing and return to full activity, confirmed on multivariable regression analysis (p &lt; 0.05). No significant differences in complications rates or radiographic parameters at six months or later were observed, as all values remained within accepted clinical ranges.</div></div><div><h3>Conclusion</h3><div>Maisonneuve fracture patients experience a more rapid clinical recovery based upon painless ankle motion as well as a return to full activity faster than patients with other types of PER III/IV injuries, with comparable complication rates and radiographic outcomes.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 5","pages":"Pages 155.e1-155.e5"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous correction of a hallux valgus deformity: One year follow-up of 170 cases with radiographic and patient reported outcomes.","authors":"Brian G. Loder DPM, FACFAS,&nbsp;Akram Aljumail DPM, AACFAS,&nbsp;Denny A Cherry MD","doi":"10.1053/j.jfas.2026.03.006","DOIUrl":"10.1053/j.jfas.2026.03.006","url":null,"abstract":"<div><h3>Background</h3><div>Percutaneous hallux valgus correction is gaining popularity in the United States. However, its benefits compared to the traditional open technique remain debated. Adoption of the technique has been slow, largely due to the lack of long-term studies incorporating patient-reported outcomes in the U.S. population.</div></div><div><h3>Purpose</h3><div>To evaluate the one-year clinical and radiographic outcomes of percutaneous chevron-Akin osteotomy for hallux valgus correction using patient-reported functional outcome measures.</div></div><div><h3>Study Design</h3><div>Retrospective cohort study</div></div><div><h3>Methods</h3><div>We identified 295 patients who underwent percutaneous chevron-Akin osteotomy for hallux valgus correction between September 2019 and April 2023. A total of 355 procedures were performed, including 61 bilateral surgeries. After applying inclusion criteria and accounting for survey non-respondents, 137 patients (125 females, 12 males) with 170 procedures were included in the final analysis. Patients were contacted and surveyed at a minimum of 12 months postoperatively. The primary functional outcome was assessed using the Foot Function Index (FFI). Radiographic evaluations were conducted using preoperative and final postoperative imaging.</div></div><div><h3>Results</h3><div>Statistically significant improvements (<em>p</em> &lt; 0.05) were observed in all patient-reported outcome measures, including the FFI, as well as in radiographic angle measurements from preoperative to postoperative evaluations.</div></div><div><h3>Conclusion</h3><div>Percutaneous hallux valgus correction demonstrates favorable outcomes at one year, with significant improvement in both patient-reported function and radiographic parameters. While these findings support the efficacy of the percutaneous approach, further comparative studies with the open technique are warranted.</div></div>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":"65 5","pages":"Pages 146.e1-146.e5"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}