Outcome Study of Hallux Valgus Surgery—An AOFAS Multi-Center Study

Abstract

Three hundred and eleven patients have been enrolled in a multi-center prospective study evaluating the outcome of hallux valgus surgery by the members of the American Orthopaedic Foot and Ankle Society. One hundred seventy-nine of these patients have completed six-month follow-up questionnaires, and 195 have completed 12-month questionnaires. The AAOS Lower Limb Outcomes Data Collection Questionnaire and the Foot and Ankle Outcomes Data Collection Questionnaire were used to assess patients' perceptions of their results. Both of these instruments are validated lower extremity instruments. They contain the SF-36 instrument as well as questions relating to lower extremity function. At six- and 12-month follow-up, significant improvement has been noted in the patients' SF-36 physical function scores, role physical scores, and bodily pain scores. Role emotional scores were increased at six months but returned to baseline at 12 months. The scores for physical health and pain and satisfaction with symptoms for the lower extremity have significantly improved. The global foot and ankle score and shoe comfort score from the foot and ankle module have also significantly improved. This outcome study is the first to focus on the patient's perception of results of hallux valgus surgery and demonstrates a significant improvement in pain, function, and satisfaction after bunion surgery performed by members of the American Orthopaedic Foot and Ankle Society.

Outcome After Complex Trauma of the Foot

“…Soft tissue coverage was achieved in 8 patients using a free vascular flap, in 5 patients using a pedicled flap, 17 times using split skin grafts, and 4 times using full skin grafts. On average, four operations were necessary (range, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] to achieve soft tissue coverage.…”

“…The AOFAS scores, 10 the Calcaneal Fracture Scoring System according to Kerr et al, 18 the Functional Outcome Assessment score according to Thordarson et al,19 and the SF-12 score were calculated to evaluate the clinical outcome. In addition, the Visual Analogue Scale Foot and Ankle score was recorded.…”

Outcome after Metatarsal Osteotomy for Hallux Valgus: A Study of Postoperative Foot Function Using Revised Foot Function Index Short Form

“…Although many hallux valgus studies have compared surgical approaches and radiographic parameters to relate physicians' perception of patient outcome (4)(5)(6), few prospective studies have evaluated patient satisfaction and foot function after hallux valgus surgery. The 6-and 12-month outcome results from this study have demonstrated statistically significant improvement in the overall cumulative scores and in all 5 individual subscales of the FFI-R (Table 3).…”

Hybrid surgical treatment of hallux valgus: preliminary results of a prospective study

“…Les principales attentes des patients après chirurgie de l'hallux valgus sont la disparition de la douleur ainsi qu'une amélioration de la qualité du chaussage [10,[23][24][25][26][27] ; l'ostéo-tomie par voie mini-invasive est donc comparable aux interventions conventionnelles du fait de l'amélioration fonctionnelle significative au niveau de la douleur, de la fonction et de l'alignement, ainsi que du taux élevé de satisfaction des patients [5,[9][10][11]17,18,20].…”