Is obesity a risk factor in percutaneous hallux valgus surgery?

Autor: Carlucci S; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Electronic address: sofiacarlucci@hotmail.com., Cafruni VM; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Alberti M; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Verbner JM; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Santini-Araujo MG; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Conti LA; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Sotelano P; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Carrasco NM; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Jazyk: angličtina
Zdroj: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2021 Jul; Vol. 27 (5), pp. 577-580. Date of Electronic Publication: 2020 Aug 04.
DOI: 10.1016/j.fas.2020.07.013
Abstrakt: Background: Obesity and its relationship with higher rate of complications in orthopedic surgeries have been reported. There is no evidence of the relation between obesity and percutaneous foot surgery. Our objective was to evaluate obesity as a risk factor for complications and reoperations in percutaneous surgery of the hallux valgus.
Methods: A total 532 feet were retrospectively reviewed in which a percutaneous hallux valgus correction was performed. Complications and surgical reoperations were recorded. Patients were divided into 2 groups: BMI less and greater than 30kg/m 2 .
Results: There were no differences in the rate of complications or reoperations. The total complication rate was 8%. Obesity as an isolated risk factor, presented aOR=1.14 (95%CI 0.54-2.4, p=.714). The overall rate of reoperations was 9%. Obesity presented an aOR=0.64 (95%CI 0.27-1.49, p=.31).
Conclusion: Obesity has not been associated with a higher rate of complications and reoperations in percutaneous hallux valgus surgery. It is a safe procedure and BMI should not influence in the prognosis.
Level of Evidence: Level III, retrospective comparative study.
(Copyright © 2020 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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