A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Radiological outcome of hallux valgus deformity correction with metatarsal osteotomy from a single-center cohort - Best results achieved by foot and ankle surgeons
Tekijät: Erjanti Tuuli, Keskinen Heli, Rissanen Tiia, Mäkelä Keijo, Lankinen Petteri, Laaksonen Inari, Koivu Helka
Kustantaja: Elsevier
Julkaisuvuosi: 2024
Journal: Foot and Ankle Surgery
Tietokannassa oleva lehden nimi: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
Lehden akronyymi: Foot Ankle Surg
Vuosikerta: 30
Numero: 1
Aloitussivu: 32
Lopetussivu: 36
ISSN: 1268-7731
eISSN: 1460-9584
DOI: https://doi.org/10.1016/j.fas.2023.08.004
Verkko-osoite: https://doi.org/10.1016/j.fas.2023.08.004
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/181162336
Background
To evaluate the radiological outcome, especially undercorrection of hallux valgus deformity correction with first metatarsal osteotomy.
Patients and methods
439 1st metatarsal osteotomies including 241 distal (55 %), 175 midshaft (40 %), and 23 proximal (5 %) were available for analysis with median follow-up time was 48 days (range 27–990 days).
Results
The postoperative HVA was normal in 237 (54 %), mild in 110 (25 %), moderate in 87 (20 %), and severe in 5 (1 %) of the cases. BMI (p = 0.0127), sex (p = 0.0004), preoperative HVA (p = 0.0028), and surgeons experience (p < 0.0001) were associated with radiological outcome, whereas age, hospital, and type of osteotomy had no effect. Foot and ankle surgeons achieved normal postoperative HVA in 76 %, general orthopedic surgeons in 41 %, and residents in 47 % of the operations.
Conclusion
Radiological undercorrection was common. As foot and ankle surgeons achieved best radiological correction, hallux valgus deformity should be operated by specialists.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
