Correction of Hallux Valgus Deformity in Association With Underlying Metatarsus Adductus Deformity
| Autor: | Naohiro Shibuya, Britton S. Plemmons, Lanster R. Martin, Jakob C. Thorud, Daniel C. Jupiter |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Foot Deformities Male medicine.medical_specialty Corrective surgery Comorbidity Logistic regression Risk Assessment Severity of Illness Index Metatarsus adductus Cohort Studies 03 medical and health sciences 0302 clinical medicine medicine Deformity Humans Orthopedics and Sports Medicine Podiatry Hallux Valgus Valgus deformity Aged Pain Measurement Retrospective Studies 030222 orthopedics Analysis of Variance biology business.industry 030229 sport sciences Recovery of Function Middle Aged medicine.disease biology.organism_classification Metatarsus Primus Varus Surgery Osteotomy Radiography Valgus Logistic Models Treatment Outcome Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Footankle specialist. 10(6) |
| ISSN: | 1938-7636 |
| Popis: | Presence of underlying metatarsus deformity is known to negatively affect the outcome of hallux valgus corrective surgery. Yet there are many other factors that also affect final outcomes. In order to address the potential relationships between variables, we attempted to evaluate the association of metatarsus adductus with surgical outcomes, independent of other common factors used in evaluation of hallux valgus deformity. We enrolled 154 patients who had undergone hallux valgus corrective surgery and recorded their pre- and postoperative intermetatarsal (IM12) and hallux valgus (HVA) angles, preoperative Engel’s angle, and type of hallux valgus procedure. Using linear and logistic regression models, we identified variables that were independently (1) associated with the final IM12 and HVA and those (2) independently associated with dichotomized postoperative IM12 and HVA. We found that the only factors that were independently associated were preoperative IM12 with postoperative IM12, and preoperative HVA with postoperative HVA. In the linear model, a discretized Engel’s angle of 21 to 25 was marginally negatively associated with the final IM12. There was no detectable relationship between underlying metatarsus adductus deformity and the final outcome of hallux valgus correction after adjusting for other covariates.Levels of Evidence: Level III: Retrospective, cohort study |
| Databáze: | OpenAIRE |
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