Footwear modification following hallux valgus surgery: The all-or-none phenomenon

Robinson, Cal; Bhosale, Abhijit; Pillai, Anand

doi:10.5662/wjm.v6.i2.171

Cited by 14 publications

(21 citation statements)

References 22 publications

(43 reference statements)

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“…While a proximal chevron osteotomy is different from a scarf osteotomy, the operative principles of addressing the IMA and HVA components of HV deformity are similar. The study included 117 feet, with a mean follow-up of 14.2 months (range, [12][13][14][15][16][17][18][19][20][21][22][23][24][25]. Authors reported deformity correction with HVA reduction from 36.1 degrees (range, 16-44 degrees) to 5.4 degrees, and IMA reduction from 19 degrees (range, 9-28 degrees) to 4.5 degrees (range, -5 to 14.2 degrees).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, overall patient satisfaction with operative result and quality of life are directly related with foot cosmesis and footwear options. [19][20][21]24 Surprisingly, although patients are very concerned with postoperative foot width, there are only scarce reports on this issue. 12 The ability of surgeons to provide their patients with realistic, evidence-based preoperative counseling regarding foot width following surgery, is important to adequately manage patient's expectations and satisfaction with operative result.…”

Section: Introductionmentioning

confidence: 99%

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Foot Width Changes Following Hallux Valgus Surgery

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Foot Width Changes Following Hallux Valgus Surgery

et al. 2018

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“…11 Despite the importance of footwear in outcomes, patients may not return to wearing all types of shoes, and only 41% to 62% of patients will be able to resume wearing high-heeled, often narrow toe box, shoes following surgery. 7,9…”

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confidence: 99%

Effect of the Modified Lapidus Procedure for Hallux Valgus on Foot Width

Conti

MacMahon²,

Ellis

et al. 2019

Foot Ankle Int.

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Background: Despite the importance of shoe wear to patients with hallux valgus (HV), few studies have investigated changes in foot width following surgery in this population. The purpose of our study was to determine if the modified Lapidus procedure would effectively decrease foot width in patients with HV. Methods: Thirty-one feet (19 left, 12 right) in 30 patients (29 females, 1 male) who underwent a modified Lapidus procedure in combination with a modified McBride and Akin osteotomy for treatment of HV were included in the study. All patients had preoperative and at least 5-month postoperative imaging, consisting of both weightbearing radiographs and computed tomography (WBCT) scans, which were used to measure bony and soft tissue foot widths pre- and postoperatively by 2 independent observers. Results: Intraclass correlation coefficients (ICCs) demonstrated high interobserver reliability (all ICCs >0.90). Bony foot width decreased significantly, by a mean of 8.9 mm (9.1%) on radiographs and 7.9 mm (8.4%) on WBCT scans ( P < .001). The soft tissue foot width also decreased significantly, by a mean of 6.9 mm (6.3%) on radiographs and 6.7 mm (6.4%) on WBCT scans ( P < .001). Changes in the hallux valgus angle and intermetatarsal angle correlated with changes in bony foot width on WBCTs (both r > 0.4, P < .02). Conclusions: The modified Lapidus procedure in combination with a modified McBride and Akin osteotomy resulted in statistically significant changes in both bony and soft tissue foot width. Patients should be counseled that foot width decreases, on average, by 0.5 to 1 cm. Level of Evidence: Level III, comparative series.

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“…Hallux valgus is the most common foot deformity in adults with the frequency of 2–4% in population [ 1 – 2 ]. This deformation 7–9 times more often occurs in women, depending on an author [ 3 – 5 ]. Its frequency increases with age, reaching the level of 35% in the population above 65 years [ 3 , 6 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…This deformation 7–9 times more often occurs in women, depending on an author [ 3 – 5 ]. Its frequency increases with age, reaching the level of 35% in the population above 65 years [ 3 , 6 – 7 ]. In addition, the incidence of chronic diseases is increasing with age.…”

Section: Introductionmentioning

confidence: 99%

Wound healing complications in patients with and without systemic diseases following hallux valgus surgery

2018

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There are many defined risk factors for wound healing. Comorbidities and their treatment are identified to be one of them. The aim of this study is to verify whether there are significant differences in wound healing between patients with and without systemic diseases, who underwent hallux valgus correction with Scarf osteotomy. A total of 155 consecutive patients were included into this prospective study. All of the patients underwent Scarf osteotomy for hallux valgus correction. In 60,6% of patients comorbidities were present, most often hypertension (57 patients, 36,8%), hypothyroidism (19 patients 12,3%) and diabetes (7 patients, 4,5%) occurred. Most of the patients were women (96,1%). During the study complication rate was noted. Patients underwent follow-up: 1,2, 3, 6 and 12 weeks and 6 months after the surgery. Preoperatively and during the last visit treatment results were assessed with AOFAS HMI scale. Scar assessment was performed by independent observer with VAS followed by patient scar assessment with VSS. In 30 patients complications were noted (19,4%). Surgical site infection was found in 6 patients (3,9%). In 13 patients (8,4%) partial wound dehiscence occurred, in 5 of them (3,2%) additional skin closure (Steri-Strips) was applied. Treatment results assessed with AOFAS HMI scale were good and very good in both healthy and comorbidity group, and the results improved significantly after surgical procedure. Scar assessment with VAS was on the average 1,5 pts. Average result in VSS was 2 pts. Results in both scales were rated as very good. No statistically significant differences were found in both healthy and comorbidity group in scar assessment. Based on the results of the study authors believe there are no significant differences between patients with and without comorbidities in aspects like: complication rate, surgery result and scar assessment as long as foot surgery is concerned.

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Footwear modification following hallux valgus surgery: The all-or-none phenomenon

Cited by 14 publications

References 22 publications

Foot Width Changes Following Hallux Valgus Surgery

Foot Width Changes Following Hallux Valgus Surgery

Effect of the Modified Lapidus Procedure for Hallux Valgus on Foot Width

Wound healing complications in patients with and without systemic diseases following hallux valgus surgery

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