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
Hauptverfasser: Hagio, Tomonobu, Yoshimura, Ichiro, Kanazawa, Kazuki, Minokawa, So, Ishimatsu, Tetsuro, Nagatomo, Masaya, Sugino, Yuki, Yamamoto, Takuaki
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container_title Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
container_volume 27
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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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. 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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. 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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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