Outcomes of Scarf and Akin Osteotomy with Intra-Articular Stepwise Lateral Soft Tissue Release for Correcting Hallux Valgus Deformity in Rheumatoid Arthritis
Background. The effectiveness of scarf and Akin osteotomy with intra-articular lateral soft tissue release for the correction of hallux valgus (HV) in patients with rheumatoid arthritis (RA) has not been elucidated. Methods. A total of 36 feet in 28 patients with RA who had scarf and Akin osteotomy...
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description | Background. The effectiveness of scarf and Akin osteotomy with intra-articular lateral soft tissue release for the correction of hallux valgus (HV) in patients with rheumatoid arthritis (RA) has not been elucidated. Methods. A total of 36 feet in 28 patients with RA who had scarf and Akin osteotomy with intra-articular stepwise lateral soft tissue release between 2015 and 2020 at a single institute were investigated retrospectively, with a mean follow-up period of 32.0 ± 16.9 months. Radiographic evaluations including the HV angle, intermetatarsal angle, and sesamoid position were performed preoperatively and postoperatively. Clinical outcomes were assessed using the Japanese Society of Surgery of the Foot (JSSF) hallux scale and self-administered foot evaluation questionnaire (SAFE-Q). Results. The procedure resulted in significant HV correction, with a recurrence rate of 13.9%. The JSSF scale and all five SAFE-Q subscale scores significantly improved (p < 0.05), with no major complications. More than 90% of cases achieved adequate lateral soft tissue release without sacrificing the adductor tendon of the hallux. Conclusions. Intra-articular stepwise lateral soft tissue release in combination with scarf and Akin osteotomy provided satisfactory radiographic and patient-reported outcomes for the correction of HV in patients with RA with minimum lateral soft tissue release. |
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The effectiveness of scarf and Akin osteotomy with intra-articular lateral soft tissue release for the correction of hallux valgus (HV) in patients with rheumatoid arthritis (RA) has not been elucidated. Methods. A total of 36 feet in 28 patients with RA who had scarf and Akin osteotomy with intra-articular stepwise lateral soft tissue release between 2015 and 2020 at a single institute were investigated retrospectively, with a mean follow-up period of 32.0 ± 16.9 months. Radiographic evaluations including the HV angle, intermetatarsal angle, and sesamoid position were performed preoperatively and postoperatively. Clinical outcomes were assessed using the Japanese Society of Surgery of the Foot (JSSF) hallux scale and self-administered foot evaluation questionnaire (SAFE-Q). Results. The procedure resulted in significant HV correction, with a recurrence rate of 13.9%. The JSSF scale and all five SAFE-Q subscale scores significantly improved (p < 0.05), with no major complications. More than 90% of cases achieved adequate lateral soft tissue release without sacrificing the adductor tendon of the hallux. Conclusions. Intra-articular stepwise lateral soft tissue release in combination with scarf and Akin osteotomy provided satisfactory radiographic and patient-reported outcomes for the correction of HV in patients with RA with minimum lateral soft tissue release.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph182010667</identifier><identifier>PMID: 34682415</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Activities of daily living ; Arthritis ; Biomedical materials ; Bone surgery ; Clinical outcomes ; Complications ; Deformation effects ; Evaluation ; Feet ; Joint surgery ; Orthopedics ; Osteotomy ; Pain ; Patients ; Quality of life ; Questionnaires ; Rheumatoid arthritis ; Soft tissues ; Surgeons ; Tissues</subject><ispartof>International journal of environmental research and public health, 2021-10, Vol.18 (20), p.10667</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-983755339cf72348c54e6dcab4ebda5b3f94b0447274e26042527e2d32cb1dc13</citedby><cites>FETCH-LOGICAL-c398t-983755339cf72348c54e6dcab4ebda5b3f94b0447274e26042527e2d32cb1dc13</cites><orcidid>0000-0003-2363-9803</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535323/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535323/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Matsumoto, Takumi</creatorcontrib><creatorcontrib>Maenohara, Yuji</creatorcontrib><creatorcontrib>Chang, Song Ho</creatorcontrib><creatorcontrib>Ono, Kumiko</creatorcontrib><creatorcontrib>Omata, Yasunori</creatorcontrib><creatorcontrib>Hirose, Jun</creatorcontrib><creatorcontrib>Tanaka, Sakae</creatorcontrib><title>Outcomes of Scarf and Akin Osteotomy with Intra-Articular Stepwise Lateral Soft Tissue Release for Correcting Hallux Valgus Deformity in Rheumatoid Arthritis</title><title>International journal of environmental research and public health</title><description>Background. The effectiveness of scarf and Akin osteotomy with intra-articular lateral soft tissue release for the correction of hallux valgus (HV) in patients with rheumatoid arthritis (RA) has not been elucidated. Methods. A total of 36 feet in 28 patients with RA who had scarf and Akin osteotomy with intra-articular stepwise lateral soft tissue release between 2015 and 2020 at a single institute were investigated retrospectively, with a mean follow-up period of 32.0 ± 16.9 months. Radiographic evaluations including the HV angle, intermetatarsal angle, and sesamoid position were performed preoperatively and postoperatively. Clinical outcomes were assessed using the Japanese Society of Surgery of the Foot (JSSF) hallux scale and self-administered foot evaluation questionnaire (SAFE-Q). Results. The procedure resulted in significant HV correction, with a recurrence rate of 13.9%. The JSSF scale and all five SAFE-Q subscale scores significantly improved (p < 0.05), with no major complications. More than 90% of cases achieved adequate lateral soft tissue release without sacrificing the adductor tendon of the hallux. Conclusions. Intra-articular stepwise lateral soft tissue release in combination with scarf and Akin osteotomy provided satisfactory radiographic and patient-reported outcomes for the correction of HV in patients with RA with minimum lateral soft tissue release.</description><subject>Activities of daily living</subject><subject>Arthritis</subject><subject>Biomedical materials</subject><subject>Bone surgery</subject><subject>Clinical outcomes</subject><subject>Complications</subject><subject>Deformation effects</subject><subject>Evaluation</subject><subject>Feet</subject><subject>Joint surgery</subject><subject>Orthopedics</subject><subject>Osteotomy</subject><subject>Pain</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Rheumatoid arthritis</subject><subject>Soft tissues</subject><subject>Surgeons</subject><subject>Tissues</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdUU1v1DAUtBAVLYUzV0tcuIT6M3EuSKul0EorrdQtXCPHedl4ceLFH7T7Y_ivZGmFSk_vSTOaefMGoXeUfOS8Jhd2B2E_UMUIJWVZvUBntCxJIUpCXz7ZT9HrGHeEcCXK-hU65aJUTFB5hn6vczJ-hIh9jzdGhx7rqcOLH3bC65jAJz8e8J1NA76eUtDFIiRrstMBbxLs72wEvNIJgnZ44_uEb22MGfANONAz1vuAlz4EMMlOW3ylncv3-Lt22xzxZ5jh0aYDnt1uBsijTt7O7iENwSYb36CTXrsIbx_nOfr25fJ2eVWs1l-vl4tVYXitUlErXkk5P8T0FeNCGSmg7IxuBbSdli3va9ESISpWCWAlEUyyCljHmWlpZyg_R58edPe5HaEzcIzqmn2wow6Hxmvb_I9Mdmi2_lejJJec8Vngw6NA8D8zxNSMNhpwTk_gc2yYVKJSUlZypr5_Rt35HKY53l8Wn4tRR8GLB5YJPsYA_b9jKGmO1TfPqud_AKCfpHU</recordid><startdate>20211012</startdate><enddate>20211012</enddate><creator>Matsumoto, Takumi</creator><creator>Maenohara, Yuji</creator><creator>Chang, Song Ho</creator><creator>Ono, Kumiko</creator><creator>Omata, Yasunori</creator><creator>Hirose, Jun</creator><creator>Tanaka, Sakae</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2363-9803</orcidid></search><sort><creationdate>20211012</creationdate><title>Outcomes of Scarf and Akin Osteotomy with Intra-Articular Stepwise Lateral Soft Tissue Release for Correcting Hallux Valgus Deformity in Rheumatoid Arthritis</title><author>Matsumoto, Takumi ; Maenohara, Yuji ; Chang, Song Ho ; Ono, Kumiko ; Omata, Yasunori ; Hirose, Jun ; Tanaka, Sakae</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-983755339cf72348c54e6dcab4ebda5b3f94b0447274e26042527e2d32cb1dc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Activities of daily living</topic><topic>Arthritis</topic><topic>Biomedical materials</topic><topic>Bone surgery</topic><topic>Clinical outcomes</topic><topic>Complications</topic><topic>Deformation effects</topic><topic>Evaluation</topic><topic>Feet</topic><topic>Joint surgery</topic><topic>Orthopedics</topic><topic>Osteotomy</topic><topic>Pain</topic><topic>Patients</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Rheumatoid arthritis</topic><topic>Soft tissues</topic><topic>Surgeons</topic><topic>Tissues</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsumoto, Takumi</creatorcontrib><creatorcontrib>Maenohara, Yuji</creatorcontrib><creatorcontrib>Chang, Song Ho</creatorcontrib><creatorcontrib>Ono, Kumiko</creatorcontrib><creatorcontrib>Omata, Yasunori</creatorcontrib><creatorcontrib>Hirose, Jun</creatorcontrib><creatorcontrib>Tanaka, Sakae</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsumoto, Takumi</au><au>Maenohara, Yuji</au><au>Chang, Song Ho</au><au>Ono, Kumiko</au><au>Omata, Yasunori</au><au>Hirose, Jun</au><au>Tanaka, Sakae</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of Scarf and Akin Osteotomy with Intra-Articular Stepwise Lateral Soft Tissue Release for Correcting Hallux Valgus Deformity in Rheumatoid Arthritis</atitle><jtitle>International journal of environmental research and public health</jtitle><date>2021-10-12</date><risdate>2021</risdate><volume>18</volume><issue>20</issue><spage>10667</spage><pages>10667-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Background. The effectiveness of scarf and Akin osteotomy with intra-articular lateral soft tissue release for the correction of hallux valgus (HV) in patients with rheumatoid arthritis (RA) has not been elucidated. Methods. A total of 36 feet in 28 patients with RA who had scarf and Akin osteotomy with intra-articular stepwise lateral soft tissue release between 2015 and 2020 at a single institute were investigated retrospectively, with a mean follow-up period of 32.0 ± 16.9 months. Radiographic evaluations including the HV angle, intermetatarsal angle, and sesamoid position were performed preoperatively and postoperatively. Clinical outcomes were assessed using the Japanese Society of Surgery of the Foot (JSSF) hallux scale and self-administered foot evaluation questionnaire (SAFE-Q). Results. The procedure resulted in significant HV correction, with a recurrence rate of 13.9%. The JSSF scale and all five SAFE-Q subscale scores significantly improved (p < 0.05), with no major complications. More than 90% of cases achieved adequate lateral soft tissue release without sacrificing the adductor tendon of the hallux. Conclusions. Intra-articular stepwise lateral soft tissue release in combination with scarf and Akin osteotomy provided satisfactory radiographic and patient-reported outcomes for the correction of HV in patients with RA with minimum lateral soft tissue release.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>34682415</pmid><doi>10.3390/ijerph182010667</doi><orcidid>https://orcid.org/0000-0003-2363-9803</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Activities of daily living Arthritis Biomedical materials Bone surgery Clinical outcomes Complications Deformation effects Evaluation Feet Joint surgery Orthopedics Osteotomy Pain Patients Quality of life Questionnaires Rheumatoid arthritis Soft tissues Surgeons Tissues |
title | Outcomes of Scarf and Akin Osteotomy with Intra-Articular Stepwise Lateral Soft Tissue Release for Correcting Hallux Valgus Deformity in Rheumatoid Arthritis |
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