PMID- 25712116
OWN - NLM
STAT- MEDLINE
DCOM- 20160412
LR  - 20161125
IS  - 1944-7876 (Electronic)
IS  - 1071-1007 (Linking)
VI  - 36
IP  - 7
DP  - 2015 Jul
TI  - Radiographic Outcomes of Postoperative Taping Following Hallux Valgus Correction.
PG  - 820-6
LID - 10.1177/1071100715573748 [doi]
AB  - BACKGROUND: Traditionally, hallux valgus operative correction has been 
      accompanied by serial spica taping of the great toe during the postoperative 
      period. METHODS: We retrospectively reviewed 187 adult patients who underwent 
      proximal first metatarsal osteotomy with a modified McBride procedure in 
      2008-2009 (n = 83) and 2011-2012 (n = 104). Postoperatively, to maintain the 
      corrected position of the hallux, patients from 2008 through 2009 underwent 
      weekly spica taping, while patients from 2011 through 2012 utilized a toe 
      separator. The hallux valgus angle (HVA) and intermetatarsal angle (IMA) were 
      measured using anteroposterior weight-bearing preoperative, 2-week postoperative 
      non-weight-bearing, and 3-month weight-bearing final follow-up radiographs. A 
      mixed-effects linear regression model identified differences between the 
      treatment groups over time, and a t test compared actual radiographic differences 
      at final follow-up. RESULTS: The mixed-effects model revealed no significant 
      difference in the HVA over time when comparing patients taped to those not taped 
      at the preoperative (33 +/- 6 vs 33 +/- 6), 2-week postoperative (10 +/- 7 vs 9 +/- 6), 
      and 3-month follow-up (14 +/- 6 vs 11 +/- 7) visits (P = .08). At final follow-up, 
      the HVA was lower for the group that was not taped, but the difference (2.5 
      degrees) was below the minimal clinically important difference (MCID) (P = .015, 
      95% CI 0.5-4.5). For IMA, there was improved maintenance of correction over time 
      in the patients that were not taped compared to those taped at the preoperative 
      (15 +/- 3 vs 15 +/- 3), 2-week postoperative (2 +/- 2 vs 3 +/- 3), and 3-month follow-up 
      (5 +/- 4 vs 7 +/- 4) visits (P = .002). At final follow-up, the IMA was lower for the 
      group that was not taped, but the difference (1.7 degrees) was below the MCID (P 
      = .004, 95% CI 0.7-2.9). CONCLUSIONS: We report no radiographic benefit of 
      postoperative taping after hallux valgus correction. The present study challenges 
      the previous dogma of postoperative spica taping as the protocol is cost and time 
      intensive for the patient and surgeon. LEVEL OF EVIDENCE: Level III, comparative 
      series.
CI  - (c) The Author(s) 2015.
FAU - Ponzio, Danielle Y
AU  - Ponzio DY
AD  - Rothman Institute/Department of Orthopaedic Surgery, Thomas Jefferson University, 
      Philadelphia, PA, USA.
FAU - Pedowitz, David I
AU  - Pedowitz DI
AD  - Rothman Institute/Department of Orthopaedic Surgery, Thomas Jefferson University, 
      Philadelphia, PA, USA.
FAU - Verma, Kushagra
AU  - Verma K
AD  - Rothman Institute/Department of Orthopaedic Surgery, Thomas Jefferson University, 
      Philadelphia, PA, USA.
FAU - Maltenfort, Mitchell G
AU  - Maltenfort MG
AD  - Rothman Institute/Department of Orthopaedic Surgery, Thomas Jefferson University, 
      Philadelphia, PA, USA.
FAU - Winters, Brian S
AU  - Winters BS
AD  - Rothman Institute/Department of Orthopaedic Surgery, Thomas Jefferson University, 
      Philadelphia, PA, USA.
FAU - Raikin, Steven M
AU  - Raikin SM
AD  - Rothman Institute/Department of Orthopaedic Surgery, Thomas Jefferson University, 
      Philadelphia, PA, USA steven.raikin@rothmaninstitute.com.
LA  - eng
PT  - Journal Article
DEP - 20150224
PL  - United States
TA  - Foot Ankle Int
JT  - Foot & ankle international
JID - 9433869
SB  - IM
MH  - Female
MH  - Hallux Valgus/*diagnostic imaging/*surgery
MH  - Humans
MH  - Male
MH  - Metatarsal Bones/*surgery
MH  - Middle Aged
MH  - Osteotomy/*methods
MH  - Postoperative Care/*methods
MH  - Radiography
MH  - Retrospective Studies
MH  - *Surgical Tape
OTO - NOTNLM
OT  - bunion
OT  - hallux valgus
OT  - hallux valgus angle
OT  - intermetatarsal angle
OT  - proximal metatarsal osteotomy
OT  - taping
EDAT- 2015/02/26 06:00
MHDA- 2016/04/14 06:00
CRDT- 2015/02/26 06:00
PHST- 2015/02/26 06:00 [entrez]
PHST- 2015/02/26 06:00 [pubmed]
PHST- 2016/04/14 06:00 [medline]
AID - 1071100715573748 [pii]
AID - 10.1177/1071100715573748 [doi]
PST - ppublish
SO  - Foot Ankle Int. 2015 Jul;36(7):820-6. doi: 10.1177/1071100715573748. Epub 2015 
      Feb 24.