Chevron osteotomy versus scarf osteotomy for hallux valgus correction: A meta-analysis

Ma, Qiang; Liang, Xiaojun; Lü, Jun

doi:10.1016/j.fas.2018.09.003

Cited by 22 publications

(15 citation statements)

References 24 publications

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“…16 Many studies evaluating the results of HV surgery mostly focused on pain relief and function improvement. [8][9][10]19 For most HV patients, foot appearance is a major concern before and after surgery; however, cosmetic improvement of the deformity has been mostly examined superficially, and evaluations were based on the surgeon's opinion and sometimes the patient's subjective assessment postoperatively. 7,13,14,16 Patient expectations regarding this issue have not been evaluated comprehensively.…”

Section: Discussionmentioning

confidence: 99%

Association of Visual Appearance on Outcomes After Hallux Valgus Surgery

Bahar¹,

Yıldız²

2021

Foot Ankle Int.

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Background: In this study, our aim was to determine the effect of cosmetic improvement on patient satisfaction and functional scores in hallux valgus (HV) surgery. Methods: Preoperative foot photographs of 105 patients who had undergone chevron osteotomy for HV between 2016 and 2018 were taken. The patients were divided into 2 groups. Twenty-four months after surgery, the preoperative foot photographs were shown to patients in group 1 (n = 52) but not to patients in group 2 (n = 53). The groups were then compared using the visual analog scale (VAS), the American Orthopaedic Foot & Ankle Society Hallux Metatarsophalangeal-Interphalangeal (AOFAS Hallux MTP-IP), and the 36-Item Short Form Health Survey (SF-36) scores. Both groups were evaluated radiologically with preoperative and postoperative hallux valgus angles and intermetatarsal angles. Results: There was no difference between the 2 groups in terms of radiologic parameters either pre- or postoperatively, or AOFAS Hallux MTP-IP scores postoperatively. However, for group 1, the VAS was lower (0.4±0.8 vs 1.8±1.6, P = .003) and both the SF-36 physical functioning (88.3±18.1 vs 79.1±23.2, P = .017) and SF-36 mental health scores were higher (78.8±19 vs 69.2±16.3, P = .022). Conclusion: Visualizing improvement in the cosmetic appearance of the foot appears associated with patients’ perception of subjective pain and functional improvement. We recommend that preoperative foot photographs be taken and recorded. Level of Evidence: Level III, case-control study.

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Section: Discussionmentioning

confidence: 99%

Association of Visual Appearance on Outcomes After Hallux Valgus Surgery

Bahar¹,

Yıldız²

2021

Foot Ankle Int.

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“…17,18,19 Open procedures are the most commonly used surgical techniques, including chevron's distal osteotomy and scarf's diaphyseal in the rst metatarsal. 20,21,22 In the last years, the interest in minimally invasive surgery (MIS) has been growing due to its theoretical advantages including lower morbidity and less time required for recovery and rehabilitation. 23 However, the evidence supporting percutaneous techniques is still inconclusive 24,25 per randomized control trials with designed treatment protocols and the use of validated tools for measurements.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of hallux valgus surgery on improving health-related quality of life: A follow up study

Hernández-Castillejo

Martínez‐Vizcaíno

Álvarez‐Bueno

et al. 2022

Foot and Ankle Surgery

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BackgroundHallus valgus (HV) negatively impacts health-related quality of life (HRQoL). Patient-reported outcome measures (PROMs) are increasingly used in clinical studies of the foot and ankle. We aimed to evaluate the effect of HV surgery on PROMs (i.e., pain scales, general HRQoL, and region-speci c scales) and radiological angles. Additionally, we aimed to determine whether the effect on these outcomes depends on the type of surgery (including open and percutaneous techniques) and if it is in uenced by potential confounding factors (i.e., age, HVA, 1-2 IMA, body mass index (BMI), and distal metatarsal articular angle (DMAA). MethodsThis was a longitudinal prospective study. We collected the clinical data of all patients who underwent surgery for symptomatic HV deformity in the orthopedic department of the Virgen de la Luz Hospital of Cuenca (Spain).The clinical outcomes were assessed using the American Orthopedic Foot and Ankle Society (AOFAS) Hallux metatarsophalangealinterphalangeal (HMI) scale, visual analogue scale (VAS), Manchester Oxford foot questionnaire (MOXFQ), short form health survey (SF-12) and European Quality of Life-5 Dimensions (EQ-5D). ResultsA total of 72 patients (70 women, 97.2%) were included in the study 72 (72 feet).The AOFAS pre-post-surgery score changed from 42.16

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“…Scarf technique is widely used especially for moderate to severe deformities, presenting great correction power. 7,10,23,24 Our patients' metatarsophalangeal and interphalangeal angles improved…”

Section: Discussionmentioning

confidence: 65%

Relationship Between Quality of Life and Radiological Parameters After Hallux Valgus Correction

et al. 2020

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Objective: To evaluate the correlation between postoperative quality of life and the severity of hallux valgus deformity. Methods: A total of 23 patients underwent moderate (n = 14) and severe (n = 9) hallux valgus (HV) surgical correction with the Scarf technique between January 2010 and December 2012. The mean follow-up time was 60 months. Participants answered the SF-36 quality of life assessment questionnaire and their radiographs were evaluated at three different moments (preoperative, 1 and 5 years after surgery). Statistical analysis was performed with a maximum 5% significance level. Results: The sample consisted of two men and 21 women, aged 58.7.SF-36 mean value was 75.73 and the metatarsophalangeal and interphalangeal angles improved significantly at the three moments (p < 0.05). SF-36 showed no statistical difference between patients with moderate or severe HV (p > 0.05). No correlations were found between quality of life and pre and postoperative radiographic angles. Conclusion: Patients with moderate and severe hallux valgus submitted to surgical correction had a very good quality of life and a significant improvement in radiographic parameters. However, these variables were not correlated. Level of Evidence II, Retrospective study.

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Chevron osteotomy versus scarf osteotomy for hallux valgus correction: A meta-analysis

Cited by 22 publications

References 24 publications

Association of Visual Appearance on Outcomes After Hallux Valgus Surgery

Association of Visual Appearance on Outcomes After Hallux Valgus Surgery

Effectiveness of hallux valgus surgery on improving health-related quality of life: A follow up study

Relationship Between Quality of Life and Radiological Parameters After Hallux Valgus Correction

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