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Patients with hallux valgus deformity have high hallux valgus angle and pain
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Recently published data indicate that hallux valgus deformity had a recurrence rate of 30%, and a high final hallux valgus angle leads to higher levels of pain.
Researchers retrospectively analyzed 93 patients who underwent Scarf osteotomy for hallux valgus deformity. The mean follow-up period was 124 months. Patients’ preoperative and postoperative outcomes were assessed with the American Orthopaedic Foot and Ankle Society (AOFAS) score, range of motion and VAS score for pain. The Foot and Ankle Outcome score was assesses at 44 months after the final follow-up.
Radiographs were also obtained and examined preoperatively, 6 weeks after procedure, intermediate follow-up and at the final follow-up visit to determine the hallux valgus angle (HVA), intermetatarsal angle, distal metatarsal articular angle, metatarsal index and tibial sesamoid position.
Results showed from preoperatively to postoperatively, AOFAS scores significantly improved. The VAS score preoperatively was 6.3 points and 0.4 at the final follow-up. The higher postoperative HVA was positively associated with a higher VAS score.
According to researchers, none of the patients reported a position change of the great toe and none of the symptoms had changed from the final clinical follow-up. By the final follow-up radiographic measurements had significantly improved from preoperative measurements. HVA significantly increased from the 6-week visit to the intermediate follow-up and from the 6-week visit to final follow-up visit; however it did not increase from the intermediate follow-up to the final follow-up. At the final-follow-up, the recurrence rate was 30%. ‒ by Monica Jaramillo
Disclosures: The researchers report no relevant financial disclosures.
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