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Journal of Foot and Ankle Research

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01-12-2022 | Metatarsal Fracture | Research

Correction of hallux abducto valgus by scarf osteotomy. A ten-year retrospective multicentre review of patient reported outcomes shows high satisfaction rates with podiatric surgery

Authors: Sharon Clee, George Flanagan, Julian Pavier, Ian Reilly

Published in: Journal of Foot and Ankle Research | Issue 1/2022

Abstract

Background

Corrective surgery for hallux abducto valgus is one of the most performed elective procedures in foot and ankle practice. Numerous methods of surgical correction have been reported within the literature, with varying clinical and patient reported outcomes. This study reviews the patient experience and outcomes in five podiatric surgery centres using the scarf diaphyseal osteotomy.

Method

Patient reported outcome measures (PROMs) were captured using the Patient Satisfaction Questionnaire 10 (PSQ-10), part of the PASCOM-10 podiatric surgery audit tool. PROMs were collated across five hospital sites over a 10-year period.

Results

Of 1351 patients reported during the period, 1189 had complete retrospective data. The most common patient aim of surgery was ‘no/less pain’ reported in 70% of patients. 96.8% of patients reported their original foot complaint as ‘better’ or ‘much better’ after surgery. 92.8% of patients reported their expectations had been met with 96.6% reporting they would have surgery again under the same conditions. 98.5% of patients noted that the risks, complications, and expectations had been discussed prior to surgery. The most common complication was metatarsal fracture (4.6%).

Conclusion

The scarf osteotomy (with or without an Akin phalangeal osteotomy) consistently showed high patient satisfaction with low complication rates using PSQ-10 and this information can be used as part of the pre-operative consenting process. Patient expectations for surgery were often achieved, which may be attributed to the pre-operative work up of the patient. Further investigation into this correlation is suggested.

Level of clinical evidence

IV (retrospective review).

Available only for authorised users

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Title: Correction of hallux abducto valgus by scarf osteotomy. A ten-year retrospective multicentre review of patient reported outcomes shows high satisfaction rates with podiatric surgery
Authors: Sharon Clee
George Flanagan
Julian Pavier
Ian Reilly
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Metatarsal Fracture
Hallux Valgus
Hallux Valgus
Published in: Journal of Foot and Ankle Research / Issue 1/2022
Electronic ISSN: 1757-1146
DOI: https://doi.org/10.1186/s13047-022-00546-3

2024 ASCO Annual Meeting

Springer Medicine

Correction of hallux abducto valgus by scarf osteotomy. A ten-year retrospective multicentre review of patient reported outcomes shows high satisfaction rates with podiatric surgery

Abstract

Background

Method

Results

Conclusion

Level of clinical evidence

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Method

Results

Conclusion

Level of clinical evidence

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