[Artículo traducido] Satisfacción del paciente tras la recidiva radiológica del hallux valgus

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2026-09-01 Epub Date: 2026-06-23 DOI:10.1016/j.recot.2026.06.013

Y. Hernanz-González, J.C. Martínez-Ávila, E. Sánchez-Morata, J. Vilá-Rico

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引用次数: 0

Abstract

Background and study aims

Recurrence of the deformity is the most common complication following hallux valgus (HV) surgery correction.

The factors influencing patient satisfaction after HV surgery are currently widely debated.

The aims of this study was to investigate the association of the radiological recurrence of the HV deformity after distal chevron metatarsal osteotomy (DCMO) and the patient satisfaction.

Materials and methods

One hundred twenty patients (134 feet) with symptomatic moderate or severe HV deformity who underwent distal chevron metatarsal osteotomy (DCMO) at our institution between 2014 and 2019 were included in the present study. Each patient was evaluated preoperatively, postoperatively and at final follow-up by means of radiographs lateral and dorsoplantar views. The hallux valgus angle (HVA) was analyzed to define radiologic recurrence. Radiologic HV recurrence was defined by a final HVA equal or greater than 20°. Data were collected retrospectively.

The patient satisfaction after surgery was evaluated the last consultation by the PASS (patient acceptable symptom state).

Results

The mean follow-up time was 23.65 months (range 6–69.4). The recurrence rate was 76.1%.

All patients completed the PASS question at the last consultation. Of them, 105/134 (78.36%) patients considered their current state satisfactory and only 29/134 (21.64%) unsatisfactory.

Conclusions

In our cohort, we found no association between radiological recurrence of the HV deformity and patient satisfaction at final follow-up.

Patient satisfaction after HV surgery seems to be a complex concept and not explained completely by adequate deformity correction.

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[翻译]放射学治疗拇外翻复发后患者满意度。

背景与研究目的拇外翻矫治术后最常见的并发症是畸形复发。影响HV术后患者满意度的因素目前存在广泛的争议。本研究的目的是探讨远端跖骨截骨术（DCMO）后HV畸形放射学复发与患者满意度的关系。材料和方法本研究纳入了2014年至2019年在我院接受远端矢状跖骨截骨术（DCMO）的120例（134英尺）有症状的中度或重度HV畸形患者。每位患者术前、术后和最终随访时均通过侧位和足底背片进行评估。通过分析拇外翻角（HVA）来确定放射学复发。放射学上的HV复发定义为最终HVA等于或大于20°。回顾性收集资料。最后一次会诊时采用患者可接受症状状态（PASS）评价患者术后满意度。结果平均随访时间23.65个月，范围6 ~ 69.4个月。复发率为76.1%。所有患者在最后一次问诊时都完成了PASS问题。其中105/134（78.36%）患者对现状满意，29/134（21.64%）不满意。结论：在我们的队列中，我们发现在最终随访时，HV畸形的放射学复发与患者满意度之间没有关联。患者满意度在HV手术后似乎是一个复杂的概念，并不能完全解释充分的畸形矫正。证据等级四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Espanola de Cirugia Ortopedica y Traumatologia Medicine-Surgery

CiteScore

1.10

自引率

0.00%

发文量

156

审稿时长

51 weeks

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