Pain Resolution After Hallux Valgus Surgery

Chen, Jerry; Ang, Benjamin; Jiang, Lei; Yeo, Nicholas Eng Meng; Koo, Kevin; Rikhraj, Inderjeet Singh

doi:10.1177/1071100716653084

Cited by 24 publications

(15 citation statements)

References 25 publications

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“…Evaluation of VAS showed significant improvement at all time points in both groups to a comparable extent (Table 4 ). Residual pain six months after open hallux surgery with improvement over the following 18 months has been reported [ 33 ]. In our study, we could not detect a significant difference between the two groups at any of the time points of our survey, although minor soft tissue irritation was expected with the minimally invasive technique.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive versus open chevron osteotomy for hallux valgus correction: a randomized controlled trial

Kaufmann¹,

Dammerer

Heyenbrock

et al. 2018

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to compare a minimally invasive chevron osteotomy technique (MIS group) and the wellestablished open chevron technique (OC group) for correction of hallux valgus deformity. Methods Patients who were scheduled to undergo a hallux valgus surgery by means of a distal chevron osteotomy were randomly assigned to one of the two groups. Pre-operatively, six weeks, 12 weeks, and nine months post-operatively the following outcome parameters were determined: Visual Analog Scores (VAS) of pain, the American Orthopedic Foot and Ankle Society (AOFAS) forefoot score, radiographic outcome measures, range of motion (ROM), and patient satisfaction. Results Forty-seven cases were analyzed (25 MIS group; 22 OC group). Both operative techniques achieved significant correction of the hallux deformity. The intermetatarsal angle (IMA) improved from 15.1°to 5.8°in the OC and from 14°to 6.8°in the MIS group, whereas the hallux valgus angle (HVA) improved from 28.3°to 8.5°in the OC versus 26.4°to 6.9°in the MIS group. No significant differences were observed between the groups by any of the determined outcome parameters. Regarding patient satisfaction, statistically significant differences were found between MIS and open surgery 12 weeks post-operatively in favour of the MIS group (p = 0.022). Conclusion With the minimally invasive chevron osteotomy, radiological and clinical outcome is comparable to the open technique.

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Section: Discussionmentioning

confidence: 99%

Minimally invasive versus open chevron osteotomy for hallux valgus correction: a randomized controlled trial

Kaufmann¹,

Dammerer

Heyenbrock

et al. 2018

International Orthopaedics (SICOT)

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“…2 Furthermore, patients with lower baseline MCS have been shown to have greater pain levels at 6 months and 2 years after hallux valgus correction. 2 Our population of patients with depressive symptoms did not experience greater pain levels, although their satisfaction with the level of postoperative pain was less than those patients without depressive symptoms. Functional scores also showed greater postoperative improvement in the patients without depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…4,8,9 Pain levels after surgery may be higher in patients with a mood disorder with higher VAS scores and greater narcotic requirement. 2 Furthermore, patients with lower baseline MCS have been shown to have greater pain levels at 6 months and 2 years after hallux valgus correction. 2 Our population of patients with depressive symptoms did not experience greater pain levels, although their satisfaction with the level of postoperative pain was less than those patients without depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Influence of Depressive Symptoms on Hallux Valgus Surgical Outcomes

et al. 2018

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“…For the subjective evaluations, the American Orthopaedic Foot and Ankle Society (AOFAS) hallux Metatarsophalangeal-Interphalangeal (MTP-IP) Evaluation Score (AOFAS-MTPIP) [28], a Visual Analog Scale (VAS) [29], and the Subjective Foot Evaluation Form (SFEF),as described by Haapaniemi et al [30], were used. During the preoperative and follow-up examinations, standing anterior posterior and lateral radiographs were taken of all patients.…”

Section: Methodsmentioning

confidence: 99%

Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study

Avcu¹,

Akalın

Çevik

et al. 2017

The European Research Journal

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Objective. The aim of this study was to compare the clinical and radiological results of Mau osteotomy and Scarf osteotomy with a modified McBride procedure to patients with moderate to severe hallux valgus deformity. Methods. The study included 40 feet which patients were separated into 2 groups followed up for 5 months. Scarf osteotomy was applied to 20 patients including 16 females and 4 males (Scarf group)) and a Mau osteotomy to 20 patients including 17 females and 3 males (Mau group). Radiological measurements were taken preoperative, postoperative and at the final follow-up examination of the hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA), metatarsocuneiform angle (MCA), the 1st metatarsophalangeal joint congruity, 1st metatarsal length, fibular sesamoid subluxation rate. Clinical evaluation was made according to the American Orthopaedic Foot and Ankle Society (AOFAS) and the severity of pain was assessed with the visual analog scale (VAS). Results. There was no difference between the groups in term of the mean HVA, IMA, MCA and DMAA values in preoperative and postoperative measurements. A significant improvement was determined in all the angle values in Scarf and Mau group (p<0.001). A significant increase in DMAA and shortening in the metatarsal length were determined in Mau group compared to Scarf group (p<0.001). An improvement in joint congruity was seen in the goups (p<0.001). There was a significant improvement in term of the AOFAS and VAS values in the groups (p<0.001). Conclusion. Scarf and Mau osteotomies can provide the desired level of improvement in the short-term follow-up results of moderate to severe hallux valgus deformity, taking into consideration the clinical importance that complications are not formed.

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Pain Resolution After Hallux Valgus Surgery

Abstract: Level II, prospective comparative study.

Cited by 24 publications

References 25 publications

Minimally invasive versus open chevron osteotomy for hallux valgus correction: a randomized controlled trial

Minimally invasive versus open chevron osteotomy for hallux valgus correction: a randomized controlled trial

Influence of Depressive Symptoms on Hallux Valgus Surgical Outcomes

Scarf osteotomy or Mau osteotomy for correction of moderate to severe hallux valgus deformity: a prospective, randomized study

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