Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery
<b>Background/Objectives:</b> Akin osteotomy, in the context of corrective surgery for hallux valgus, is an effective tool available to surgeons. However, few studies have thoroughly investigated the anatomical and technical characteristics to be considered in order to perform an optimal...
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MDPI AG
2025-06-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/15/13/1618 |
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| author | Enrique Adrian Testa Alberto Ruiz Nasarre Fernando Alvarez Goenaga Daniel Poggio Cano Annamaria Porreca Albert Baduell Ruben Garcia Elvira Miki Dalmau-Pastor Pablo Ruiz Riquelme |
| author_facet | Enrique Adrian Testa Alberto Ruiz Nasarre Fernando Alvarez Goenaga Daniel Poggio Cano Annamaria Porreca Albert Baduell Ruben Garcia Elvira Miki Dalmau-Pastor Pablo Ruiz Riquelme |
| author_sort | Enrique Adrian Testa |
| collection | DOAJ |
| description | <b>Background/Objectives:</b> Akin osteotomy, in the context of corrective surgery for hallux valgus, is an effective tool available to surgeons. However, few studies have thoroughly investigated the anatomical and technical characteristics to be considered in order to perform an optimal osteotomy. This cross-sectional observational study aims to identify the ideal site for performing Akin osteotomy and to identify the factors that influence its corrective power. <b>Methods:</b> To this end, an analysis was conducted on a random sample of 100 patients (186 feet) who underwent X-rays without surgical treatment. Variations in the width between the metaphysis and diaphysis were measured at five different points. For each cut level, corresponding to wedge bases of 2, 3 and 4 mm, three corrective angles were calculated. In addition, the distance between the cut line and the joint was recorded. <b>Results:</b> The base width ranged from 12.6 to 23.2 mm, showing greater variability in the metaphyseal region. The corrective power of the osteotomy showed wide variability, ranging from 5.9 to 18.4 degrees. Four determining factors emerged: the width of the base, the inclination of the medial cortex, the height at which the cut is made and the thickness of the wedge of bone removed. The data obtained suggest that osteotomy should not be performed less than 10 mm from the joint line to avoid the risk of joint invasion. <b>Conclusions:</b> In conclusion, there is no universally ideal site for performing an Akin osteotomy: the choice depends on the degree of correction desired, which in turn is influenced by the factors identified in the study. |
| format | Article |
| id | doaj-art-1ef415b1b19946d1a14bc1ddd77d93ff |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-1ef415b1b19946d1a14bc1ddd77d93ff2025-08-20T03:50:20ZengMDPI AGDiagnostics2075-44182025-06-011513161810.3390/diagnostics15131618Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus SurgeryEnrique Adrian Testa0Alberto Ruiz Nasarre1Fernando Alvarez Goenaga2Daniel Poggio Cano3Annamaria Porreca4Albert Baduell5Ruben Garcia Elvira6Miki Dalmau-Pastor7Pablo Ruiz Riquelme8Orthopaedic Surgery and Traumatology, Ospedale Regionale di Bellinzona e Valli, EOC, 6500 Bellinzona, SwitzerlandFoot and Ankle Unit, Department of Orthopedic and Traumatology, Hospital Sant Rafael, 08035 Barcelona, SpainFoot and Ankle Unit, Department of Orthopedic and Traumatology, Hospital Sant Rafael, 08035 Barcelona, SpainFoot and Ankle Unit, Department of Orthopedic and Traumatology, Hospital Clinic, University of Barcelona, 08007 Barcelona, SpainDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele, 00166 Rome, ItalyFoot and Ankle Unit, Department of Orthopedic and Traumatology, Hospital Clinic, University of Barcelona, 08007 Barcelona, SpainFoot and Ankle Unit, Department of Orthopedic and Traumatology, Hospital Clinic, University of Barcelona, 08007 Barcelona, SpainHuman Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, University of Barcelona, 08007 Barcelona, SpainDepartment of Orthopedic and Traumatology, Las Condes Clinic, Santiago 7591047, Chile<b>Background/Objectives:</b> Akin osteotomy, in the context of corrective surgery for hallux valgus, is an effective tool available to surgeons. However, few studies have thoroughly investigated the anatomical and technical characteristics to be considered in order to perform an optimal osteotomy. This cross-sectional observational study aims to identify the ideal site for performing Akin osteotomy and to identify the factors that influence its corrective power. <b>Methods:</b> To this end, an analysis was conducted on a random sample of 100 patients (186 feet) who underwent X-rays without surgical treatment. Variations in the width between the metaphysis and diaphysis were measured at five different points. For each cut level, corresponding to wedge bases of 2, 3 and 4 mm, three corrective angles were calculated. In addition, the distance between the cut line and the joint was recorded. <b>Results:</b> The base width ranged from 12.6 to 23.2 mm, showing greater variability in the metaphyseal region. The corrective power of the osteotomy showed wide variability, ranging from 5.9 to 18.4 degrees. Four determining factors emerged: the width of the base, the inclination of the medial cortex, the height at which the cut is made and the thickness of the wedge of bone removed. The data obtained suggest that osteotomy should not be performed less than 10 mm from the joint line to avoid the risk of joint invasion. <b>Conclusions:</b> In conclusion, there is no universally ideal site for performing an Akin osteotomy: the choice depends on the degree of correction desired, which in turn is influenced by the factors identified in the study.https://www.mdpi.com/2075-4418/15/13/1618Akin osteotomyproximal phalangeal osteotomyhallux valgusvalgus interphalangeus |
| spellingShingle | Enrique Adrian Testa Alberto Ruiz Nasarre Fernando Alvarez Goenaga Daniel Poggio Cano Annamaria Porreca Albert Baduell Ruben Garcia Elvira Miki Dalmau-Pastor Pablo Ruiz Riquelme Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery Diagnostics Akin osteotomy proximal phalangeal osteotomy hallux valgus valgus interphalangeus |
| title | Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery |
| title_full | Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery |
| title_fullStr | Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery |
| title_full_unstemmed | Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery |
| title_short | Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery |
| title_sort | analysis of factors influencing corrective power of akin s osteotomy in 2d plain radiographs what to consider to obtain good correction in hallux valgus surgery |
| topic | Akin osteotomy proximal phalangeal osteotomy hallux valgus valgus interphalangeus |
| url | https://www.mdpi.com/2075-4418/15/13/1618 |
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