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Title
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Long term clinical results of hallux varus correction by a reversed abductor hallucis transfer
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Author
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Abstract
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| Background: latrogenic hallux varus is a rare complication after hallux valgus surgery. Operative treatment comprises a wide variety of techniques, of which the reversed transfer of the abductor hallucis tendon is the most recent described technique. Methods: This paper will present the long-term clinical results of the reversed transfer of the abductor hallucis longus. Therefore, we performed a prospective clinical observational study on 16 female patients. Our hypothesis is that the tendon transfer will persist in a good alignment and patient satisfaction on long term. There is a 100% follow-up rate with a range from 10 to 101 months. Patients were subjected to a clinical examination, three questionnaires and their general satisfaction. Results: Out of 16 patients, at time of follow-up, we found a positive correlation between the subjective outcome score and alignment (r = 0.59), and between the general satisfaction and alignment (r = 0.77). Based on the general satisfaction we achieved a success satisfaction rate of 69% (11 patients). The other 31% (5 patients) patient group was only satisfied with major reservations or not satisfied at all. The two most invalidating complications were a coronal or sagittal malalignment or the combination of both. Conclusions: Our results suggest that the reverse abductor hallucis tendon transfer is a good technique to treat a supple iatrogenic hallux varus with an observed success satisfaction rate of 69% at a mean follow-up time of 48 (range 10-101) months. However, patients should be informed that on the long-term loss of correction is possible. (C) 2019 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved. |
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Language
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English
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Source (journal)
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Foot and ankle surgery. - Oxford
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Source (book)
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Biannual Conference of the European-Foot-and-Ankle-Society, OCT 03-05, 2018, Geneva, Switzerland
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Publication
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Amsterdam
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Elsevier
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2020
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ISSN
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1268-7731
[print]
1460-9584
[online]
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DOI
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10.1016/J.FAS.2019.10.004
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Volume/pages
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26
:7
(2020)
, p. 777-783
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ISI
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000577148700010
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Pubmed ID
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31704127
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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