Effect of Severity of Deformity on Clinical Outcomes of Scarf Osteotomies.

Foot & Ankle International
Gin Way LawInderjeet Singh Rikhraj

Abstract

Literature is sparse on whether severity of hallux valgus affects outcomes of surgery. We thus aimed to evaluate the impact of hallux valgus severity on the clinical outcomes of surgery. 83 consecutive scarf osteotomies performed by a single surgeon for symptomatic hallux valgus between 2007 and 2011 were divided into 3 groups (mild, moderate, and severe) based on severity of their preoperative hallux valgus using the hallux valgus and intermetatarsal angles. Outcomes were assessed using the visual analog scale (VAS) for pain, 36-Item Short Form Health Survey physical functioning (SFPF) and mental health (SFMH) subscales, and American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scores. These were assessed preoperatively and at 6 months and 2 years postoperatively. Patient satisfaction was assessed at 6 months and 2 years postoperatively. Eleven (13.2%), 54 (65.1%), and 18 (21.7%) feet were in the mild, moderate, and severe groups, respectively. There was no difference in preoperative VAS, SFPF, SFMH and AOFAS scores between the groups except for AOFAS scores for the second toe, which were poorer with increasing hallux valgus. Postoperatively, there was improvement across all outcome scores. VAS and AOFAS showed exce...Continue Reading

References

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Citations

Jun 17, 2020·Foot & Ankle International·Gin Way LawInderjeet Singh Rikhraj
Jan 17, 2021·Foot & Ankle International·Graham S GohKevin Koo
Mar 26, 2021·Foot & Ankle International·Jesse SteadmanCharles L Saltzman
Jun 5, 2021·Foot & Ankle International·Megan E ReillyScott J Ellis
Jul 1, 2021·Foot & Ankle International·Hakan Bahar, Kadir Ilker Yildiz

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