Effect of Obesity on Outcome of Hallux Valgus Surgery

Chen, Jerry; Lee, Merrill Jian Hui; Rikhraj, Kiran; Parmar, Simran; Chong, Hwei Chi; Yew, Andy Khye Soon; Koo, Kevin; Rikhraj, Inderjeet Singh

doi:10.1177/1071100715581449

Cited by 33 publications

(25 citation statements)

References 32 publications

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“…6 The modified McBride soft tissue procedure was also performed in all patients, involving release of the adductor hallucis from the proximal phalanx, release of the lateral sesamoid-phalangeal ligament, lateral capsulotomy, and medial capsular imbrication after excision of the bunion. 4,15 Under the same anesthesia setting, an Akin osteotomy would also be done for patients with associated hallux valgus interphalangeus more than or equal to 10 degrees. A staple was used to fix the proximal phalanx medial closing wedge osteotomy.…”

Section: Methodsmentioning

confidence: 99%

Pain Resolution After Hallux Valgus Surgery

et al. 2016

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Section: Methodsmentioning

confidence: 99%

Pain Resolution After Hallux Valgus Surgery

et al. 2016

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“…Similar observations were mentioned in the literature regarding different orthopaedic surgeries. Chen et al reported a sevenfold increase in repeat surgery due to obesity in their two year postoperative studies [21]. It is questionable, however, whether the phenomenon occurred regardless of the enrolment of diabetic patients in their study or because of it.…”

Section: Discussionmentioning

confidence: 95%

“…Stewart et al suggested that significant correlation of SSI incidence and diabetes mellitus can be obtained with a higher-power study [6]. Conversely, Chen et al observed no difference in complication rate when assessing the presence of diabetes mellitus (DM) or BMI [21]. Wukich suggested that the higher SSI rate in diabetic patients decreases if the disease is well managed [7,8].…”

Section: Discussionmentioning

confidence: 99%

Being overweight has limited effect on SCARF osteotomy outcome for hallux valgus correction

Milczarek

Tomasik

et al. 2017

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to investigate the association between body mass index (BMI) and the results of SCARF osteotomy of the first metatarsal for hallux valgus (HV) correction, as the literature on this is scant. Methods This prospective study was carried out between 2011 and 2015. One hundred and thirty-three patients diagnosed with moderate to severe HV underwent a SCARF corrective osteotomy. We divided the patients into two groups according to their BMI: normal and overweight. Postoperative follow-up was two years. All patients were examined twice by two medical doctors simultaneously: pre-operatively and postoperatively at two years' follow-up. Data collected included biometrical records, X-rays [HV angle (HVA), intermetatarsal angle (IMA), American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal Index (AOFAS-HMI) and visual analogue scale (VAS) for pain and satisfaction]. Results There was a significant difference between patient age (p = 0.001), age at onset (p < 0.001) and AOFAS-HMI (p = 0.035) at follow-up. Other parameters were similar in both groups. Conclusion Regardless of BMI, the radiological outcome was comparable. Despite a significant difference in AOFAS-HMI results, pain and satisfaction level were similar. The authors agreed that high BMI has protective role in the prevalence of HV.

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“…En la cirugía de pie y tobillo la literatura al respecto es escasa. Destaca el trabajo de Chen et al (17) , que valora el efecto de la obesidad tras la cirugía del hallux valgus. Estos autores concluyen que los pacientes obesos y no obesos tiene resultados comparables en términos de función y dolor tras 2 años de la cirugía de hallux valgus.…”

Section: Discussionunclassified

Influencia del índice de masa corporal en el tratamiento quirúrgico de las metatarsalgias

Llavall¹,

Suari²,

Torregrossa³

et al. 2017

RPT

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RESUMEN Introducción: se ha relacionado el sobrepeso con el aumento de las presiones plantares, sin describirse el efecto del sobrepeso en pacientes con metatarsalgia. El objetivo de este trabajo es valorar la influencia del índice de masa corporal (IMC) en el tratamiento quirúrgico de las metatarsalgias mediante osteotomías de Weil. Material y métodos: estudio retrospectivo de pacientes intervenidos de metatarsalgia entre 2011 y 2013 tras el fallo del tratamiento conservador. En todos ellos se realizaron osteotomías distales de metatarsianos laterales de tipo Weil. La planificación quirúrgica fue individualizada con el objetivo de restaurar la fórmula metatarsal ideal descrita por Maestro. Se analizó la función, el dolor y la satisfacción mediante el cuestionario AOFAS, la EVA y la escala de satisfacción, respectivamente. Se realizó un análisis estadístico entre las medidas anteriores y el IMC preoperatorio (SPSS v18.0). Resultados: 107 pacientes (93 mujeres y 14 hombres). La edad media era de 65 años (rango: 26-89 años) y el IMC medio fue de 28,2 kg/m 2 (DS: 4,47 kg/m 2). No se objetivó correlación entre el IMC y el AOFAS post (p = 0,937) o AOFAS diferencial pre-post (p = 0,718). Tampoco hubo correlación entre dolor e IMC (p = 0,314) ni entre satisfacción e IMC (p = 0,863). Conclusión: el IMC no influye en los resultados del tratamiento quirúrgico de las metatarsalgias mediante osteotomías de Weil.

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Effect of Obesity on Outcome of Hallux Valgus Surgery

Abstract: Level III, retrospective comparative series.

Cited by 33 publications

References 32 publications

Pain Resolution After Hallux Valgus Surgery

Pain Resolution After Hallux Valgus Surgery

Being overweight has limited effect on SCARF osteotomy outcome for hallux valgus correction

Influencia del índice de masa corporal en el tratamiento quirúrgico de las metatarsalgias

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