Responsiveness of the Self-Administered Foot Evaluation Questionnaire (SAFE-Q) in patients with hallux valgus

Niki, Hisateru; Haraguchi, Naotsugu; Aoki, Takafumi; Ikezawa, H.; Ouchi, Kazuo; Okuda, Ryuzo; Kakihana, Masataka; Shima, Hiroaki; Suda, Yasunori; Takao, Masato; Tanaka, Yasuhito; Watanabe, Kota; Tatsunami, Shinobu

doi:10.1016/j.jos.2017.04.005

Cited by 46 publications

(24 citation statements)

References 13 publications

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“…The SAFE-Q is a reliable and valid measurement tool to evaluate foot-related QOL before and after HV surgery. 17 To our knowledge, no studies have used the SAFE-Q to evaluate the outcomes of HV surgery in patients without rheumatoid arthritis. In the present study, the SAFE-Q was only used in 14 patients (17 feet) at the final follow-up because this measurement tool was devised in 2013.…”

Section: Discussionmentioning

confidence: 99%

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Operative Treatment for Hallux Valgus With Moderate to Severe Metatarsus Adductus

et al. 2019

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Background: Operative treatment is indicated for patients who have symptomatic hallux valgus (HV) with moderate to severe metatarsus adductus (MA). However, there is limited information available on the operative procedures and outcomes for the treatment of HV with MA. We aimed to investigate the average 10-year follow-up clinical and radiologic outcomes. Methods: Seventeen patients (21 feet, average age: 60.1 years) with symptomatic HV with moderate to severe MA were operatively treated. Mean postoperative follow-up duration was 114.4 (24-246) months. All feet had metatarsus adductus angle ≥20 degrees on dorsoplantar weight-bearing radiograph. The procedure included a proximal crescentic osteotomy of the first metatarsal and abduction osteotomy of the proximal third of the second and third metatarsals. Results: The mean American Orthopaedic Foot & Ankle Society scale score improved significantly postoperatively ( P < .001). The mean postoperative visual analog scale score (17 feet) was 2.0 (0-6). Preoperative metatarsalgia was severe in 2 feet, moderate in 17, and mild in 2. At the most recent follow-up evaluation, 11 feet had no pain, 9 had mild pain, and 1 had moderate pain. The mean hallux valgus angle, intermetatarsal angle, and metatarsus adductus angle significantly decreased postoperatively ( P < .001 for all). Recurrence of HV (HV angle ≥ 20 degrees) was observed in 4 feet. Conclusion: The clinical and radiologic results indicated that our novel operative treatment for HV with moderate to severe MA can achieve significant correction of HV with MA deformities and significant improvement in pain and function. Level of Evidence: Level IV, retrospective case series.

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Section: Discussionmentioning

confidence: 99%

“…The SAFE-Q appears to be sufficient for the evaluation of foot-related QOL before and after surgery in patients with HV. 17 In addition, patients were asked whether they were satisfied, satisfied with reservation, or dissatisfied with the overall results of the surgery.…”

Section: Clinical and Radiologic Assessmentsmentioning

confidence: 99%

Operative Treatment for Hallux Valgus With Moderate to Severe Metatarsus Adductus

et al. 2019

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“…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).…”

Section: Systematic Reviewmentioning

confidence: 99%

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

et al. 2020

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Background and purpose — The quality of life (QoL) of patients with hallux valgus (HV) usually improves postoperatively. Evidence regarding the effect of HV surgery on different domains of patient QoL remains inconclusive. This systematic review and meta-analysis estimates the effect of HV surgery on patient QoL through distinguishing effects on physical domains (comprising physical function and body pain domains) using the EuroQol-5D, short form (SF) health survey-12, and SF-36 QoL scales and a visual analogue scale (VAS) score and mental and social domains using QoL scales. Patients and methods — MEDLINE, EMBASE, Cochrane Library, and Web of Science databases were systematically searched from inception to March 2019 for studies on the effect of HV surgery on patient QoL. A standardized mean difference score was calculated for each specific QoL domain (mental, social, pain, physical, and VAS) using Cohen’s d index. The pooled effect size (ES) was estimated using a random-effects model based on the DerSimonian and Laird method. Results — From 12 published studies selected, the estimated pooled ES for QoL was 1.01 (95% confidence interval [CI] 0.52–1.51; I 2 = 87%) for body pain and 0.43 (CI 0.31–0.55, I 2 = 35%) for physical function. Regarding the composite mental and social domains of QoL, the pooled ES estimates were 0.24 (CI 0.00–0.47, I 2 = 80%) and 0.42 (CI 0.21–0.63, I 2 = 6.4%), respectively. The pooled difference in means for the VAS score was –4.1 (CI –4.5 to –3.6, I 2 = 90%). Interpretation — Our data showed that HV surgery decreased patients’ perceptions regarding pain. Furthermore, the data confirmed that HV surgery increased patients’ QoL, particularly concerning physical and social domains.

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“…All they were very satisfied with the results at the final follow-up visit. In the late stages of the study, we tried to use the Japanese Society for Surgery of the Foot (JSSF) hallux and lesser toes scales 8,9 and the Self-Administered Foot Evaluation Questionnaire (SAFE-Q) 10,11 both before and after MIS for clinical evaluations of IDC and LFC. In case 4 of IDC, JSSF hallux scales improved from 54 points to 100 points 13 months after surgery.…”

Section: Resultsmentioning

confidence: 99%

Minimally invasive surgery for interdigital and lateral fifth toe corns: Case reports

Kurashige¹

2021

Foot & Ankle Surgery: Techniques, Reports & Cases

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The most common locations of the corn are on top of the dorsal lateral aspect of the fifth toe and in the interdigital space between the fourth and fifth toes. Lateral fifth toe corns form as a result of extrinsic pressure from footwear. Interdigital corns form over the condyles of the phalanx between the toes, and can be soft and very painful in most cases. When conservative treatment fails, surgical treatment is indicated. Surgical treatment consists of partial or complete condylectomy and syndactylization. However, it is difficult to correct interdigital corns because of the narrow webspace and risk of painful postoperative scar. No prior study has been published on minimally invasive surgery for lateral fifth toe and interdigital corns, with the exception of some publications on the explanation of the technique. We investigated six toes from five patients using a minimally invasive surgical procedure that consisted of partial condylectomy with correction of associated deformities. We achieved successful results in the absence of major complications or recurrence during one year follow-up periods. This is the first case series that reports on minimally invasive surgery for painful toe corn.

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Responsiveness of the Self-Administered Foot Evaluation Questionnaire (SAFE-Q) in patients with hallux valgus

Cited by 46 publications

References 13 publications

Operative Treatment for Hallux Valgus With Moderate to Severe Metatarsus Adductus

Operative Treatment for Hallux Valgus With Moderate to Severe Metatarsus Adductus

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

Minimally invasive surgery for interdigital and lateral fifth toe corns: Case reports

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