Patient-reported outcome after hallux valgus surgery - a two year follow up

被引:18
作者
Nilsdotter, A. -K. [1 ,2 ,5 ]
Coster, M. E. [1 ,2 ]
Bremander, A. [3 ,4 ,6 ]
Coster, M. C. [1 ,2 ]
机构
[1] Lund Univ, Skane Univ Hosp Malmo, Dept Orthoped, Lund, Sweden
[2] Lund Univ, Skane Univ Hosp Malmo, Dept Clin Sci, Lund, Sweden
[3] Lund Univ, Dept Rheumatol, Lund, Sweden
[4] Lund Univ, Dept Clin Sci Lund, Lund, Sweden
[5] Sahlgrenska Univ Hosp Goteborg, Dept R&D, Gothenburg, Sweden
[6] Halmstad Univ, Sch Business Engn & Sci, Halmstad, Sweden
关键词
Hallux valgus; Function; Pain; Patient-reported outcome; Prospective; SEFAS; ANKLE SCORE SEFAS; CHEVRON OSTEOTOMY; FOOT; RESPONSIVENESS; VALIDITY; RELIABILITY; HINDFOOT; PAIN;
D O I
10.1016/j.fas.2018.02.015
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Patients with hallux valgus deformity may require surgery but prospective patient-reported data is scarce. Methods: We evaluated 53 patients with a mean age of 55.3 years (SD 14.1, 50 women), who underwent surgery due to hallux valgus. They completed the PROMs SEFAS, EQ-5D and SF-36 before and 6, 12 and 24 months after surgery. Results: All patient-reported outcomes improved at 6, 12 and 24 months compared with the preoperative status. The greatest improvement occurred at 6 months: SEFAS Delta 10.0 (95% confidence interval 7.8-12.2), EQ-5D Delta 0.22 (0.15-0.29), EQ-VAS Delta 8.4 (4.4-12.4), PF SF-36 Delta 22.0 (14.6-29.3) and BP SF-36 Delta 30.6 (23.1-38.1). Conclusions: Hallux valgus surgery considerably reduced pain and improved function already within 6 months after surgery. The improvement between 6 and 24 months' follow-up was minimal measured with PROMs. (C) 2018 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:478 / 481
页数:4
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