The Incidence and Natural History of Forefoot Scar Pain Following Open Hallux Valgus Surgery

Ieong, Edmund; Afolayan, John; Little, Nicholas; Solan, Matthew; Pearce, Christopher J.

doi:10.1177/1938640013489344

Cited by 4 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…11 Therefore, we chose to prospectively follow up the patients at 6 months and at 2 years after surgery. We used the visual analog scale (VAS) for assessment of pain over the first toe, with 0 being no pain and 10 being the worst possible pain.…”

Section: Methodsmentioning

confidence: 99%

“…Leong et al found that the mean duration of symptom in patients who undertook noninvasive treatment for forefoot scar pain after hallux valgus surgery was 4 months. 11 Therefore, we chose to prospectively follow up the patients at 6 months and at 2 years after surgery. We used the visual analog scale (VAS) for assessment of pain over the first toe, with 0 being no pain and 10 being the worst possible pain.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Pain Resolution After Hallux Valgus Surgery

et al. 2016

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Pain Resolution After Hallux Valgus Surgery

et al. 2016

View full text Add to dashboard Cite

show abstract

“…They found that rst metatarsophalangeal joint motion worsened in 7% of their patients who underwent a Scarf osteotomy in isolation and in 6.7% of patients who underwent an additional Akin osteotomy [23]. Our analysis identi ed 26 patients (2%) who acknowledged a problem with their scar at their six-month review which differs from Ieong et al who found that 31% of their patients had experienced symptoms at the scar site when they were reviewed at a minimum of 1 year post operatively [30].…”

Section: Discussionmentioning

confidence: 55%

Scarf and Akin Osteotomies for Correction of Hallux Abducto Valgus. A Ten-year Retrospective Patient Evaluation From Five Podiatric Surgery Centres Using PASCOM PSQ-10.

Clee

Flanagan

Pavier

et al. 2021

Preprint

View full text Add to dashboard Cite

BackgroundCorrective surgery for hallux abducto valgus is one of the most commonly performed elective procedures in foot and ankle practice, with over a hundred different surgical solutions having been proposed throughout the literature. The purpose of the study was to identify the clinical and patient reported outcomes following Scarf-Akin osteotomies from five podiatric surgery centres over a ten-year period.MethodThis is a retrospective review from five podiatric surgical units which looked at patients who underwent Scarf osteotomies (in isolation or in combination with Akin procedures) over a ten-year period. Data was collected from the patient satisfaction questionnaires of the PASCOM-10 audit tool, which were completed by the patient six months post operatively, and further analysed using Microsoft Excel spreadsheet software.ResultsA total of 1351 patients were recorded undergoing Scarf (with or without an Akin) osteotomy for hallux abducto valgus, with 1227 females (90.83%) and 124 males (9.17%) identified but with only 1189 who had completed the patient satisfaction questionnaire. 96.8% of patients felt that their foot was either ‘better’ or ‘much better’ following surgery and that their original expectations of surgery had been met. Over 75% of patients had no post-operative sequalae identified, with metatarsal fracture noted to be the highest sequalae at 4.8%.ConclusionFrom the five podiatric surgery units reviewed, Scarf osteotomies (with or without an Akin osteotomy) for hallux abducto valgus correction, have a high level of patient satisfaction with low post-operative sequalae.Level of clinical evidenceIV (retrospective review).

show abstract

“…Joint pain and stiffness were recorded in 53 (4.1%) of patients in this study which is much less than that found by Crevoisier et al [ 24 ] who found that first metatarsophalangeal joint motion worsened in 7% of their patients who underwent a scarf osteotomy in isolation, and in 6.7% of patients who underwent an additional Akin osteotomy [ 22 ]. Our analysis identified 26 patients (2%) who acknowledged a problem with their scar at their six-month review which differs from Ieong et al [ 30 ] who found that 31% of their patients had experienced symptoms at the scar site when they were reviewed at a minimum of 1 year post operatively.…”

Section: Discussionmentioning

confidence: 80%

Correction of hallux abducto valgus by scarf osteotomy. A ten‐year retrospective multicentre review of patient reported outcomes shows high satisfaction rates with podiatric surgery

Clee

Flanagan

Pavier

et al. 2022

Journal of Foot and Ankle Research

View full text Add to dashboard Cite

Background Corrective surgery for hallux abducto valgus is one of the most performed elective procedures in foot and ankle practice. Numerous methods of surgical correction have been reported within the literature, with varying clinical and patient reported outcomes. This study reviews the patient experience and outcomes in five podiatric surgery centres using the scarf diaphyseal osteotomy. Method Patient reported outcome measures (PROMs) were captured using the Patient Satisfaction Questionnaire 10 (PSQ-10), part of the PASCOM-10 podiatric surgery audit tool. PROMs were collated across five hospital sites over a 10-year period. Results Of 1351 patients reported during the period, 1189 had complete retrospective data. The most common patient aim of surgery was ‘no/less pain’ reported in 70% of patients. 96.8% of patients reported their original foot complaint as ‘better’ or ‘much better’ after surgery. 92.8% of patients reported their expectations had been met with 96.6% reporting they would have surgery again under the same conditions. 98.5% of patients noted that the risks, complications, and expectations had been discussed prior to surgery. The most common complication was metatarsal fracture (4.6%). Conclusion The scarf osteotomy (with or without an Akin phalangeal osteotomy) consistently showed high patient satisfaction with low complication rates using PSQ-10 and this information can be used as part of the pre-operative consenting process. Patient expectations for surgery were often achieved, which may be attributed to the pre-operative work up of the patient. Further investigation into this correlation is suggested. Level of clinical evidence IV (retrospective review).

show abstract

The Incidence and Natural History of Forefoot Scar Pain Following Open Hallux Valgus Surgery

Abstract: Therapeutic, Level IV.

Cited by 4 publications

References 24 publications

Pain Resolution After Hallux Valgus Surgery

Pain Resolution After Hallux Valgus Surgery

Scarf and Akin Osteotomies for Correction of Hallux Abducto Valgus. A Ten-year Retrospective Patient Evaluation From Five Podiatric Surgery Centres Using PASCOM PSQ-10.

Correction of hallux abducto valgus by scarf osteotomy. A ten‐year retrospective multicentre review of patient reported outcomes shows high satisfaction rates with podiatric surgery

Contact Info

Product

Resources

About