Minimally invasive chevron-Akin osteotomy

There has been a growing interest in minimally invasive techniques for hallux valgus surgery, including large patient series. Although some authors have reported mixed or less than favorable results in the past, most now report satisfactory results with the percutaneous Akin or chevron-Akin osteotomies in patients with mild to moderate hallux valgus, especially with third-generation techniques. Comparison studies of open versus percutaneous techniques have shown comparable radiographic and clinical outcomes, with minimal soft-tissue dissection, avoidance of capsular disruption and lateral cortex penetration with the saw, decreased risk of vascular disruption, less perioperative pain, reduced operating time, use of distal ankle-blocks, high union rate, early weight bearing, and less risk of wound complications with the percutaneous techniques.