CME OnDemand: 2022 AOFAS Annual Meeting-Effectiveness of Hallux Valgus Surgery on Post-Operative Outcomes in Skeletally Mature Patients

Effectiveness of Hallux Valgus Surgery on Post-Operative Outcomes in Skeletally Mature Patients

Video Transcription

Video Summary

In this video, Fernando Oran presents the effectiveness of Halox valgus surgery on post-operative outcomes in skeletally mature patients. The goal of the study was to establish a baseline for comparison for patient-reported outcomes after Halox valgus surgery. The team reviewed recent literature from 2001 to the present and analyzed 310 articles for qualitative synthesis. The majority of the papers were retrospective and the level of evidence was relatively low. The study found that metatarsal osteotomies had a positive clinical effect size, while soft tissue procedures without a corrective metatarsal osteotomy did not meet clinical significance as an intervention. The study also looked at complications and long-term recurrence rates. The conclusion was that traditional bunion surgeries had an aggregate mean improvement of 1.27, with double osteotomies showing the greatest overall change but also having higher complication rates. The study recommends using the established baseline of 1.27 clinical effect size for future comparisons of patient-reported outcomes.

Asset Subtitle

Fernando S. Aran, MD; Eric Lukosius, MD; Mark E. Easley, MD; Zahid Naseer, M Sc; Raymond Wong

Keywords

Halox valgus surgery

post-operative outcomes

skeletally mature patients

metatarsal osteotomies

patient-reported outcomes