Measurement & Assessment Of Pain Reduction 6 Months Following Combined Scarf And Akin's Osteotomy With Or Without 2/3 Toe Correction For Hallux Valgus.
(2013) Measurement & Assessment Of Pain Reduction 6 Months Following Combined Scarf And Akin's Osteotomy With Or Without 2/3 Toe Correction For Hallux Valgus., no. 64.
Scarf osteotomy combined with Akin's closing wedge osteotomy is a safe, powerful and very versatile procedure that is now widely used across Europe for the treatment of painful and moderate to severe Hallux valgus deformities as put across by Berg, Olsthoorn & Pöll (2007). This procedure allows the patient to ambulate post operatively early, as the osteotomy is inherently stable and provides ease of internal fixation as compared to other procedures. The aim of this prospective study is to integrate evidence based outcome measures into the measurement and assessment of pain reduction, improved health related quality of life 6 months following combined Scarf and Akin's osteotomies with or without 2/3 toe correction for painful hallux valgus among women and men who have a moderate to severe level of deformity. Prospectively, 30 patients will be included in the study aged 18 to 65+ years who had been treated by a combined Scarf and Akin's osteotomy with or without 2/3 toe correction for hallux valgus during a 6 months period. A pre and post-operative dependant groups study before and 6 months after surgery will be conducted. Outcome measures used will be the visual analogue scale (VAS) for pain measurement and a Manchester-Oxford Foot Questionnaire (MOXFQ), which is used to measure the health, related quality of life (HRQOL). According to Dawson et al. (2006), it is a validation in the context of surgery for hallux valgus foot deformity. Key words: Foot Surgery; Pain; Pain Tools; Scales; Visual Analogue Scales; Assessment; Measurement; Hallux Valgus Surgery; Scarf and Akin osteotomy; Foot; Ankle; Orthopaedics or Podiatry.