A prospective cohort study investigating the effects of the combined scarf and akin osteotomy, with or without 2/3 digital correction, on pain and quality of life 6 months post-surgery
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Date
2021-05-27Author
Nake, Irvine
Adekunle, Tosin
Wilkinson, Tony
Babi, Francis
Coda, Andrea
Santos, Derek
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Nake, I., Adekunle, T., Wilkinson, T., Babi, F., Coda, A. & Santos, D. (2021) A prospective cohort study investigating the effects of the combined scarf and akin osteotomy, with or without 2/3 digital correction, on pain and quality of life 6 months post-surgery. SVOA Neurology, 2(3), pp. 60-71.
Abstract
Background: Hallux valgus is a common deformity of the forefoot that affects the first ray and may lead to pain. The mainstay of treatment is operative correction and this commonly involves a combination of scarf and Akin osteotomies. The aim of the study was to investigate the effects of the combined scarf and Akin osteotomy for Hallux valgus deformity (with or without 2/3 digital correction) on pain levels and health related quality of life 6 months postoperative. Methods: A prospective cohort study was carried out. Thirty adult participants with a clinical and radiographic diagnosis of hallux valgus were recruited, one was lost to follow-up. A combined scarf and Akin osteotomy with or without
2/3 digital correction was carried out. Participants were asked to complete the outcomes of VAS for foot pain and the
health Manchester-Oxford Foot Questionnaire (MOXFQ) for quality of life before and six months post-surgery. Results: Mean age was 59 (SD10) years with 14% males and 86% females. Median VAS pain score reduced from 6 to 0
(p<0.0001). The health MOXFQ domains for foot pain decreased from 60 to 5 (p<0.0001), walking/standing from 50 to
0 (p<0.0001) and social interaction from 50 to 0 (p<0.0001). Conclusion: This study has international impact and contributes to current evidence that the combined scarf and Akin
osteotomy with or without 2/3 digital correction is effective in the operative management of symptomatic hallux valgus foot deformity with improvements in pain and health related quality of life by 6 months post-surgery.