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Why I Want Bunion Surgery-the Patient's Preoperative and Postoperative Perspective. Hallux valgus is the most common pathology afflicting the hallux. Surgery is generally offered to symptomatic patients who fail conservative treatment. The aim of this study is to evaluate patient-reported reasons for undergoing hallux valgus corrective surgery in a preoperative and postoperative cohort. We and a postoperative group to eliminate bias. In our study we had 101 patients, 5 males and 96 females, at an average age of 50.6 years. The preoperative cohort included 51 patients and the postoperative cohort 50 patients. The 3 most important reasons for having surgery, in both cohorts, were the ability to move pain free, eliminate pain over bunion, and to be able to walk long distance and over uneven terrain
Management of Dorsal Bunion in Nonambulatory Adolescents with Cerebral Palsy: A Retrospective Cohort Study. A dorsal bunion may occur in nonambulatory adolescents with cerebral palsy (CP) and a Gross Motor Function Classification System (GMFCS) level of IV or V. The deformity can cause pain, skin breakdown, and difficulty wearing shoes and braces. A consensus on the biomechanics and surgical management of dorsal bunions in persons with severe CP has not been established. This retrospective cohort study included 23 nonambulatory adolescents with CP, GMFCS level IV or V, and symptomatic dorsal bunions requiring surgery. The median age at surgery was 17 years, and the median follow-up was 56 months. Reconstructive surgery included the excision of a 2 to 3-cm segment of the tibialis anterior
Pin fixation is an effective method for fixation of bunion osteotomy with various procedures: a retrospective cohort study. Various fixation devices are available for bunion osteotomy. In this study, we evaluated the radiographic outcomes, postoperative complications, and recurrence rate in a series of hallux valgus deformities treated with various osteotomy procedures using a pin in the proximal osteotomy group (P = 0.039). The mean metatarsophalangeal flexion and extension were significantly smaller in the distal chevron osteotomy (P = 0.046 and P = 0.037, respectively). 90% of patients were satisfied or very satisfied with the surgical outcomes. K-wire fixation is a safe and effective device for the fixation of bunion osteotomy, and this effectiveness is even higher with SERI
Role of Patient-Reported Outcome Measures on Predicting Outcome of Bunion Surgery. Prior studies have suggested preoperative patient-reported outcome scores could predict patients who would achieve a clinically meaningful improvement with hallux valgus surgery. Our goal was to determine bunionectomy-specific thresholds using Patient-Reported Outcomes Measurement Information System (PROMIS ) values to predict patients who would or would not benefit from bunion surgery. PROMIS physical function (PF), pain interference (PI), and depression assessments were prospectively collected. Forty-two patients were included in the study. Using preoperative and final follow-up visit scores, minimally clinically important differences (MCID), receiver operating characteristic (ROC) curves, and area under
Bunions We value your privacyWe and our partners store and/or access information on a device, such as cookies and process personal data, such as unique identifiers and standard information sent by a device for personalised ads and content, ad and content measurement, and audience insights, as well as to develop and improve products. With your permission we and our partners may use precise ProfessionalsProfessional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You may find the Bunions article more useful, or one of our other health articles.Read COVID-19 guidance from NICEIN THIS ARTICLEWhat is a bunion (hallux valgus)?PathophysiologyHow common are bunions?Bunion (hallux valgus
Editorial Commentary: The Great Endoscopically Assisted Bunion Surgery That Will Never Become Popular-I Will Not Try This at Home. Bunion surgery almost invariably involves osteotomies and open incisions. Recently, some surgeons have been performing minimally invasive osteotomies with less morbidity, more rapid healing, and good results. These surgeries are heavily technique dependent, and other surgeons cannot always reproduce these results. Endoscopically assisted bunion surgery yielded excellent results at 10 years in this study but will likely never be used commonly because of the extremely demanding surgical technique and requisite learning curve.
Quantifying Patient-Reported Disability and Health While Waiting for Bunion Surgery. Many patients with hallux valgus progress to experiencing pain and loss of function that requires corrective surgery when nonoperative treatments fail. The primary goal of this study was to measure changes in participants' health while patients waited for their operative correction. Patients were prospectively
Symptomatic hallux valgus and dorsal bunion in adolescents with cerebral palsy: clinical and biomechanical factors. The prevalence of severely symptomatic deformities of the first metatarsophalangeal (MTP) joint in adolescents with cerebral palsy (CP) requiring arthrodesis is unknown. Recent literature regarding these deformities is limited. We studied the presentation of severe, symptomatic subtype, Gross Motor Function Classification System (GMFCS), clinical presentation, and radiological features. Adolescents with spastic diplegia, at GMFCS levels II and III, were the most common group to develop symptomatic hallux valgus. In contrast, non-ambulant adolescents, at GMFCS levels IV and V, with dystonia or mixed tone, more commonly had dorsal bunions. The type of first MTP joint deformity
Cost-Utility Study of the Economics of Bunion Correction Surgery. Bunion correction surgery is a very common procedure to improve patients' pain and physical function attributable to a misaligned first metatarsophalangeal joint. The objective of this study was to apply a health utility framework to estimate the cost utility of bunion correction surgery. Patients were prospectively recruited from the population of patients seen in a lower-extremity orthopedic clinic and scheduled for isolated bunion surgery. Participants completed EuroQoL's EQ-5D(3L) to measure patients' current general health preoperatively and 6 months postoperatively. Participants' change in quality-adjusted life years (QALYs) were calculated by comparing the difference between postoperative utility values and preoperative utility
Minimally Invasive Surgical management of bunionette (tailor's bunion) deformity using fifth metatarsal osteotomies: A Systematic Review and meta-analysis PROSPEROInternational prospective register of systematic reviews Print | PDFMinimally Invasive Surgical management of bunionette (tailor’s bunion) deformity using fifth metatarsal osteotomies: A Systematic Review and meta-analysisThomas Lewis , Robbie RayCitationThomas Lewis, Robbie Ray. Minimally Invasive Surgical management of bunionette (tailor’s bunion) deformity using fifth metatarsal osteotomies: A Systematic Review and meta-analysis. PROSPERO 2024 CRD42024497258 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024497258Review questionWhat are the clinical and radiological results of percutaneous
Epidemiology of Bunion and Risk Factors Analysis of the collected data to determine:Prevalence.Risk factors. Radiological and clinical patterns and their association with specific risk factors Of Hallux Valgus Hallux valgus (HV) is a common foot deformity whose multifactorial and complex and associated with other foot deformities. It is a common 1st ray deformity characterized by excessive
First ray kinematics in women with rheumatoid arthritis and bunion deformity: a gait simulation imaging study. The first ray plays a role in the development of bunion foot deformity, but for unknown reasons. This prospective, cross-sectional study investigated first ray kinematics in women with rheumatoid arthritis (RA) and bunion. Nine participants having RA-bunion were analyzed in comparison between groups and across conditions, and correlation assessed the relationship between selected variables. Eversion of the calcaneus averaged 9°, and adduction of the first ray was increased (F = 6.29, P = 0.02) by ≥4.6° across conditions in the RA-bunion group. There was an interaction (F = 7.73, P = 0.01) for the first ray axis. Followup comparisons identified increased inclination of the first ray
Assessment of the Quality of Web-based Information on Bunions. The Internet provides a large source of health-related information for patients. However, information on the Internet is mostly unregulated, ranging from factually correct to misleading or contradictory information. The objective of this study was to determine the quality of information available on World Wide Web on the topic of bunions. Websites were identified using 3 search engines (Google, Yahoo, and MSN) and the search term bunions. The first 30 websites in each search were analyzed. Websites were assessed using the validated DISCERN rating instrument to determine the quality of health content and treatment information. The DISCERN tool possesses moderate to very good strength of interobserver agreement, ranging from .41