A pilot study to explore if the age that women undergo hallux valgus surgery influences the post-operative range of motion and level of satisfaction

Milnes, Helen L.; Kilmartin, Timothy E.; Dunlop, G

doi:10.1016/j.foot.2010.08.003

Cited by 10 publications

(8 citation statements)

References 26 publications

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“…Age also did not emerge as an independent predictor of the mean post‐operative pressure in any of the zones. This agrees with the finding of Milnes et al26 that age has no direct influence on the range of motion of the first metatarsophalangeal joint or on the AOFAS score.…”

Section: Discussionsupporting

confidence: 93%

Dynamic plantar pressure analysis and midterm outcomes in percutaneous correction for mild hallux valgus

Nova

Sánchez-Rodríguez

Leal-Muro

et al. 2011

Journal Orthopaedic Research

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Mild hallux valgus (HV), which can lead to alteration of the plantar pressure pattern with an overpressure under the hallux, can be repaired percutaneously. Our goals were to determine whether the percutaneous distal soft tissue release (DSTR)-Akin procedure restores the loading pattern and to evaluate which are the determinants of the measures of post-operative outcome. Seventynine percutaneous DSTR-Akin procedures were performed in the same number of patients. The plantar pressure patterns were evaluated using the BioFoot/IBV 1 in-shoe system and compared with measurements from 98 controls. The clinical and radiological outcome parameters measured were the pre-and post-operative AOFAS scores, and the first intermetatarsal, hallux abductus, and first metatarsal-hallux declination angles (FIMA, HAA, FMHDA) in weight-bearing radiographs. The mean follow-up was 28.1 (range 24-33) months. The plantar pressure analysis showed a significant decrease (328-152 kPa, p ¼ 0.001) in the mean pressure under the hallux. Significant improvements occurred in the AOFAS scores, and angular deviations were reduced. The post-operative HAA correlated with the mean pressure under the 1st toe (r 2 ¼ 0.132, p < 0.001). The DSTR-Akin percutaneous technique in mild HV restores physiological patterns of pressure on the hallux and achieves significant correction of radiographic angles and commensurate improvement in clinical status. ß

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Section: Discussionsupporting

confidence: 93%

Dynamic plantar pressure analysis and midterm outcomes in percutaneous correction for mild hallux valgus

Nova

Sánchez-Rodríguez

Leal-Muro

et al. 2011

Journal Orthopaedic Research

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“…Hallux valgus is more frequent in women than men and in older than younger people [ 4 , 58 ], furthermore, women tend to have greater difficulties with shoe fitting because of hallux valgus than men. Although age does not appear to have an impact on surgical outcomes [ 64 , 65 ], older people tend to have a more sedentary lifestyle than younger people [ 66 ] and may therefore have different functional expectations that should be considered in the surgical decision.…”

Section: Discussionmentioning

confidence: 99%

Development of a preoperative questionnaire to improve satisfaction with hallux valgus repair: A Delphi study

Blouin

Genêt²,

Denormandie³

et al. 2022

PLoS ONE

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Background Satisfaction with hallux valgus repair is often poor, despite good surgical outcomes. Many tools have been developed to assess the outcome of the procedure; however none evaluate the association between the initial motive for repair and the reasons for post-surgical dissatisfaction. The aim of this study was to develop a new tool to analyse the subjective and objective expectations of individuals during a pre-operative consultation for hallux valgus repair in order to improve post-surgical satisfaction. Methods We first collected the reasons for dissatisfaction with repair from the medical files of dissatisfied individuals. Then, a steering committee of 4 French experts in the management of hallux valgus designed a questionnaire based on the reasons for dissatisfaction. We then used the DELPHI method to validate the questionnaire: we submitted the questionnaire to a panel of 34 francophone experts in hallux valgus repair for rating in 4 rounds. Results The medical files of 853 individuals were reviewed and a 52-item questionnaire relating to expectations from hallux valgus surgery was drafted. After the 4 rounds, a final 44 item questionnaire reached consensus. Thirteen items related to clinical and psychological profile, 5 to pain, 9 to physical activity, 4 to aesthetics and 13 to footwear. Conclusion This tool should facilitate gathering of individuals’ expectations from hallux valgus repair to ensure realistic goals and reduce post-surgical dissatisfaction.

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“…Since osteotomy destroys the long axis of the rst metatarsal, the measurement results were inaccurate no matter whether the median or midpoint of the longitudinal axis was used for measurement after osteotomy 26 . Digital goniometer was recommended by many researchers to measure HVA 8 ; 27 . As mentioned in previous studies, we selected the line connecting the midpoint of the proximal and distal articular surfaces to calculate the angle [28][29][30] .…”

Section: Discussionmentioning

confidence: 99%

Biomechanical comparison between rotational Scarf osteotomy and translational Scarf osteotomy: a finite element analysis

Li¹,

Wang

Tang³

et al. 2022

Preprint

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The computerized tomography (CT) data of a hallux valgus patient were selected to establish a finite element model. The standard Scarf osteotomy was simulated based on the model, and the rotation and translation were performed, respectively. The relevant parameters of hallux valgus were compared between the two groups. We completed the cartilage, ligament and other tissues on the bone model to establish a full foot model. We analyzed the troughing, plantar aponeurosis tension, plantar soft tissue, and ground stress and also observed the stability of the broken end by a three-point bending test. The results show that: rotational osteotomy can correct larger IMA, and the contact area after osteotomy is larger. The length of the first metatarsal initially increased and then decreased. Compared with the translational group, rotational Scarf can significantly increase DMAA. Mechanical analysis showed that the cancellous bone in the contact part of the broken end in the translation group had greater stress, which was the troughing performance. Stress distribution of plantar aponeurosis, plantar soft tissue, and the ground showed no significant difference. The three-point bending test showed that the separation of the broken ends of the rotational Scarf osteotomy model was slightly smaller than the translational group. We believe that rotational Scarf osteotomy can correct larger IMA, significantly increase the broken end contact area, and effectively avoid troughing. It also had broken end separation smaller than the traditional translational Scarf osteotomy, which is conducive to postoperative stability and healing. However, rotational Scarf osteotomy also has disadvantages, which can increase DMAA accordingly. For patients with large DMAA, other surgical methods should be considered clinically.

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A pilot study to explore if the age that women undergo hallux valgus surgery influences the post-operative range of motion and level of satisfaction

Cited by 10 publications

References 26 publications

Dynamic plantar pressure analysis and midterm outcomes in percutaneous correction for mild hallux valgus

Dynamic plantar pressure analysis and midterm outcomes in percutaneous correction for mild hallux valgus

Development of a preoperative questionnaire to improve satisfaction with hallux valgus repair: A Delphi study

Biomechanical comparison between rotational Scarf osteotomy and translational Scarf osteotomy: a finite element analysis

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