Long term clinical results of hallux varus correction by a reversed abductor hallucis transfer.
Foot Ankle Surg
; 26(7): 777-783, 2020 Oct.
Article
en En
| MEDLINE
| ID: mdl-31704127
ABSTRACT
BACKGROUND:
Iatrogenic hallux varus is a rare complication after hallux valgus surgery. Operative treatment comprises a wide variety of techniques, of which the reversed transfer of the abductor hallucis tendon is the most recent described technique.METHODS:
This paper will present the long-term clinical results of the reversed transfer of the abductor hallucis longus. Therefore, we performed a prospective clinical observational study on 16 female patients. Our hypothesis is that the tendon transfer will persist in a good alignment and patient satisfaction on long term. There is a 100% follow-up rate with a range from 10 to 101 months. Patients were subjected to a clinical examination, three questionnaires and their general satisfaction.RESULTS:
Out of 16 patients, at time of follow-up, we found a positive correlation between the subjective outcome score and alignment (r=0.59), and between the general satisfaction and alignment (r=0.77). Based on the general satisfaction we achieved a success satisfaction rate of 69% (11 patients). The other 31% (5 patients) patient group was only satisfied with major reservations or not satisfied at all. The two most invalidating complications were a coronal or sagittal malalignment or the combination of both.CONCLUSIONS:
Our results suggest that the reverse abductor hallucis tendon transfer is a good technique to treat a supple iatrogenic hallux varus with an observed success satisfaction rate of 69% at a mean follow-up time of 48 (range 10-101) months. However, patients should be informed that on the long-term loss of correction is possible. LEVEL OF EVIDENCE Prospective clinical observational study Level IIb.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Transferencia Tendinosa
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Rango del Movimiento Articular
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Satisfacción del Paciente
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Hallux Varus
Tipo de estudio:
Observational_studies
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Prognostic_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Foot Ankle Surg
Asunto de la revista:
ORTOPEDIA
Año:
2020
Tipo del documento:
Article