Influence of sesamoid position after scarf osteotomy for hallux valgus on patient-reported outcome. A prospective cohor study
Por favor, use este identificador para citar o enlazar este ítem:
http://hdl.handle.net/10045/121477
Registro completo de metadatos
Campo DC | Valor | Idioma |
---|---|---|
dc.contributor | Enfermería Clínica (EC) | es_ES |
dc.contributor.author | Veracruz Gálvez, Eva María | - |
dc.contributor.author | Perez-Aznar, Adolfo | - |
dc.contributor.author | Lizaur-Utrilla, Alejandro | - |
dc.contributor.author | López Prats, Fernando | - |
dc.contributor.author | Vizcaya-Moreno, M. Flores | - |
dc.contributor.other | Universidad de Alicante. Departamento de Enfermería | es_ES |
dc.date.accessioned | 2022-02-03T14:02:28Z | - |
dc.date.available | 2022-02-03T14:02:28Z | - |
dc.date.issued | 2021-12-23 | - |
dc.identifier.citation | Foot and Ankle Surgery. 2022, 28(4): 471-475. https://doi.org/10.1016/j.fas.2021.12.008 | es_ES |
dc.identifier.issn | 1268-7731 (Print) | - |
dc.identifier.issn | 1460-9584 (Online) | - |
dc.identifier.uri | http://hdl.handle.net/10045/121477 | - |
dc.description.abstract | Background: The objective was to evaluate the influence of the postoperative sesamoid position as measured with conventional radiographs on the patient-reported outcome after scarf osteotomy. The hypothesis was that incomplete reduction of the sesamoid would result in a decreased functional outcome. Methods: Eighty-two patients who underwent scarf osteotomy for hallux valgus were prospectively assessed for up to two postoperative years. The Self-Reported Foot and Ankle Score (SEFAS) was used to assess the quality of life, and the American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal Scale (AOFAS) for the functional outcome. A visual analogue scale (VAS) assessed pain, and Likert scale for patient satisfaction. Radiologically, hallux valgus angle (HVA), first-second intermetatarsal angle (IMA), and sesamoid position were analyzed. According to the final sesamoid position, patients were classified as normal position (48 patients) and outlier position (34 patients). A power analysis, conventional and logistic regression statistical analysis were performed. Results: At the final follow-up, significant improvements in all clinical scores were observed for both groups (p = 0.001) with no significant difference in AOFAS score (p = 0.413), but SEFAS score (p = 0.023), VAS-pain (p = 0.006), and satisfaction (p = 0.014) were significantly better in the normal group than in the outlier group. There were significant differences between groups in final HVA (p = 0.042) and IMA (p = 0.040). In multivariate analysis, only lower VAS-pain score (OR 0.4, 95% CI 0.2–0.6; p = 0.039) and normal sesamoid position (OR 2.4, 95% CI 1.6–3.2; p = 0.012) were significant predictor of patient satisfaction. Conclusion: At two postoperative years, normal sesamoid position as measured on weight-bearing radiographs was associated with lower pain and better patient satisfaction in patients underwent scarf osteotomy for moderate to severe hallux valgus. | es_ES |
dc.language | eng | es_ES |
dc.publisher | Elsevier | es_ES |
dc.rights | © 2021 European Foot and Ankle Society. Published by Elsevier Ltd. | es_ES |
dc.subject | Hallux valgus | es_ES |
dc.subject | Scarf osteotomy | es_ES |
dc.subject | Sesamoid position | es_ES |
dc.subject | Patient-reported outcome | es_ES |
dc.subject | Satisfaction | es_ES |
dc.subject.other | Enfermería | es_ES |
dc.title | Influence of sesamoid position after scarf osteotomy for hallux valgus on patient-reported outcome. A prospective cohor study | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.peerreviewed | si | es_ES |
dc.identifier.doi | 10.1016/j.fas.2021.12.008 | - |
dc.relation.publisherversion | https://doi.org/10.1016/j.fas.2021.12.008 | es_ES |
dc.rights.accessRights | info:eu-repo/semantics/restrictedAccess | es_ES |
Aparece en las colecciones: | INV - Enfermería Clínica - Artículos de Revistas |
Archivos en este ítem:
Archivo | Descripción | Tamaño | Formato | |
---|---|---|---|---|
![]() | Versión final (acceso restringido) | 424,8 kB | Adobe PDF | Abrir Solicitar una copia |
Todos los documentos en RUA están protegidos por derechos de autor. Algunos derechos reservados.