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Hallux valgus; An observational study on patient characteristics, surgical treatment and pre-operative HRQoL from the Swedish foot and ankle register (Swefoot)

Söderpalm, Ann Charlott ; Montgomery, Fredrik ; Helander, Katarina Nilsson and Cöster, Maria C. LU (2023) In Foot 57.
Abstract

Introduction: Hallux valgus (HV) is a common condition with impact on pain, function and HrQoL. International consensus does not exist on operative treatment of HV and population-level data regarding surgical treatment of HV is lacking. In this study we aimed to present base-line data from surgically treated HV patients reported to the Swedish register for foot and ankle surgery (Swefoot) during the period 2014–2021. Material and Methods: In total, 7543 feet in 6770 patients were analyzed regarding patient characteristics, grading of HV, surgical procedures and pre-operative PROMs Euroqol-5 Dimension-3 L (EQ-5D-3 L) and Self-reported Foot and Ankle Score (SEFAS). Results: Median age was 55 years (range 15–91) and 87% were women. The... (More)

Introduction: Hallux valgus (HV) is a common condition with impact on pain, function and HrQoL. International consensus does not exist on operative treatment of HV and population-level data regarding surgical treatment of HV is lacking. In this study we aimed to present base-line data from surgically treated HV patients reported to the Swedish register for foot and ankle surgery (Swefoot) during the period 2014–2021. Material and Methods: In total, 7543 feet in 6770 patients were analyzed regarding patient characteristics, grading of HV, surgical procedures and pre-operative PROMs Euroqol-5 Dimension-3 L (EQ-5D-3 L) and Self-reported Foot and Ankle Score (SEFAS). Results: Median age was 55 years (range 15–91) and 87% were women. The surgeon classified 63% of the cases as moderate HV, 15% as mild and 22% as severe. The Chevron osteotomy was the preferred surgical method and was used in 74% of all cases. Out of these, 58% were fixated with a screw. The Offset-V osteotomy was the most performed shaft osteotomy. Proximal osteotomies and lateral releases were less common. The pre-operative mean EQ-5D-3 L index and SEFAS summary score were low and HV patients with overweight and rheumatoid arthritis had significantly lower scores. Conclusion: This is the first report from Swefoot describing surgeon- and patient reported pre-operative data in patients with surgical treated HV.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Base line variables, EQ-5D, Hallux valgus, Osteotomies, Register, SEFAS, Swefoot
in
Foot
volume
57
article number
102060
publisher
Elsevier
external identifiers
  • pmid:37922633
  • scopus:85175448932
ISSN
0958-2592
DOI
10.1016/j.foot.2023.102060
language
English
LU publication?
yes
id
ec85794b-bc7c-400f-9d35-e7913c22e75b
date added to LUP
2023-11-23 11:38:52
date last changed
2024-04-20 15:05:40
@article{ec85794b-bc7c-400f-9d35-e7913c22e75b,
  abstract     = {{<p>Introduction: Hallux valgus (HV) is a common condition with impact on pain, function and HrQoL. International consensus does not exist on operative treatment of HV and population-level data regarding surgical treatment of HV is lacking. In this study we aimed to present base-line data from surgically treated HV patients reported to the Swedish register for foot and ankle surgery (Swefoot) during the period 2014–2021. Material and Methods: In total, 7543 feet in 6770 patients were analyzed regarding patient characteristics, grading of HV, surgical procedures and pre-operative PROMs Euroqol-5 Dimension-3 L (EQ-5D-3 L) and Self-reported Foot and Ankle Score (SEFAS). Results: Median age was 55 years (range 15–91) and 87% were women. The surgeon classified 63% of the cases as moderate HV, 15% as mild and 22% as severe. The Chevron osteotomy was the preferred surgical method and was used in 74% of all cases. Out of these, 58% were fixated with a screw. The Offset-V osteotomy was the most performed shaft osteotomy. Proximal osteotomies and lateral releases were less common. The pre-operative mean EQ-5D-3 L index and SEFAS summary score were low and HV patients with overweight and rheumatoid arthritis had significantly lower scores. Conclusion: This is the first report from Swefoot describing surgeon- and patient reported pre-operative data in patients with surgical treated HV.</p>}},
  author       = {{Söderpalm, Ann Charlott and Montgomery, Fredrik and Helander, Katarina Nilsson and Cöster, Maria C.}},
  issn         = {{0958-2592}},
  keywords     = {{Base line variables; EQ-5D; Hallux valgus; Osteotomies; Register; SEFAS; Swefoot}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Foot}},
  title        = {{Hallux valgus; An observational study on patient characteristics, surgical treatment and pre-operative HRQoL from the Swedish foot and ankle register (Swefoot)}},
  url          = {{http://dx.doi.org/10.1016/j.foot.2023.102060}},
  doi          = {{10.1016/j.foot.2023.102060}},
  volume       = {{57}},
  year         = {{2023}},
}