AI Article Synopsis
- The study assessed the effectiveness of reversed L-shaped osteotomy (ReveL) for treating hallux valgus (HV) with a focus on radiological and clinical outcomes over a median follow-up period of 12 months.
- The findings revealed a 25% rate of radiological recurrence of HV, along with limited patient satisfaction and various complication rates, while showing the most significant improvement in HV angle post-surgery.
- Overall, ReveL was deemed a favorable surgical method for HV due to its relatively low rates of negative results, although certain factors like high preoperative HV angles and concurrent health issues increased the risk of complications.
Article 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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| http://dx.doi.org/10.1053/j.jfas.2018.08.004 | DOI Listing |
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