Analysis of Factors Influencing the Efficacy of Corrective Surgery in Patients with Hallux Valgus
Objective:To explore the factors affecting the efficacy of corrective surgery in patients with hallux valgus,and to provide reference for clinical surgical treatment.Methods:186 patients who received corrective surgery for bunion valgus from November 2017 to November 2022 were retrospectively collected.The results of surgery were evaluated by Mancunian-Oxford foot questionnaire(MOXFQ)before and after the last follow-up.Patients were divided into improved group and non-improved group according to the difference of MOXFQ score between last postoperative follow-up and pre-operative.The related clinical data were collected and the factors influencing the efficacy of corrective surgery for patients with hallux valgus were analyzed by multivariate logistic regression.Results:There was no improvement in 38 patients and improvement in 148 patients.The age of the no-improvement group was higher than that of the improvement group(P＜0.05),the proportions of female,diabetes,smoking history,peripheral vascular disease,American society of aneshesiolo-gists(ASA)grade＞1,severe deformity,postoperative recurrence of bunion and metastatic metatarsal algia were higher than those of the improvement group(P＜0.05),and the proportions of minimally invasive surgery were lower than those of the improvement group(P＜0.05).The American orthopedic foot and ankle society(AOFAS)score and Maryland foot score in the last postoperative follow-up were lower than those in the improved group(P＜0.05).Multiva-riate logistic regression analysis showed that postoperative recurrence of bunion valgus,metastatic metatarsal algia,diabe-tes and preoperative severe deformity were risk factors for no improvement in bunion valgus patients(P＜0.05),and min-imally invasive surgery was protective factor(P＜0.05).Conclusion:Postoperative recurrence of bunion valgus,metastatic metatarsal algia,diabetes mellitus,and severe deformity before surgery are associated with poor surgical results in bunion valgus patients.Minimally invasive surgery can improve surgical results.
NETL
NSTL
万方数据
维普
