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References

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  1. Lee M, Walsh J, Smith MM, Ling J, Wines A, Lam P. Hallux valgus correction comparing percutaneous chevron/Akin (PECA) and open scarf/Akin osteotomies. Foot Ankle Int. 2017;38(8):838-846. doi:10.1177/1071100717704941
  2. Lai MC, Rikhraj IS, Woo YL, Yeo W, Ng YCS, Koo K. Clinical and radiological outcomes comparing percutaneous chevron-Akin osteotomies vs open scarf-Akin osteotomies for hallux valgus.  Foot Ankle Int. 2018;39(3):311-317. doi:10.1177/1071100717745282
  3. Jeuken RM, Schotanus MG, Kort NP, Deenik A, Jong B, Hendrickx RP. Long-term follow-up of a randomized controlled trial comparing scarf to chevron osteotomy in hallux valgus correction.  Foot Ankle Int. 2016;37(7):687-695. doi:10.1177/1071100716639574
  4. Kheir E, Borse V, Sharpe J, Lavalette D, Farndon M. Medial displacement calcaneal osteotomy using minimally invasive technique. Foot Ankle Int. 2015;36(3):248-252. doi:10.1177/1071100714557154
  5. Thomas MA, Ravine M, Siddiqui NA. Siddiqui’s tips, tricks, and pearls for minimally invasive bunionectomy. Podiatry Today. Published December 2022. Accessed December 21, 2022. https://www.hmpgloballearningnetwork.com/site/podiatry/case-study/pearls-minimally-invasive-bunionectomy-one-surgeons-decade-experience
  6. Acevedo JI, Cedeno AA, Doty J, McWilliam J. Minimally invasive techniques for hallux valgus correction. Tech Foot & Ankle. 2022;21(1); 9-19.
  7. Maffulli N, Longo UG, Oliva F, Denaro V, Coppola C. Bosch osteotomy and scarf osteotomy for hallux valgus correction. Orthop Clin North Am. 2009;40(4):515-524. doi:10.1016/j.ocl.2009.06.003
  8. Lam P, Lee M, Xing J, Di Nallo M. Percutaneous surgery for mild to moderate hallux valgus. Foot Ankle Clin. 2016;21(3):459-477. doi:10.1016/j.fcl.2016.04.001
  9. Blitz NM. Current concepts in minimally invasive bunion surgery. Podiatry Today. 2019;32(2):28-34.
  10. Jowett CRJ, Bedi HS. Preliminary results and learning curve of the minimally invasive chevron Akin operation for hallux valgus. J Foot Ankle Surg. 2017;56(3):445-452. doi:10.1053/j.jfas.2017.01.002
  11. Kaufmann G, Dammerer D, Heyenbrock F, Braito M, Moertlbauer L, Liebensteiner M. Minimally invasive versus open chevron osteotomy for hallux valgus correction: a randomized controlled trial.  Int Orthop. 2019;43(2):343-350. doi:10.1007/s00264-018-4006-8
  12. Technique video. Accessed April 19, 2023. lapiplasty.com/surgeons/
  13. Siddiqui NA, LaPorta G, Walsh AL, Abraham JS, Beauregard S, Gdalevitch M. Radiographic outcomes of a percutaneous, reproducible distal metatarsal osteotomy for mild and moderate bunions: a multicenter study. J Foot Ankle Surg. 2019;58(6):1215-1222. doi:10.1053/j.jfas.2019.04.012
  14. Kheir E, Borse V, Sharpe J, Lavalette D, Farndon M. Medial displacement calcaneal osteotomy using minimally invasive technique. Foot Ankle Int. 2015;36(3):248-252. doi:10.1177/1071100714557154

       Before and after images courtesy of Nick Campitelli, DPM

1

The Procedure
  1. Lee M, Walsh J, Smith MM, Ling J, Wines A, Lam P. Hallux valgus correction comparing percutaneous chevron/Akin (PECA) and open scarf/Akin osteotomies. Foot Ankle Int. 2017;38(8):838-846. doi:10.1177/1071100717704941
  2. Lai MC, Rikhraj IS, Woo YL, Yeo W, Ng YCS, Koo K. Clinical and radiological outcomes comparing percutaneous chevron-Akin osteotomies vs open scarf-Akin osteotomies for hallux valgus.  Foot Ankle Int. 2018;39(3):311-317. doi:10.1177/1071100717745282
  3. Lagaay PM, Hamilton GA, Ford LA, Williams ME, Rush SM, Schuberth JM. Rates of revision surgery using Chevron-Austin osteotomy, Lapidus arthrodesis, and closing base wedge osteotomy for correction of hallux valgus deformity. J Foot Ankle Surg. 2008;47(4):267-272. doi:10.1053/j.jfas.2008.03.002
  4. Raikin SM, Miller AG, Daniel J. Recurrence of hallux valgus: a review. Foot Ankle Clin. 2014;19(2):259-274. doi:10.1016/j.fcl.2014.02.008
  5. Thomas MA, Ravine M, Siddiqui NA. Siddiqui’s tips, tricks, and pearls for minimally invasive bunionectomy. Podiatry Today. Published December 2022. Accessed May 17, 2023. https://www.hmpgloballearningnetwork.com/site/podiatry/case-study/pearls-minimally-invasive-bunionectomy-one-surgeons-decade-experience
  6. Siddiqui NA, LaPorta G, Walsh AL, Abraham JS, Beauregard S,Gdalevitch M. Radiographic outcomes of a percutaneous, reproducible distal metatarsal osteotomy for mild and moderate bunions: a multicenter study. J Foot Ankle Surg. 2019;58(6):1215-1222. doi:10.1053/j.jfas.2019.04.012
  7. Lam P, Lee M, Xing J, Di Nallo M. Percutaneous surgery for mild to moderate hallux valgus. Foot Ankle Clin. 2016;21(3):459-477. doi:10.1016/j.fcl.2016.04.001
  8. Kheir E, Borse V, Sharpe J, Lavalette D, Farndon M. Medial displacement calcaneal osteotomy using minimally invasive technique. Foot Ankle Int. 2015;36(3):248-252. doi:10.1177/1071100714557154
  9. Frigg A, Zaugg S, Maquieira G, Pellegrino A. Stiffness and range of motion after minimally invasive chevron-Akin and open scarf-Akin procedures. Foot Ankle Int. 2019;40(5):515-525. doi:10.1177/1071100718818
  10. Dhukaram V, Chapman AP, Upadhyay PK. Minimally invasive forefoot surgery: a cadaveric study. Foot Ankle Int. 2012;33(12):1139-1144. doi:10.3113/FAI.2012.1139
  11. Technique video. Accessed May 17, 2023. lapiplasty.com/surgeons/
  12. Maffulli N, Longo UG, Oliva F, Denaro V, Coppola C. Bosch osteotomy and scarf osteotomy for hallux valgus correction. Orthop Clin North Am. 2009;40(4):515-x. doi:10.1016/j.ocl.2009.06.003

       Before and after images courtesy of Nick Campitelli, DPM

2

FAQs
  1. Lai MC, Rikhraj IS, Woo YL, Yeo W, Ng YCS, Koo K. Clinical and radiological outcomes comparing percutaneous chevron-Akin osteotomies vs open scarf-Akin osteotomies for hallux valgus.  Foot Ankle Int. 2018;39(3):311-317. doi:10.1177/1071100717745282
  2. Lee M, Walsh J, Smith MM, Ling J, Wines A, Lam P. Hallux valgus correction comparing percutaneous chevron/Akin (PECA) and open scarf/Akin osteotomies. Foot Ankle Int. 2017;38(8):838-846. doi:10.1177/1071100717704941
  3. Kaufmann G, Dammerer D, Heyenbrock F, Braito M, Moertlbauer L, Liebensteiner M. Minimally invasive versus open chevron osteotomy for hallux valgus correction: a randomized controlled trial.  Int Orthop. 2019;43(2):343-350. doi:10.1007/s00264-018-4006-8
  4. Kheir E, Borse V, Sharpe J, Lavalette D, Farndon M. Medial displacement calcaneal osteotomy using minimally invasive technique. Foot Ankle Int. 2015;36(3):248-252. doi:10.1177/1071100714557154
  5. Jowett CRJ, Bedi HS. Preliminary results and learning curve of the minimally invasive chevron Akin operation for hallux valgus. J Foot Ankle Surg. 2017;56(3):445-452. doi:10.1053/j.jfas.2017.01.002
  6. Frigg A, Zaugg S, Maquieira G, Pellegrino A. Stiffness and range of motion after minimally invasive chevron-Akin and open scarf-Akin procedures. Foot Ankle Int. 2019;40(5):515-525. doi:10.1177/1071100718818577
  7. Blitz NM. Current concepts in minimally invasive bunion surgery. Podiatry Today. 2019;32(2):28-34.
  8. Dhukaram V, Chapman AP, Upadhyay PK. Minimally invasive forefoot surgery: a cadaveric study. Foot Ankle Int. 2012;33(12):1139-1144. doi:10.3113/FAI.2012.1139
  9. Maffulli N, Longo UG, Oliva F, Denaro V, Coppola C. Bosch osteotomy and scarf osteotomy for hallux valgus correction. Orthop Clin North Am. 2009;40(4):515-524 doi:10.1016/j.ocl.2009.06.003

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4

About Bunions
  1. Lam P, Lee M, Xing J, Di Nallo M. Percutaneous surgery for mild to moderate hallux valgus. Foot Ankle Clin. 2016;21(3):459-477. doi:10.1016/j.fcl.2016.04.001
  2. Lee M, Walsh J, Smith MM, Ling J, Wines A, Lam P. Hallux valgus correction comparing percutaneous chevron/Akin (PECA) and open scarf/Akin osteotomies. Foot Ankle Int. 2017;38(8):838-846. doi:10.1177/1071100717704941
  3. Frigg A, Zaugg S, Maquieira G, Pellegrino A. Stiffness and range of motion after minimally invasive chevron-Akin and open scarf-Akin procedures. Foot Ankle Int. 2019;40(5):515-525. doi:10.1177/1071100718818577

        Bunion progression images courtesy of Nick Campitelli DPM

5

About Arthrex
  1. Treuting R. Minimally invasive orthopedic surgery: arthroscopy. Ochsner J. 2000;2(3):158-163.

7

What Doctors Are Saying
  1. Frigg A, Zaugg S, Maquieira G, Pellegrino A. Stiffness and range of motion after minimally invasive chevron-Akin and open scarf-Akin procedures. Foot Ankle Int. 2019;40(5):515-525. doi:10.1177/1071100718818577
  2. Lee M, Walsh J, Smith MM, Ling J, Wines A, Lam P. Hallux valgus correction comparing percutaneous chevron/Akin (PECA) and open scarf/Akin osteotomies. Foot Ankle Int. 2017;38(8):838-846. doi:10.1177/1071100717704941
  3. Lai MC, Rikhraj IS, Woo YL, Yeo W, Ng YCS, Koo K. Clinical and radiological outcomes comparing percutaneous chevron-Akin osteotomies vs open scarf-Akin osteotomies for hallux valgus.  Foot Ankle Int. 2018;39(3):311-317. doi:10.1177/1071100717745282
  4. Kheir E, Borse V, Sharpe J, Lavalette D, Farndon M. Medial displacement calcaneal osteotomy using minimally invasive technique. Foot Ankle Int. 2015;36(3):248-252. doi:10.1177/1071100714557154
  5. Lam P, Lee M, Xing J, Di Nallo M. Percutaneous surgery for mild to moderate hallux valgus. Foot Ankle Clin. 2016;21(3):459-477. doi:10.1016/j.fcl.2016.04.001
  6. Ji L, Wang K, Ding S, Sun C, Sun S, Zhang M. Minimally invasive vs open surgery for hallux valgus: a meta-analysis. Front Surg. 2022;9:843410.     doi:10.3389/fsurg.2022.843410
  7. Shibuya N, Kyprios EM, Panchani PN, Martin LR, Thorud JC, Jupiter DC. Factors associated with early loss of hallux valgus correction. J Foot Ankle Surg. 2018;57(2):236-240. doi:10.1053/j.jfas.2017.08.018
  8. Lagaay PM, Hamilton GA, Ford LA, Williams ME, Rush SM, Schuberth JM. Rates of revision surgery using Chevron-Austin osteotomy, Lapidus arthrodesis, and closing base wedge osteotomy for correction of hallux valgus deformity. J Foot Ankle Surg. 2008;47(4):267-272. doi:10.1053/j.jfas.2008.03.002
  9. Raikin SM, Miller AG, Daniel J. Recurrence of hallux valgus: a review. Foot Ankle Clin. 2014;19(2):259-274. doi:10.1016/j.fcl.2014.02.008
  10. Blitz NM. Current concepts in minimally invasive bunion surgery. Podiatry Today. 2019;32(2):28-34.
  11. Jowett CRJ, Bedi HS. Preliminary results and learning curve of the minimally invasive chevron Akin operation for hallux valgus. J Foot Ankle Surg. 2017;56(3):445-452. doi:10.1053/j.jfas.2017.01.002
  12. Kaufmann G, Dammerer D, Heyenbrock F, Braito M, Moertlbauer L, Liebensteiner M. Minimally invasive versus open chevron osteotomy for hallux valgus correction: a randomized controlled trial.  Int Orthop. 2019;43(2):343-350. doi:10.1007/s00264-018-4006-8

‍

8

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