PMID- 35633110
OWN - NLM
STAT- MEDLINE
DCOM- 20220706
LR  - 20220716
IS  - 1757-7861 (Electronic)
IS  - 1757-7853 (Print)
IS  - 1757-7853 (Linking)
VI  - 14
IP  - 7
DP  - 2022 Jul
TI  - Modified Chevron Osteotomy with Distal Soft Tissue Release for Treating Moderate 
      to Severe Hallux Valgus Deformity: A Minimal Clinical Important Difference Values 
      Study.
PG  - 1369-1377
LID - 10.1111/os.13242 [doi]
AB  - OBJECTIVE: To explore whether modified Chevron osteotomy together with distal 
      soft tissue release would correct moderate to severe HV deformity and what is the 
      minimal clinical important difference (MCID) for objective and subjective 
      evaluating parameters. METHODS: From March 2018 to January 2019, 40 hallux valgus 
      patients (including moderate to severe) were enrolled in this retrospective 
      study. The cohort included four males and 36 females. The average age at surgery 
      was 50.95 (range 22-75) years. All patients underwent modified Chevron osteotomy 
      together with distal soft tissue release and completed at least one follow-up at 
      clinic. The American Orthopaedic Foot and Ankle forefoot score (AOFAS, forefoot), 
      Visual Analog Scale (VAS), and Foot Function Index (FFI) were all collected 
      before and after surgery. Besides, the hallux valgus angle (HVA), 1st-2nd 
      intermetatarsal angle (IMA) and distal metatarsal articular angle (DMAA) were 
      measured both before surgery and at last follow-up. All MCID values were 
      calculated by employing distribution-based method. RESULTS: Thirty-seven patients 
      (92.5%) showed satisfied result at a mean 14.3-month follow-up (range 
      13-22 month). Two patients complained about residual pain at the bunion, and 
      overcorrection (hallux varus) occurred in one patient. Meanwhile, no patient 
      observed nonunion. Being female, age more than 60, residual HVA deformity (>15 degrees ), 
      and post IMA more than 9 degrees  showed no statistical relationship with the 
      post-operation residual pain (P > 0.05). However, high VAS score before surgery 
      (more than 7) showed strong correlation with residual pain (P < 0.01). The 
      subjective MCID value was 9.50 for AOFAS, 18.92 for FFI, and 1.27 for VAS, 
      respectively. CONCLUSION: The modified Chevron osteotomy together with distal 
      soft tissue release could achieve a satisfied result for moderate to severe HV 
      deformity at early follow-up. The residual pain was associated with severe pain 
      before surgery (VAS more than 7).
CI  - (c) 2022 The Authors. Orthopaedic Surgery published by Tianjin Hospital and John 
      Wiley & Sons Australia, Ltd.
FAU - Gong, Xiao-Feng
AU  - Gong XF
AD  - Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Peking 
      University Fourth School of Clinical Medicine, Beijing, China.
FAU - Sun, Ning
AU  - Sun N
AD  - Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Peking 
      University Fourth School of Clinical Medicine, Beijing, China.
FAU - Li, Heng
AU  - Li H
AD  - Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Peking 
      University Fourth School of Clinical Medicine, Beijing, China.
FAU - Li, Ying
AU  - Li Y
AD  - Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Peking 
      University Fourth School of Clinical Medicine, Beijing, China.
FAU - Lai, Liang-Peng
AU  - Lai LP
AD  - Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Peking 
      University Fourth School of Clinical Medicine, Beijing, China.
FAU - Li, Wen-Jing
AU  - Li WJ
AD  - Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Peking 
      University Fourth School of Clinical Medicine, Beijing, China.
FAU - Wang, Yan
AU  - Wang Y
AD  - Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Peking 
      University Fourth School of Clinical Medicine, Beijing, China.
FAU - Wu, Yong
AU  - Wu Y
AUID- ORCID: 0000-0001-8578-7508
AD  - Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Peking 
      University Fourth School of Clinical Medicine, Beijing, China.
LA  - eng
PT  - Journal Article
DEP - 20220528
PL  - Australia
TA  - Orthop Surg
JT  - Orthopaedic surgery
JID - 101501666
SB  - IM
MH  - Adult
MH  - Aged
MH  - Disease Progression
MH  - Female
MH  - *Hallux Valgus/surgery
MH  - Humans
MH  - Male
MH  - *Metatarsal Bones/surgery
MH  - Middle Aged
MH  - Osteotomy/methods
MH  - Pain
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Young Adult
PMC - PMC9251292
COIS- All authors declare no conflict of interest.
EDAT- 2022/05/29 06:00
MHDA- 2022/07/07 06:00
PMCR- 2022/05/28
CRDT- 2022/05/28 03:52
PHST- 2022/02/13 00:00 [revised]
PHST- 2020/11/11 00:00 [received]
PHST- 2022/02/18 00:00 [accepted]
PHST- 2022/05/29 06:00 [pubmed]
PHST- 2022/07/07 06:00 [medline]
PHST- 2022/05/28 03:52 [entrez]
PHST- 2022/05/28 00:00 [pmc-release]
AID - OS13242 [pii]
AID - 10.1111/os.13242 [doi]
PST - ppublish
SO  - Orthop Surg. 2022 Jul;14(7):1369-1377. doi: 10.1111/os.13242. Epub 2022 May 28.