Abstract：Objective This study aimed to summarize the research progress of minimally invasive Chevron and Akin osteotomy for hallux valgus. Methods "拇外翻""经皮""微创"and "hallux valgus," "percutaneous," "minimally invasive," and "minimally invasive Chevron-Akin" were used as key words to identify articles about minimally invasive Chevron and Akin osteotomy for hallux valgus. The publication dates were before October 2021, and the databases searched were CNKI, Wanfang database, Pubmed, and Embase. A total of 531 articles were retrieved, among which 30 were included after excluding articles without consistent content, repeated studies, and articles without accessible full texts. Results The third generation for hallux valgus was minimally invasive Chevron and Akin (MICA). MICA surgery used percutaneous Chevron osteotomies fixed with compression screws and percutaneous Akin osteotomies if necessary. MICA was also used for severe hallux valgus deformity and had gained great efficacy. Satisfactory outcome were gained in European and American patients who were treated by MICA. Nevertheless, relatively few studies were reported about MICA surgery. Considering the steep learning curve, beginners may cause some complications, such as metastatic metatarsalgia, nerve injury, and soft tissue irritation. Conclusions Compared with the previous two generations of minimally invasive surgery, MICA is more stable and has a wider range of indications, but the operation is complicated and there are more complications. The prevention of complications of third-generation techniques for hallux valgus should be further explored.
纪霖锋, 张明珠. 微创Chevron联合Akin截骨治疗足拇外翻的研究进展[J]. 中华解剖与临床杂志, 2022, 27(5): 364-367.
Ji Linfeng, Zhang Mingzhu. Research progress of minimally invasive Chevron and Akin for hallux valgus. Chinese Journal of Anatomy and Clinics, 2022, 27(5): 364-367.
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2022, Vol. 27 
