An interventional study of Chevron osteotomy bunion surgery with lateral soft tissue release in Bunion, sponsored by The Methodist Hospital Research Institute. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-08.
Sponsored by The Methodist Hospital Research Institute · Not applicable, Interventional, and Treatment
The goal of this clinical trial is to determine if performing a lateral soft tissue release during a Chevron osteotomy (or Akin osteotomy when appropriate) for bunions leads to better correction without added complications in 200 patients over the age of 18 years old with the capacity to consent and mild to moderate bunions that are determined to benefit from Chevron osteotomies by one of the IRB approved study physicians. The main questions it aims to answer are:
How does the addition of a lateral soft tissue release (LSTR) in a Chevron osteotomy bunion surgery affect hallux valgus alpha angle (HVA) correction? How does the addition of an LSTR in a Chevron osteotomy bunion surgery affect intermetatarsal angle (IMA) degrees of correction? Researchers will compare Chevron osteotomy bunion surgeries with and without LSTR to see if LSTRs lead to better correction without added complications.
Participants will:
Exclusion Criteria:
Participants randomized to this group will receive a standard Chevron osteotomy bunion surgery.
Participants randomized to this group will receive a Chevron osteotomy bunion surgery and a lateral soft tissue release.
Procedure: Chevron osteotomy bunion surgery with lateral soft tissue release
Lateral soft tissue release is often performed in hallux valgus correction, and there is preliminary evidence to suggest it may be useful in improving post-surgical outcomes for the Chevron osteotomy bunion surgery.
Hallux valgus alpha angle correction
Time frame: Pre-surgery, 6 weeks post surgery
Intermetasarsal angle (IMA) degrees of correction
Time frame: 3 months, 6 months, and 12 months post surgery
Recurrence of hallux valgus deformity
Time frame: 3 months, 6 months, and 12 months post surgery
Complications following surgery
We will be looking at complications including possible metatarsal head avascular necrosis (AVN) and over correction (hallux varus).
Time frame: 3 months, 6 months, and 12 months post surgery
This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.
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The Methodist Hospital Research Institute