Preoperative increased pronation angle of the first metatarsus associated with correction loss after hallux valgus surgery: A semi-weight-bearing computed tomography study.
Foot Ankle Surg
; 30(7): 562-567, 2024 Oct.
Article
em En
| MEDLINE
| ID: mdl-38704264
ABSTRACT
BACKGROUND:
The effect of preoperative first metatarsal pronation on postoperative prognosis of hallux valgus (HV) surgery is under investigation. Utilizing semi-weight-bearing computed tomography, the preoperative pronation angle was assessed to quantify its impact on postoperative prognosis.METHODS:
In a retrospective analysis of 31 feet, those with re-increased hallux valgus angle postoperatively were classified as the non-maintained group, and the remainder as the maintained group. Preoperative pronation angles were compared to establish a threshold. Subsequently, feet were re-classified into high or low-pronation categories. The relative risk of non-maintenance in high-pronation category was calculated.RESULTS:
The non-maintained group exhibited a significantly higher preoperative pronation angle (p = 0.021), with a 28.4º threshold. The high-pronation category had a relative risk of 2.34 for non-maintenance.CONCLUSIONS:
Increased preoperative first metatarsal pronation angle is associated with correction loss after HV surgery. Utilizing sWBCT to measure the pronation angle provides valuable insights into postoperative prognosis. LEVEL OF EVIDENCE III.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Ossos do Metatarso
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Pronação
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Hallux Valgus
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Tomografia Computadorizada por Raios X
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Suporte de Carga
Limite:
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
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2024
Tipo de documento:
Article