We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us

Download Mobile App




Post-Surgical X-Rays Predict Bunion Recurrence Risk

By HospiMedica International staff writers
Posted on 10 Aug 2017
Print article
Image: The clinical and radiographic appearance of a bunion (Photo courtesy of AAOS).
Image: The clinical and radiographic appearance of a bunion (Photo courtesy of AAOS).
Measuring the hallux valgus angle (HVA) on postoperative x-rays immediately following bunion surgery can reliably predict satisfactory correction and risk of recurrence.

Researchers at Yeungnam University (Daegu, South Korea) and Injie University Seoul Paik Hospital (Republic of Korea) conducted a study in 93 patients (for a total of 117 feet) who underwent proximal chevron osteotomy combined with a distal soft-tissue procedure in order to treat moderate to severe hallux valgus deformity. Changes in hallux valgus angle, inter-metatarsal angle, and sesamoid position over time were analyzed by comparing non-weight-bearing radiographs during each postoperative period.

The relative risks of recurrence, as indicated by preoperative and postoperative radiographic parameters were then determined. The results showed that hallux valgus angle and inter-metatarsal angle stabilized at six months after surgery in the nonrecurrence group. Hallux valgus recurrence was associated with an immediate postoperative hallux valgus angle higher than 8°, immediate postoperative sesamoid position of grade 4 or greater, a preoperative metatarsus adductus angle of 23° or higher, and a preoperative hallux valgus angle of higher than 40°. The study was published in the July 2017 issue of The Journal of Bone and Joint Surgery.

“Bunions were 28 times more likely to recur when the postoperative HVA was eight degrees or larger than when the HVA was less than eight degrees. The HVA continued to widen over time in patients with recurrent bunions, but stabilized at six months in those without recurrence,” concluded study authors Chul Hyun Park, MD, PhD, and Woo-Chun Lee, MD, PhD. “The recurrence of hallux valgus is one of the most important complications after surgery because it is closely related to patient satisfaction.”

A bunion is a painful bony bump that develops when the metatarsophalangeal (MTP) joints move out of alignment: the long metatarsal bone shifts toward the inside of the foot, and the phalanx bones of the big toe angle toward the second toe. The MTP joint gets larger and protrudes from the inside of the forefoot. The enlarged joint is often inflamed, red, and swollen. The word bunion, in fact, comes from the Greek word for turnip, hinting to its appearance.

Related Links:
Yeungnam University
Injie University Seoul Paik Hospital
Gold Member
Disposable Protective Suit For Medical Use
Disposable Protective Suit For Medical Use
Gold Member
STI Test
Vivalytic Sexually Transmitted Infection (STI) Array
Silver Member
Compact 14-Day Uninterrupted Holter ECG
NR-314P
New
EMG/NCV Testing Unit
Cadwell EMG/NCV/EP Sierra Summit Device

Print article

Channels

Critical Care

view channel
Image: Researchers have developed an advanced shear-thinning hydrogel for aneurysm repair (Photo courtesy of TIBI)

New Hydrogel Features Enhanced Capabilities for Treating Aneurysms and Halting Progression

Aneurysms can develop in blood vessels in different body areas, often as a result of atherosclerosis, infections, inflammatory diseases, and other risk factors. These conditions lead to chronic inflammation,... Read more

Surgical Techniques

view channel
Image: The living replacement knee will be tested in clinical trials within five years (Photo courtesy of ARPA-H)

Living Knee Replacement to Revolutionize Osteoarthritis Treatment

Osteoarthritis is the most prevalent type of arthritis, characterized by the progressive deterioration of cartilage, or the protective tissue covering the bone ends, resulting in pain, stiffness, and impaired... Read more

Patient Care

view channel
Image: The newly-launched solution can transform operating room scheduling and boost utilization rates (Photo courtesy of Fujitsu)

Surgical Capacity Optimization Solution Helps Hospitals Boost OR Utilization

An innovative solution has the capability to transform surgical capacity utilization by targeting the root cause of surgical block time inefficiencies. Fujitsu Limited’s (Tokyo, Japan) Surgical Capacity... Read more

Health IT

view channel
Image: First ever institution-specific model provides significant performance advantage over current population-derived models (Photo courtesy of Mount Sinai)

Machine Learning Model Improves Mortality Risk Prediction for Cardiac Surgery Patients

Machine learning algorithms have been deployed to create predictive models in various medical fields, with some demonstrating improved outcomes compared to their standard-of-care counterparts.... Read more

Point of Care

view channel
Image: The new eye-safe laser technology can diagnose traumatic brain injury (Photo courtesy of 123RF)

Novel Diagnostic Hand-Held Device Detects Known Biomarkers for Traumatic Brain Injury

The growing need for prompt and efficient diagnosis of traumatic brain injury (TBI), a major cause of mortality globally, has spurred the development of innovative diagnostic technologies.... Read more
Copyright © 2000-2024 Globetech Media. All rights reserved.