Utility of the modified 5-item frail index to predict complications and reoperations after hallux valgus percutaneous surgery.

Autor: Cafruni VM; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Electronic address: virginia.cafruni@hospitalitaliano.org.ar., Camino-Willhuber GO; 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., Bilbao F; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Cardone G; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Villena DS; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Parise AC; 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., Santini-Araujo MG; Foot and Ankle Section, Orthopaedics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2024 Jul-Aug; Vol. 68 (4), pp. T358-T362. Date of Electronic Publication: 2024 Feb 06.
DOI: 10.1016/j.recot.2024.01.027
Abstrakt: Introduction: The modified 5-item frailty index (mFI-5) has been recently proposed as a useful tool for predicting postoperative complications in orthopedic surgery. We aimed to analyze the utility of this score in predicting complications and reoperations after hallux valgus (HV) deformity surgery.
Methods: 551 patients undergoing percutaneous HV corrective surgery were retrospectively reviewed. The mFI-5 was calculated based and patients were categorized in three groups: 1) non-frail: patients without any of the 5 comorbidities, 2) pre-frail: patients with one comorbidity and 3) frail: patients with two or more comorbidities. Complications and surgical reoperations were recorded.
Results: In the study period 772 percutaneous surgeries were performed to correct HV deformity, 551 patients were included with a median age of 60 (IQR 48-70). Three hundred eighty-nine patients were non-frail (70.6%), 132 were pre-frail (23.9%) and 30 were frail (5.4%). 75 patients suffered complications (13.6%). Even though the rate of complications was higher in frailty patients (23.3%) compared with pre-frail (13.6%) and non frail (12.8%), no significant differences were observed among groups. 48 patients required reoperation (8.7%) but the rate of reoperations among frailty groups was not significantly different (P=.11). Frailty patients had worse AOFAS scores at final follow up (P=.011).
Conclusion: The mFI-5 was not useful to predict postoperative complications and reoperations after hallux valgus corrective surgery. Therefore, other factors should be considered when analyzing the risk of complications after HV corrective surgery.
(Copyright © 2023 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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