Effect of Obesity on Patient-Perceived Outcomes After First Metatarsophalangeal Joint Arthrodesis.

Autor:	Webb AR; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.; Emory University School of Medicine, Atlanta, Georgia., Manz WJ; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.; Emory University School of Medicine, Atlanta, Georgia., Fuqua A; Emory University School of Medicine, Atlanta, Georgia., Coleman MM; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.; Emory University School of Medicine, Atlanta, Georgia., Bariteau JT; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.; Emory University School of Medicine, Atlanta, Georgia., Kadakia RJ; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.; Emory University School of Medicine, Atlanta, Georgia.; Department of Orthopaedics, Emory University, Atlanta, Georgia.
Jazyk:	angličtina
Zdroj:	Foot & ankle specialist [Foot Ankle Spec] 2024 Feb; Vol. 17 (1), pp. 58-66. Date of Electronic Publication: 2022 Sep 19.
DOI:	10.1177/19386400221118894
Abstrakt:	Background: While first metatarsophalangeal joint (MTPJ) arthrodesis is a common and effective procedure, there is a paucity of studies examining obesity's effect on outcomes of 1st MTPJ arthrodesis. This study's purpose was to evaluate patient-reported outcomes following 1st MTPJ arthrodesis in obese versus non-obese patients. Methods: A retrospective cohort study of 94 patients undergoing first MTPJ fusion over the age of 18 with a diagnosis of hallux valgus or hallux rigidus was performed. Surgical and postoperative outcomes were examined preoperatively and at 6 and 12 months follow-up via Visual Analog Pain scale (VAS), and Short Form 36 (SF-36) surveys, and data were stratified into 2 patient groups: BMI < 30 (n = 62, mean age 63.9 ± 9.1 and ≥ 30 (n = 32, mean age 61.9 ± 8.4). Results: Average overall VAS and SF-36 physical component scores improved significantly at 6 months ( P < .001, .006) and 1 year postoperative visits ( P < .001, .007) with no differences in survey scores, outcomes, or complications between weight groups. Conclusion: Our study showed first MTPJ fusion improves short-term pain and physical quality-of-life in arthritic obese and non-obese patients without differences in nonunion, complications, or patient-reported measures. Level of Evidence: Level III, Prognostic, Case-Control Study. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu