Triple osteotomy for the correction of severe hallux valgus deformity: Patient reported outcomes and radiological evaluation
| Autor: | Abhijit Bhosale, Anand Pillai, Sean Booth, Ravi Shenoy, Abubakar Mustafa |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Avascular necrosis Osteotomy Severity of Illness Index 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Patient Reported Outcome Measures Prospective Studies Hallux Valgus Podiatry Toe Phalanges Metatarsal Bones Aged Valgus deformity Aged 80 and over 030222 orthopedics Lateral release biology business.industry Soft tissue Middle Aged medicine.disease biology.organism_classification Surgery Valgus Radiological weapon Female Patient-reported outcome business |
| Zdroj: | The Foot. 28:30-35 |
| ISSN: | 0958-2592 |
| DOI: | 10.1016/j.foot.2016.09.009 |
| Popis: | Background Symptomatic Hallux valgus can be treated with metatarsal osteotomy combined with proximal phalangeal osteotomy, however this might not be sufficient to treat severe HV deformities. Methods Fifteen feet in eleven female patients treated with double first metatarsal and proximal phalanx osteotomies without lateral release were prospectively studied and outcome measures including radiological angles and validated patient reported outcome scores collected. Results Mean radiological follow up was 15 months and PROMs data 17 months. Mean hallux valgus and intermetatarsal angles were corrected from 45 to 24.7 ° and 18.7 to 7.4 ° respectively. There was an eight degree recurrence of hallux valgus angle. There was no wound problems, non-unions or evidence of avascular necrosis. The EQ-5D descriptive index showed a non-statistically significant improvement. All three elements of the MOxFQ score showed a statistically significant improvement: Forefoot pain (59–26.8), Walking and Stability (49.9–29.6) and Social Interaction (56.4–33.1) Conclusion Triple osteotomy, without a lateral soft tissue release, leads to good radiological and functional outcomes in those with severe hallux valgus deformity. Patients need to be warned of the recovery time and potential for future metalwork removal. The risk of early recurrence suggests that a lateral release should be included in order to maintain a long lasting correction. |
| Databáze: | OpenAIRE |
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