Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Combined rotation scarf and Akin osteotomies for hallux valgus: a patient focussed 9 year follow up of 50 patients. | Kilmartin and O Kane Journal of Foot and Ankle Research 2010 3 2 http content 3 1 2 JOURNAL OF FOOT AND ANKLE RESEARCH RESEARCH Open Access Combined rotation scarf and Akin osteotomies for hallux valgus a patient focussed 9 year follow up of 50 patients Timothy E Kilmartin1 2 3 Claire O Kane 1 Abstract Background The Cochrane review of hallux valgus surgery has disputed the scientific validity of hallux valgus research. Scoring systems and surrogate measures such as x-ray angles are commonly reported at just one year post operatively but these are of dubious relevance to the patient. In this study we extended the follow up to a minimum of 8 years and sought to address patient specific concerns with hallux valgus surgery. The long term follow up also allowed a comprehensive review of the complications associated with the combined rotation scarf and Akin osteotomies. Methods Between 1996 and 1999 101 patients underwent rotation scarf and Akin osteotomies for the treatment of hallux valgus. All patients were contacted and asked to participate in this study. 50 female participants were available allowing review of 73 procedures. The average follow up was over 9 years and the average age at the time of surgery was 57. The participants were physically examined and interviewed. Results Post-operatively in 86 of the participants there were no footwear restrictions. Stiffness of the first metatarsophalangeal joint was reported in 8 6 feet 10 were unhappy with the cosmetic appearance of their feet 3 feet had hallux varus and 2 feet had recurrent hallux valgus. There were no foot-related activity restrictions in 92 of the group. Metatarsalgia occurred in 4 3 feet . 96 were better than before surgery and 88 were completely satisfied with their post-operative result. Hallux varus was the greatest single cause of dissatisfaction. The most common adverse event in the study was internal fixation irritation. Hallux valgus surgery is not without risk and these
