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dc.rights.license© 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.contributor.authorMcMurrich, W.en
dc.contributor.authorPeters, A.en
dc.contributor.authorEllis, M.en
dc.contributor.authorBaer, Gillen
dc.contributor.authorMacDonald, D.en
dc.contributor.authorShalaby, H.en
dc.contributor.authorMcKinley, J. C.en
dc.date.accessioned2019-11-07T09:55:56Z
dc.date.available2019-11-07T09:55:56Z
dc.date.issued2019
dc.identifier.citationMcMurrich, W., Peters, A., Ellis, M., Baer, G., MacDonald, D., Shalaby, H. & McKinley, J. C. (2019) MIS Distal Metatarsal Metaphyseal Osteotomy in the treatment of metatarsalgia: MOXFQ patient reported outcomes. The Foot (In Press).en
dc.identifier.issn0958-2592en
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/10180
dc.identifier.urihttps://www.journals.elsevier.com/the-foot
dc.descriptionBaer, Gillian - ORCID 0000-0002-1528-2851 https://orcid.org/0000-0002-1528-2851en
dc.description.abstractIntroduction The aim of this paper is to present validated patient reported outcomes for MIS Distal Metatarsal Metaphyseal Osteotomy (DMMO) in the treatment of metatarsalgia. We aim to evaluate the DMMO procedure, report patient satisfaction with the operated foot and report any complications of this procedure.en
dc.description.abstractPatients and Methods Between 2014 and 2016, patients who had failed conservative treatment for metatarsalgia were identified in the orthopaedic outpatient clinic. Twenty four consecutive patients requiring DMMO plus/minus toe straightening were prospectively studied. Patients requiring additional procedures at the time of surgery were excluded. Patients completed the validated Manchester-Oxford Foot Questionnaire (MOXFQ) three weeks pre-operatively and 1 year postoperatively. The MOXFQ results were analysed using Paired t-tests. A supplementary question was asked regarding patient satisfaction with the operated foot.
dc.description.abstractResults There were 20 women and 4 men with a mean age of 64 years (sd 8.6). Statistically significant differences were found between the pre and postoperative MOXFQ. The postoperative MOXFQ score demonstrated a poorer result for two patients, no change for two patients and improvement in 20 patients, with four of these patients recording the lowest possible score. There was a 29.5 point improvement in mean metric MOXFQ Index score. Seventy-nine percent (n=19) of patients were satisfied or very satisfied with the operated foot. The average recoil of the metatarsal heads following DMMO was M2 4.01mm, M3 4.55mm, M4 4.16mm. There was one delayed union and no non-unions. Further reported complications were a gastric bleed, pulmonary embolism (VTE), and one intra operative broken burr.
dc.description.abstractConclusion Our study demonstrates a clinically important and statistically significant improvement in patient reported outcomes following DMMO, with 79% of patients satisfied or very satisfied with this procedure. The average recoil of the metatarsal heads following DMMO was M2 4.01mm, M3 4.55mm, M4 4.16mm with one delayed union and no non-unions.
dc.description.urihttps://www.journals.elsevier.com/the-footen
dc.language.isoenen
dc.publisherElsevieren
dc.relation.ispartofThe Footen
dc.subjectMinimally Invasive Surgeryen
dc.subjectForefoot Disordersen
dc.subjectValidated Patient Reported Outcome Measureen
dc.subjectMetatarsalgiaen
dc.subjectDistal Metatarsal Metaphyseal Osteotomyen
dc.subjectManchester Oxford Foot Questionnaireen
dc.titleMIS Distal Metatarsal Metaphyseal Osteotomy in the treatment of metatarsalgia: MOXFQ patient reported outcomesen
dc.typeArticleen
dcterms.accessRightsrestricted
dcterms.dateAccepted2019-10
dc.description.ispublishedinpress
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2019
refterms.dateEmbargoEnd2020
refterms.dateFCD2019-11-07
refterms.depositExceptionNAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorBaer, Gillen
qmu.centreCentre for Health, Activity and Rehabilitation Researchen
dc.description.statusinpress
refterms.versionAMen
refterms.dateDeposit2019-11-07
refterms.dateFreeToRead2020
refterms.dateFreeToDownload2020
refterms.dateToSearch2020


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