PMID- 37220865
OWN - NLM
STAT- MEDLINE
DCOM- 20231102
LR  - 20231102
IS  - 1542-2224 (Electronic)
IS  - 1067-2516 (Linking)
VI  - 62
IP  - 5
DP  - 2023 Sep-Oct
TI  - How Adductor Hallucis Reattachment Affects Outcomes Following Scarf Osteotomy in 
      Hallux Valgus Correction: A 4- to 8-Year Follow-Up Retrospective Comparative 
      Study.
PG  - 850-854
LID - S1067-2516(23)00122-9 [pii]
LID - 10.1053/j.jfas.2023.05.003 [doi]
AB  - This study observed the differences between 2 adductor hallucis release 
      techniques (nonreattachment vs reattachment) in 4- to 8-year follow-up outcomes 
      of scarf osteotomy combined with distal soft tissue release (DSTR) in moderate to 
      severe hallux valgus correction. A retrospective review of moderate to severe 
      hallux valgus patients treated with scarf osteotomy with DSTR was conducted. The 
      patients were divided into 2 groups based on adductor hallucis release techniques 
      (without and with reattachment to the metatarsophalangeal joint capsule). The 
      demographic-matching process divided the samples into 27 patients per group. A 
      comparison of last follow-up of clinical foot ankle ability measure (FAAM) for 
      activity of daily living (ADL) and numerical rating scale for pain during 2 hours 
      of ADL and radiographic outcomes (hallux valgus angle (HVA) and intermetatarsal 
      angle (IMA) was analyzed. A p < .05 was considered a statistically significant 
      difference. The final follow-up of FAAM for ADL was statistically better in the 
      reattachment group as the median was 79.0 (IQR = 4.00) versus 76.0 (IQR = 4.00), 
      p = .047. However, this difference did not achieve minimal clinical importance 
      difference (MCID). The last follow-up of IMA was also statistically better in the 
      reattachment group as the mean was 7.67 (SD = 3.10) versus 10.5 (SD = 3.59), 
      p = .003. DSTR with adductor hallucis reattachment has statistically better IMA 
      correction and maintenance than nonreattachment for moderate to severe hallux 
      valgus correction using scarf osteotomy at 4- to 8-years follow-up. However, the 
      better clinical outcomes did not achieve MCID.
CI  - Copyright (c) 2023 the American College of Foot and Ankle Surgeons. Published by 
      Elsevier Inc. All rights reserved.
FAU - Tharmviboonsri, Theerawoot
AU  - Tharmviboonsri T
AD  - Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol 
      University, Bangkok, Thailand.
FAU - Chalidapong, Bussakorn
AU  - Chalidapong B
AD  - Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol 
      University, Bangkok, Thailand.
FAU - Rattanatanasarn, Apisit
AU  - Rattanatanasarn A
AD  - Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol 
      University, Bangkok, Thailand.
FAU - Chuckpaiwong, Bavornrit
AU  - Chuckpaiwong B
AD  - Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol 
      University, Bangkok, Thailand.
FAU - Lertwattanachai, Penpun
AU  - Lertwattanachai P
AD  - Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol 
      University, Bangkok, Thailand.
FAU - Harnroongroj, Thos
AU  - Harnroongroj T
AD  - Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol 
      University, Bangkok, Thailand. Electronic address: harnroongrojt@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20230521
PL  - United States
TA  - J Foot Ankle Surg
JT  - The Journal of foot and ankle surgery : official publication of the American 
      College of Foot and Ankle Surgeons
JID - 9308427
SB  - IM
MH  - Humans
MH  - Retrospective Studies
MH  - *Hallux Valgus/diagnostic imaging/surgery
MH  - Follow-Up Studies
MH  - Treatment Outcome
MH  - Osteotomy/methods
MH  - *Metatarsal Bones/surgery
OTO - NOTNLM
OT  - adductor hallucis reattachment
OT  - clinical outcomes
OT  - intermetatarsal angle
OT  - minimal clinical importance difference
OT  - moderate to severe hallux valgus
EDAT- 2023/05/24 01:06
MHDA- 2023/05/24 01:07
CRDT- 2023/05/23 19:17
PHST- 2023/01/05 00:00 [received]
PHST- 2023/04/28 00:00 [revised]
PHST- 2023/05/15 00:00 [accepted]
PHST- 2023/05/24 01:07 [medline]
PHST- 2023/05/24 01:06 [pubmed]
PHST- 2023/05/23 19:17 [entrez]
AID - S1067-2516(23)00122-9 [pii]
AID - 10.1053/j.jfas.2023.05.003 [doi]
PST - ppublish
SO  - J Foot Ankle Surg. 2023 Sep-Oct;62(5):850-854. doi: 10.1053/j.jfas.2023.05.003. 
      Epub 2023 May 21.