Factors Associated With Early Loss of Hallux Valgus Correction

Recurrence is common after hallux valgus corrective surgery. Although many investigators have studied the risk factors associated with a suboptimal hallux position at the end of long-term follow-up, few have evaluated the factors associated with actual early loss of correction. We conducted a retros...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2018-03, Vol.57 (2), p.236-240
Main Authors: Shibuya, Naohiro, Kyprios, Evangelos M., Panchani, Prakash N., Martin, Lanster R., Thorud, Jakob C., Jupiter, Daniel C.
Format: Article
Language:English
Subjects:
Adult
Aged
bunion
Cohort Studies
Female
Follow-Up Studies
foot
Hallux Valgus - diagnostic imaging
Hallux Valgus - surgery
Humans
Male
metatarsus primus varus
Middle Aged
Osteotomy - adverse effects
Osteotomy - methods
Radiography - methods
Recurrence
Reoperation - methods
Reoperation - statistics & numerical data
Retrospective Studies
Risk Assessment
Severity of Illness Index
surgery
Time Factors
Treatment Outcome
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Summary:Recurrence is common after hallux valgus corrective surgery. Although many investigators have studied the risk factors associated with a suboptimal hallux position at the end of long-term follow-up, few have evaluated the factors associated with actual early loss of correction. We conducted a retrospective cohort study to identify the predictors of lateral deviation of the hallux during the postoperative period. We evaluated the demographic data, preoperative severity of the hallux valgus, other angular measurements characterizing underlying deformities, amount of hallux valgus correction, and postoperative alignment of the corrected hallux valgus for associations with recurrence. After adjusting for the covariates, the only factor associated with recurrence was the postoperative tibial sesamoid position. The recurrence rate was ~50% and ~60% when the postoperative tibial sesamoid position was >4 and >5 on the 7-point scale, respectively.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2017.08.018