Factors Associated With Early Loss of Hallux Valgus Correction

Naohiro Shibuya, Evangelos M. Kyprios, Prakash N. Panchani, Lanster R. Martin, Jakob C. Thorud, Daniel C. Jupiter

    Research output: Contribution to journalArticlepeer-review

    27 Scopus citations

    Abstract

    Recurrence is common after hallux valgus corrective surgery. Although many investigators have studied the risk factors associated with a suboptimal hallux position at the end of long-term follow-up, few have evaluated the factors associated with actual early loss of correction. We conducted a retrospective cohort study to identify the predictors of lateral deviation of the hallux during the postoperative period. We evaluated the demographic data, preoperative severity of the hallux valgus, other angular measurements characterizing underlying deformities, amount of hallux valgus correction, and postoperative alignment of the corrected hallux valgus for associations with recurrence. After adjusting for the covariates, the only factor associated with recurrence was the postoperative tibial sesamoid position. The recurrence rate was ~50% and ~60% when the postoperative tibial sesamoid position was >4 and >5 on the 7-point scale, respectively.

    Original languageEnglish (US)
    Pages (from-to)236-240
    Number of pages5
    JournalJournal of Foot and Ankle Surgery
    Volume57
    Issue number2
    DOIs
    StatePublished - Mar 2018

    Keywords

    • bunion
    • foot
    • metatarsus primus varus
    • recurrence
    • surgery

    ASJC Scopus subject areas

    • Surgery
    • Orthopedics and Sports Medicine

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