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 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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Journal of Foot and Ankle Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13047-022-00546-3 |
| _version_ | 1797321272921686016 |
|---|---|
| author | Sharon Clee George Flanagan Julian Pavier Ian Reilly |
| author_facet | Sharon Clee George Flanagan Julian Pavier Ian Reilly |
| author_sort | Sharon Clee |
| collection | DOAJ |
| description | 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). |
| first_indexed | 2024-03-08T04:56:10Z |
| format | Article |
| id | doaj.art-101276503178417982443c61e14fe4a0 |
| institution | Directory Open Access Journal |
| issn | 1757-1146 |
| language | English |
| last_indexed | 2024-03-08T04:56:10Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Foot and Ankle Research |
| spelling | doaj.art-101276503178417982443c61e14fe4a02024-02-07T15:15:30ZengWileyJournal of Foot and Ankle Research1757-11462022-01-01151n/an/a10.1186/s13047-022-00546-3Correction of hallux abducto valgus by scarf osteotomy. A ten‐year retrospective multicentre review of patient reported outcomes shows high satisfaction rates with podiatric surgerySharon Clee0George Flanagan1Julian Pavier2Ian Reilly3Department of Podiatric SurgeryNorthamptonshire Healthcare NHS Foundation Trust (NHFT)NorthamptonUKDepartment of Podiatric SurgeryNorthamptonshire Healthcare NHS Foundation Trust (NHFT)NorthamptonUKDepartment of Podiatric Surgery Nottinghamshire Healthcare NHS Foundation TrustNottinghamUKDepartment of Podiatric SurgeryNorthamptonshire Healthcare NHS Foundation Trust (NHFT)NorthamptonUKAbstract 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).https://doi.org/10.1186/s13047-022-00546-3Hallux abducto valgusHallux valgusBunionBunion/surgeryHallux valgus/surgery |
| spellingShingle | Sharon Clee George Flanagan Julian Pavier Ian Reilly 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 Journal of Foot and Ankle Research Hallux abducto valgus Hallux valgus Bunion Bunion/surgery Hallux valgus/surgery |
| 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Hallux abducto valgus Hallux valgus Bunion Bunion/surgery Hallux valgus/surgery |
| url | https://doi.org/10.1186/s13047-022-00546-3 |
| work_keys_str_mv | AT sharonclee correctionofhalluxabductovalgusbyscarfosteotomyatenyearretrospectivemulticentrereviewofpatientreportedoutcomesshowshighsatisfactionrateswithpodiatricsurgery AT georgeflanagan correctionofhalluxabductovalgusbyscarfosteotomyatenyearretrospectivemulticentrereviewofpatientreportedoutcomesshowshighsatisfactionrateswithpodiatricsurgery AT julianpavier correctionofhalluxabductovalgusbyscarfosteotomyatenyearretrospectivemulticentrereviewofpatientreportedoutcomesshowshighsatisfactionrateswithpodiatricsurgery AT ianreilly correctionofhalluxabductovalgusbyscarfosteotomyatenyearretrospectivemulticentrereviewofpatientreportedoutcomesshowshighsatisfactionrateswithpodiatricsurgery |