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Radiological and Clinical Outcome After Reversed L-Shaped Osteotomy: A Large Retrospective Swiss Cohort Study


Jentzsch, Thorsten; Renner, Niklas; Niehaus, Richard; Farei-Campagna, Jan; Deggeller, Marcel; Scheurer, Fabrice; Palmer, Katie; Wirth, Stephan H (2019). Radiological and Clinical Outcome After Reversed L-Shaped Osteotomy: A Large Retrospective Swiss Cohort Study. Journal of Foot and Ankle Surgery, 58(1):86-92.

Abstract

The objective was to report radiological and clinical outcomes after reversed L-shaped osteotomy (ReveL) for hallux valgus (HV). A retrospective cohort study was performed between January 2004 and December 2013. The primary outcome was radiological recurrence of HV (HV angle [HVA] >15°). There were various exposure and secondary outcome variables. The results showed a median follow-up of 12.0 months (N = 827). Radiological recurrence, limited patient satisfaction, complication, revision surgery, and elective hardware removal were found in 25.0%, 15.3%, 4.6%, 2.5%, and 26.7%. Median pre- to postoperative changes were highest for HVA (delta = -16.7°). Recurrence was more likely in cases with preoperative HVA ≥40° (adjusted odds ratio [OR]) 3.63, p < .001). Revisions were more likely with concomitant diseases and bilateral surgery (OR 12.53, p = .010; OR 3.35, p = .030). Hardware removal was less likely in patients ≥50 years (OR 0.67, p = .014). In conclusion, ReveL was a good surgical option for HV because of the relatively low rates of unfavorable outcomes.

Abstract

The objective was to report radiological and clinical outcomes after reversed L-shaped osteotomy (ReveL) for hallux valgus (HV). A retrospective cohort study was performed between January 2004 and December 2013. The primary outcome was radiological recurrence of HV (HV angle [HVA] >15°). There were various exposure and secondary outcome variables. The results showed a median follow-up of 12.0 months (N = 827). Radiological recurrence, limited patient satisfaction, complication, revision surgery, and elective hardware removal were found in 25.0%, 15.3%, 4.6%, 2.5%, and 26.7%. Median pre- to postoperative changes were highest for HVA (delta = -16.7°). Recurrence was more likely in cases with preoperative HVA ≥40° (adjusted odds ratio [OR]) 3.63, p < .001). Revisions were more likely with concomitant diseases and bilateral surgery (OR 12.53, p = .010; OR 3.35, p = .030). Hardware removal was less likely in patients ≥50 years (OR 0.67, p = .014). In conclusion, ReveL was a good surgical option for HV because of the relatively low rates of unfavorable outcomes.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Surgery
Health Sciences > Orthopedics and Sports Medicine
Language:English
Date:January 2019
Deposited On:12 Feb 2020 11:34
Last Modified:29 Jul 2020 10:32
Publisher:Elsevier
ISSN:1067-2516
OA Status:Closed
Publisher DOI:https://doi.org/10.1053/j.jfas.2018.08.004
PubMed ID:30583785

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