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MIAA vs . SERI Minimally Invasive HAV Correction: A Retrospective Comparative Single Surgeon Study in a Rural Area

Don T Peacock^1* and Fellner D²

¹Department of Surgery, Columbus Regional Healthcare, American Board of Foot and Ankle Surgery Board certified in Minimally Invasive Foot and Ankle Surgery- American Board of Multiple Specialties in Podiatry-Minimally Invasive Foot Surgery, Whiteville, NC, USA

²Department of Orthopedics and Podiatry, Mount Sinai Beth Israel Hospital, American Board of Podiatric, Medicine, New York, NY, USA

Received Date: May 12, 2020 / Accepted Date: May 28, 2020 / Published Date: Jun 04, 2020

Citation: Peacock DT, Fellner D (2020) MIAA vs. SERI Minimally Invasive HAV Correction: A Retrospective Comparative Single Surgeon Study in a Rural Area. Clin Res Foot Ankle 8: 293

Copyright: © 2020 Peacock DT, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Objective: The objective of this research is to compare two minimally invasive bunion procedures scientifically. The Null Hypothesis states there is no significant difference in outcomes between the two methods. The research tests the validity of this hypothesis.

Methods: A total of 50 consecutive feet (50 patients) with mild to moderate hallux valgus deformity were part of the study (hallux valgus ≤ 37 degrees and inter-metatarsal angle ≤ 20 degrees). Twenty-five patients had the minimally invasive Austin Akin procedure, and 25 had the Simple Effective Reliable, Inexpensive method. All patients followed for six months post-operatively. Visual analog scores recorded on pre-op, two weeks, four weeks, six weeks, and six months. Subjective and objective results recorded preoperatively and at six months.

Results: The minimally invasive Austin Akin group showed significantly lower visual analog scores at postoperative 6 weeks (P<0.040). Both groups showed improved American Orthopedic Foot and Ankle Society Hallux metatarsophalangeal score at post-op 6 months (minimally invasive Austin Akin group: 48.8 to 92.6, Simple Effective Reliable Inexpensive group 45.6 to 92.4, P=0.970). In both groups 19 patients (76%) reported excellent results. Significant improvement in inter-metatarsal angle and hallux valgus angle in both groups (P=0.469 and P=0.136, respectively).

Conclusion: Both techniques obtained correction of mild to moderate hallux valgus with similar radiological measurement outcomes at six months. However, the minimally invasive Austin Akin group had significantly less pain at six weeks.

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