The influence of personality traits on the subjective outcome of operative hallux valgus correction

Radl, Roman; Leithner, Andreas; Zacherl, Maximilian; Lackner, Ursula; Egger, J.; Windhager, Reinhard

doi:10.1007/s00264-004-0574-x

Cited by 36 publications

(19 citation statements)

References 21 publications

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“…There is general agreement that psychological factors such as personality may influence patients' adjustment and outcome of surgical interventions [7,8]. For example, dissatisfied patients were characterized by significantly higher aggressiveness, lower extraversion, and more health worries compared to satisfied patients without differences in hallux valgus angle or intermetatarsal angle (I-II) three month after operative hallux valgus correction [9]. In another study, Hyphantis et al [10] reported that arthritis-related pain and hostility were negatively related to both physical as well as psychological health in patients suffering from systemic sclerosis.…”

Section: Introductionmentioning

confidence: 99%

Temperament and character as predictor of health related quality of life after metacarpophalangeal joint arthroplasty ——Personality and MCP joint arthroplasty outcome

Brändström¹,

Pettersson²,

Richter³

2010

Health

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Purpose: To evaluate personality characteris- tics’ impact upon outcome after silicone-based MP arthroplasty in RA patients. Methods: 40 RA patients who had undergone operations on their MP joints were investigated in a one-year fol- low-up. Objective measurement to assess grip strength and active range of motion—Paper- pencil-tests to assess pain during activity and at rest performance, QoL, and personality. Results: Significant improvement was observed in func- tion and pain related scores except for the pain related VAS and in several QoL facets and do- mains. Patients who experienced improvement reported higher scores on the activities of daily living facet of the WHO QoL questionnaire. Those with lower pain showed more independ- ence. The variance of the QoL domain scores, other than social and physical domains, could substantially and meaningfully be explained by variance of objective measures combined with personality scores. Conclusions: Most RA pa- tients’ QoL can be improved by MP arthroplasty despite remaining substantial level of pain. NS and HA seem to play an important role in the adaptation process during the long term, chronic illness; whereas SD represents a tool of coping with the burden of pain and disability. Personal- ity characteristics are highly predictive for QoL suggesting their important mediating role be- tween experienced pain and disability and HR QoL

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Section: Introductionmentioning

confidence: 99%

Temperament and character as predictor of health related quality of life after metacarpophalangeal joint arthroplasty ——Personality and MCP joint arthroplasty outcome

Brändström¹,

Pettersson²,

Richter³

2010

Health

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“…Over 130 different surgical techniques [1][2][3][4] to correct hallux valgus deformity have been proposed, although choosing the most appropriate treatment option continues to generate controversy [5][6][7][8][9][10][11]. The current trend is directed toward percutaneous procedures with the potential benefits of minimally invasive surgery [2], e.g.…”

Section: Introductionmentioning

confidence: 99%

Long-term results of the retrocapital metatarsal percutaneous osteotomy for hallux valgus

Faour-Martín

Martín-Ferrero

García

et al. 2013

International Orthopaedics (SICOT)

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Purpose The current trend in hallux valgus surgery is directed toward percutaneous procedures. However, no evidence that any of these methods of treatment are superior to the others has been described, excepting studies in the long term. The aim of this study was to analyse a series of patients who had undergone a percutaneous distal retrocapital osteotomy of the first metatarsal, and had been followed up for ten years. Methods We carried out a clinical and radiological evaluation of 115 feet ten years after surgery. Results The AOFAS scale results in the tenth postoperative year remained significantly favourable compared to their corresponding values in the preoperative period, yielding an improvement of 42.2 points overall on average. In relation to radiological findings, the mean hallux angle was maintained below 20°, with a mean intermetatarsal angle of 8.1°. Conclusion Percutaneous retrocapital metatarsal osteotomy for treatment of mild to moderate hallux valgus is effective in the long term, with the advantages of a minimally invasive procedure.

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“…The decision to operate and which technique to apply depends on the severity of the deformity [1][2][3][4][5] Table 1.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical analysis of two fixation methods for proximal chevron osteotomy of the first metatarsal

Schuh

Hofstaetter

Benca

et al. 2014

International Orthopaedics (SICOT)

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Purpose The proximal chevron osteotomy provides high correctional power. However, relatively high rates of dorsiflexion malunion of up to 17 % are reported for this procedure. This leads to insufficient weight bearing of the first ray and therefore to metatarsalgia. Recent biomechanical and clinical studies pointed out the importance of rigid fixation of proximal metatarsal osteotomies. Therefore, the aim of the present study was to compare biomechanical properties of fixation of proximal chevron osteotomies with variable locking plate and cancellous screw respectively. Methods Ten matched pairs of human fresh frozen cadaveric first metatarsals underwent proximal chevron osteotomy with either variable locking plate or cancellous screw fixation after obtaining bone mineral density. Biomechanical testing included repetitive plantar to dorsal loading from 0 to 31 N with the Results The variable locking plate construct reveals statistically superior results in terms of bending stiffness and dorsal angulation compared to the cancellous screw construct. There was a statistically significant correlation between bone mineral density and maximum tolerated load until construct failure occurred for the screw construct (r=0.640, p=0.406). Conclusion The results of the present study indicate that variable locking plate fixation shows superior biomechanical results to cancellous screw fixation for proximal chevron osteotomy. Additionally, screw construct failure was related to levels of low bone mineral density. Based on the results of the present study we recommend variable locking plate fixation for proximal chevron osteotomy, especially in osteoporotic bone.

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The influence of personality traits on the subjective outcome of operative hallux valgus correction

Cited by 36 publications

References 21 publications

Temperament and character as predictor of health related quality of life after metacarpophalangeal joint arthroplasty ——Personality and MCP joint arthroplasty outcome

Temperament and character as predictor of health related quality of life after metacarpophalangeal joint arthroplasty ——Personality and MCP joint arthroplasty outcome

Long-term results of the retrocapital metatarsal percutaneous osteotomy for hallux valgus

Biomechanical analysis of two fixation methods for proximal chevron osteotomy of the first metatarsal

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