Risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy
Recurrence of hallux valgus deformity is a complication following surgical treatment of hallux valgus. This study was performed to identify risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy (DLMO). Sixty-seven patients (100 feet) with...
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Veröffentlicht in: | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2022-03, Vol.27 (2), p.435-439 |
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container_title | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association |
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creator | Hagio, Tomonobu Yoshimura, Ichiro Kanazawa, Kazuki Minokawa, So Ishimatsu, Tetsuro Nagatomo, Masaya Sugino, Yuki Yamamoto, Takuaki |
description | Recurrence of hallux valgus deformity is a complication following surgical treatment of hallux valgus. This study was performed to identify risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy (DLMO).
Sixty-seven patients (100 feet) with mild to severe hallux valgus who underwent DLMO from 2007 to 2018 were retrospectively investigated. Their average age at the time of surgery was 54 years (range, 18–88 years). The average follow-up duration was 46 months. The feet were divided into two groups: with and without recurrence. A multivariate analysis was performed to identify the risk factors for recurrence of deformity based on preoperative and 3-month postoperative radiographic parameters.
Recurrence of deformity was found in 18 (18%) of the 100 feet at the final follow-up. The preoperative hallux valgus angle and 3-month postoperative hallux valgus angle, intermetatarsal angle, round sign positivity, and sesamoid position grade were significantly greater in the recurrence group than in the non-recurrence group. The logistic regression analysis revealed that a 3-month postoperative hallux valgus angle of ≥13.5°, positive round sign, and grade ≥2 sesamoid position were significantly associated with recurrence of deformity.
The present findings can help to identify patients at higher risk of recurrence of hallux valgus deformity after DLMO and to modify their surgical procedures. |
doi_str_mv | 10.1016/j.jos.2020.12.013 |
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Sixty-seven patients (100 feet) with mild to severe hallux valgus who underwent DLMO from 2007 to 2018 were retrospectively investigated. Their average age at the time of surgery was 54 years (range, 18–88 years). The average follow-up duration was 46 months. The feet were divided into two groups: with and without recurrence. A multivariate analysis was performed to identify the risk factors for recurrence of deformity based on preoperative and 3-month postoperative radiographic parameters.
Recurrence of deformity was found in 18 (18%) of the 100 feet at the final follow-up. The preoperative hallux valgus angle and 3-month postoperative hallux valgus angle, intermetatarsal angle, round sign positivity, and sesamoid position grade were significantly greater in the recurrence group than in the non-recurrence group. The logistic regression analysis revealed that a 3-month postoperative hallux valgus angle of ≥13.5°, positive round sign, and grade ≥2 sesamoid position were significantly associated with recurrence of deformity.
The present findings can help to identify patients at higher risk of recurrence of hallux valgus deformity after DLMO and to modify their surgical procedures.</description><identifier>ISSN: 0949-2658</identifier><identifier>EISSN: 1436-2023</identifier><identifier>DOI: 10.1016/j.jos.2020.12.013</identifier><identifier>PMID: 33431255</identifier><language>eng</language><publisher>Japan: Elsevier B.V</publisher><subject>Hallux Valgus - diagnostic imaging ; Hallux Valgus - surgery ; Humans ; Metatarsal Bones - diagnostic imaging ; Metatarsal Bones - surgery ; Osteotomy - adverse effects ; Osteotomy - methods ; Radiography ; Recurrence ; Retrospective Studies ; Risk Factors ; Treatment Outcome</subject><ispartof>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2022-03, Vol.27 (2), p.435-439</ispartof><rights>2021</rights><rights>Copyright © 2021. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-fbc6fd83de448e08a67486e4601a571085a30332a8efa1bc8e7ccf92d11d36543</citedby><cites>FETCH-LOGICAL-c443t-fbc6fd83de448e08a67486e4601a571085a30332a8efa1bc8e7ccf92d11d36543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33431255$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hagio, Tomonobu</creatorcontrib><creatorcontrib>Yoshimura, Ichiro</creatorcontrib><creatorcontrib>Kanazawa, Kazuki</creatorcontrib><creatorcontrib>Minokawa, So</creatorcontrib><creatorcontrib>Ishimatsu, Tetsuro</creatorcontrib><creatorcontrib>Nagatomo, Masaya</creatorcontrib><creatorcontrib>Sugino, Yuki</creatorcontrib><creatorcontrib>Yamamoto, Takuaki</creatorcontrib><title>Risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy</title><title>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</title><addtitle>J Orthop Sci</addtitle><description>Recurrence of hallux valgus deformity is a complication following surgical treatment of hallux valgus. This study was performed to identify risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy (DLMO).
Sixty-seven patients (100 feet) with mild to severe hallux valgus who underwent DLMO from 2007 to 2018 were retrospectively investigated. Their average age at the time of surgery was 54 years (range, 18–88 years). The average follow-up duration was 46 months. The feet were divided into two groups: with and without recurrence. A multivariate analysis was performed to identify the risk factors for recurrence of deformity based on preoperative and 3-month postoperative radiographic parameters.
Recurrence of deformity was found in 18 (18%) of the 100 feet at the final follow-up. The preoperative hallux valgus angle and 3-month postoperative hallux valgus angle, intermetatarsal angle, round sign positivity, and sesamoid position grade were significantly greater in the recurrence group than in the non-recurrence group. The logistic regression analysis revealed that a 3-month postoperative hallux valgus angle of ≥13.5°, positive round sign, and grade ≥2 sesamoid position were significantly associated with recurrence of deformity.
The present findings can help to identify patients at higher risk of recurrence of hallux valgus deformity after DLMO and to modify their surgical procedures.</description><subject>Hallux Valgus - diagnostic imaging</subject><subject>Hallux Valgus - surgery</subject><subject>Humans</subject><subject>Metatarsal Bones - diagnostic imaging</subject><subject>Metatarsal Bones - surgery</subject><subject>Osteotomy - adverse effects</subject><subject>Osteotomy - methods</subject><subject>Radiography</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><issn>0949-2658</issn><issn>1436-2023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2LFDEQhoO4uOPqD_AiOXrpMZ_daTzJsn7AgiC755BJKpqxu7Om0sPOvzfDrB49FVU87wv1EPKGsy1nvH-_3-4zbgUTbRdbxuUzsuFK9l07yedkw0Y1dqLX5pK8RNwzxgc96hfkUkoludB6Q8r3hL9odL7mgjTmQgv4tRRYPNAc6U83TesjPbjpx4o0QCPmVI_UxQqFzmlJcyOONC0Hh-kANCSsbqJTWsA1AKqrrmC7ZKyQa56Pr8hFdBPC66d5Re4_3dxdf-luv33-ev3xtvNKydrFne9jMDKAUgaYcf2gTA-qZ9zpgTOjnWRSCmcgOr7zBgbv4ygC50H2Wskr8u7c-1Dy7xWw2jmhh2lyC-QVrVDDILQZ-dhQfkZ9yYgFon0o7bFytJzZk2q7t021Pam2XNimumXePtWvuxnCv8Rftw34cAagPXlIUCz6dPIaUnNcbcjpP_V_AOVGkYs</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Hagio, Tomonobu</creator><creator>Yoshimura, Ichiro</creator><creator>Kanazawa, Kazuki</creator><creator>Minokawa, So</creator><creator>Ishimatsu, Tetsuro</creator><creator>Nagatomo, Masaya</creator><creator>Sugino, Yuki</creator><creator>Yamamoto, Takuaki</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202203</creationdate><title>Risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy</title><author>Hagio, Tomonobu ; Yoshimura, Ichiro ; Kanazawa, Kazuki ; Minokawa, So ; Ishimatsu, Tetsuro ; Nagatomo, Masaya ; Sugino, Yuki ; Yamamoto, Takuaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-fbc6fd83de448e08a67486e4601a571085a30332a8efa1bc8e7ccf92d11d36543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Hallux Valgus - diagnostic imaging</topic><topic>Hallux Valgus - surgery</topic><topic>Humans</topic><topic>Metatarsal Bones - diagnostic imaging</topic><topic>Metatarsal Bones - surgery</topic><topic>Osteotomy - adverse effects</topic><topic>Osteotomy - methods</topic><topic>Radiography</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hagio, Tomonobu</creatorcontrib><creatorcontrib>Yoshimura, Ichiro</creatorcontrib><creatorcontrib>Kanazawa, Kazuki</creatorcontrib><creatorcontrib>Minokawa, So</creatorcontrib><creatorcontrib>Ishimatsu, Tetsuro</creatorcontrib><creatorcontrib>Nagatomo, Masaya</creatorcontrib><creatorcontrib>Sugino, Yuki</creatorcontrib><creatorcontrib>Yamamoto, Takuaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hagio, Tomonobu</au><au>Yoshimura, Ichiro</au><au>Kanazawa, Kazuki</au><au>Minokawa, So</au><au>Ishimatsu, Tetsuro</au><au>Nagatomo, Masaya</au><au>Sugino, Yuki</au><au>Yamamoto, Takuaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy</atitle><jtitle>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</jtitle><addtitle>J Orthop Sci</addtitle><date>2022-03</date><risdate>2022</risdate><volume>27</volume><issue>2</issue><spage>435</spage><epage>439</epage><pages>435-439</pages><issn>0949-2658</issn><eissn>1436-2023</eissn><abstract>Recurrence of hallux valgus deformity is a complication following surgical treatment of hallux valgus. This study was performed to identify risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy (DLMO).
Sixty-seven patients (100 feet) with mild to severe hallux valgus who underwent DLMO from 2007 to 2018 were retrospectively investigated. Their average age at the time of surgery was 54 years (range, 18–88 years). The average follow-up duration was 46 months. The feet were divided into two groups: with and without recurrence. A multivariate analysis was performed to identify the risk factors for recurrence of deformity based on preoperative and 3-month postoperative radiographic parameters.
Recurrence of deformity was found in 18 (18%) of the 100 feet at the final follow-up. The preoperative hallux valgus angle and 3-month postoperative hallux valgus angle, intermetatarsal angle, round sign positivity, and sesamoid position grade were significantly greater in the recurrence group than in the non-recurrence group. The logistic regression analysis revealed that a 3-month postoperative hallux valgus angle of ≥13.5°, positive round sign, and grade ≥2 sesamoid position were significantly associated with recurrence of deformity.
The present findings can help to identify patients at higher risk of recurrence of hallux valgus deformity after DLMO and to modify their surgical procedures.</abstract><cop>Japan</cop><pub>Elsevier B.V</pub><pmid>33431255</pmid><doi>10.1016/j.jos.2020.12.013</doi><tpages>5</tpages></addata></record> |
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subjects | Hallux Valgus - diagnostic imaging Hallux Valgus - surgery Humans Metatarsal Bones - diagnostic imaging Metatarsal Bones - surgery Osteotomy - adverse effects Osteotomy - methods Radiography Recurrence Retrospective Studies Risk Factors Treatment Outcome |
title | Risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy |
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