| Scarf osteotomy versus metatarsophalangeal arthrodesis in forefoot first ray disorders: Comparison of functional outcomes. | |
| | |
MedLine Citation:
|
PMID: 22951054 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
INTRODUCTION: Scarf osteotomies of the first metatarsal and metatarsophalangeal arthrodesis are the two most frequent surgical forefoot reconstructive procedures. HYPOTHESIS: We compared functional results of isolated arthrodesis of the first metatarsophalangeal joint with an isolated Scarf osteotomy of the first metatarsal. MATERIALS AND METHODS: This was a retrospective, observational, continuous study of patients operated between 1993 and 2008. After patients who had undergone a procedure on the lateral rays, extremely elderly patients, lost to follow-up patients and those with incomplete questionnaires had been excluded, there remained two comparable groups of 25 patients. Mean age was 60 in the arthrodesis group [41-70] and 59.8 in the Scarf group [47-71]. The Scarf group included 25 hallux valgus (100%) compared to 16 hallux valgus (64%) and nine hallux rigidus (36%) in the arthrodesis group. Complications were recorded. Evaluation of functional results was based on the most recent functional or quality of life scores (AOFAS, FFI, FAAM, SF 36) and a questionnaire on physical and athletic ability. RESULTS: There was no significant difference in the rate of complications between the two groups. There was no difference in pain according to the AOFAS score with 35.6/40 (±6.5) in the Scarf group and 34.5 (±5.9) in the arthrodesis group. Global satisfaction was also similar between the Scarf and arthrodesis groups: 91.4% and 90% of very satisfied or satisfied patients, respectively. The FFI score was higher in the Scarf group than in the arthrodesis group: 8.6 (±20.1) and 19.8 (±17.7) respectively. Functional results were better in the Scarf group than in the arthrodesis group with a FAAM Daily Activity score of 80.2 (±12.1) compared to 68 (±7.2), a FAAM Sports Activity score of 29.7 (±6.7) compared to 25.2 (±7.6) and a FAAM Global Function score of 94% (±10.8) compared to 87% (±15.7), respectively. The Global SF36 score was higher in the Scarf group than in the arthrodesis group: 70.9% (±14.1) and 62.3% (±20.6) respectively, which was due to a higher Mental Health score in the Scarf group: 68.7% (±14.2) and 60.4% (±19.3) respectively. In the area of sports activities the Scarf group practiced more hiking than the arthrodesis group (74% versus 42% respectively). There was no difference for other activities. DISCUSSION AND CONCLUSION: This study provides detailed information on the level of physical and sports activities that are practiced following these procedures, so that the patient can be better informed. LEVEL OF EVIDENCE: Level III. Comparative retrospective. |
| | |
Authors:
|
R Desmarchelier; J-L Besse; M-H Fessy; |
Related Documents
:
|
20367114 - Comparison of the analgesic effects of dexketoprofen and diclofenac during shockwave li... 3620274 - Double-blind randomized controlled trial of isoxicam vs piroxicam in elderly patients w... 22002814 - Hydroquinone therapy for post-inflammatory hyperpigmentation secondary to acne: not jus... 17897274 - Sequential clot strength analyses following diclofenac in pediatric adenotonsillectomy. 15881034 - Factors contributing to delay in diagnosis and start of treatment of leprosy: analysis ... 16498004 - Infection in knee replacements after previous injection of intra-articular steroid. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-8-27 |
Journal Detail:
|
Title: Orthopaedics & traumatology, surgery & research : OTSR Volume: - ISSN: 1877-0568 ISO Abbreviation: Orthop Traumatol Surg Res Publication Date: 2012 Aug |
Date Detail:
|
Created Date: 2012-9-6 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101494830 Medline TA: Orthop Traumatol Surg Res Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2012. Published by Elsevier Masson SAS. |
Affiliation:
|
Southern Lyon Hospital Center, Department of Orthopaedic Surgery and Traumatology and sports medicine, Lyon Civilian Hospitals, 69495 Pierre-Bénite Cedex, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Painful patellofemoral instability secondary to peroperative patellar fracture during bone-patellar ...
Next Document: Specificity and responsiveness of patient-reported and clinician-rated outcome measures in the conte...