Results of Hallux Valgus Surgery in Diabetic Patients With Good Glycemic Control.

Foot & Ankle International
Gin Way LawInderjeet Singh Rikhraj

Abstract

Literature is sparse on whether diabetes affects outcomes of hallux valgus surgery. With the rising global prevalence of diabetes and diabetes being an independent predictor of poorer outcomes, particularly in foot and ankle surgery, we aimed to investigate the impact of diabetes on the outcomes of hallux valgus surgery. We conducted a retrospective comparative cohort study of prospectively collected registry data of 951 feet in 721 patients who underwent surgery for symptomatic hallux valgus between 2007 and 2015 at our institution. All patients with diabetes were identified and matched with patients without diabetes for age, sex, and body mass index in a 1:2 ratio to construct the matched cohorts for analysis. Glycemic control in the diabetic cohort was assessed using preoperative HbA1c. The primary outcome measure was complication rates. Secondary outcomes were (1) deformity correction using the hallux valgus and intermetatarsal angles; (2) patient-reported outcomes using visual analog scale (VAS) for pain, Short Form-36 (SF-36) Physical and Mental Health subscales, and American Orthopaedic Foot & Ankle Society (AOFAS) scores; (3) patient satisfaction; and (4) reoperation rates up to 2 years postoperatively. Forty diabetic p...Continue Reading

References

Dec 17, 1998·Acta Orthopaedica Scandinavica·W Schneider, K Knahr
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Feb 15, 2017·Foot & Ankle International·Hiok Yang ChanInderjeet Singh Rikhraj
Nov 22, 2018·BMJ : British Medical Journal·Ravinder SodiJoseph M Pappachan
Mar 5, 2020·Foot & Ankle International·Gin Way LawInderjeet Singh Rikhraj

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