Being overweight has limited effect on SCARF osteotomy outcome for hallux valgus correction

Abstract

Purpose The purpose of this study was to investigate the association between body mass index (BMI) and the results of SCARF osteotomy of the first metatarsal for hallux valgus (HV) correction, as the literature on this is scant. Methods This prospective study was carried out between 2011 and 2015. One hundred and thirty-three patients diagnosed with moderate to severe HV underwent a SCARF corrective osteotomy. We divided the patients into two groups according to their BMI: normal and overweight. Postoperative follow-up was two years. All patients were examined twice by two medical doctors simultaneously: pre-operatively and postoperatively at two years' follow-up. Data collected included biometrical records, X-rays [HV angle (HVA), intermetatarsal angle (IMA), American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal Index (AOFAS-HMI) and visual analogue scale (VAS) for pain and satisfaction]. Results There was a significant difference between patient age (p = 0.001), age at onset (p < 0.001) and AOFAS-HMI (p = 0.035) at follow-up. Other parameters were similar in both groups. Conclusion Regardless of BMI, the radiological outcome was comparable. Despite a significant difference in AOFAS-HMI results, pain and satisfaction level were similar. The authors agreed that high BMI has protective role in the prevalence of HV.

Effectiveness of hallux valgus surgery on improving health-related quality of life: A follow up study

“…The differences found in the 1-2 IMA and DMAA angles between types of surgery may be due to the surgeon's decision based on the initial angles. Additionally, the role of BMI in HV surgery outcomes has been previously studied, 62,63 and BMI did not act as a predictor for functional outcomes; thus, patients with obesity should not be excluded from HV surgery. 64 The overall complication rate in our study was 8.4%.…”

Effectiveness of hallux valgus surgery on patient quality of life: a systematic review and meta-analysis

“…The evaluation of the clinical outcomes was performed using the following tools: MOXFQ (Dawson et al 2006, Al-Nammari et al 2015, VAS (Dawson et al 2006, Choi et al 2013, Chen et al 2015, Hogea et al 2017, Lee et al 2017, Milczarek et al 2017, Lai et al 2018, Kaufmann et al 2019, the SF-36 (Saro et al 2007, Choi et al 2013), EuroQol-5D (EQ5-D) (Kaufmann et al 2019), and the SAFE-Q (Niki et al 2017).…”

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

“…Eight items that were included in the initial questionnaire were discarded by the expert panel. Among the general items, weight and height were discarded: these variables are unlikely to influence the motive for hallux valgus repair [ 75 – 77 ] and were thus unnecessary. In addition, these data are systematically collected before the consultation as they are part of the medical file.…”

“…influence the motive for hallux valgus repair [75][76][77] and were thus unnecessary. In addition, these data are systematically collected before the consultation as they are part of the medical file.…”