Grace M DiGiovanni, Seif El Masry, Rami Mizher, Agnes Jones, A Holly Johnson, Scott J Ellis, Matthew S Conti
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Preoperative and minimum 1-year postoperative PROMIS scores were collected.</p><p><strong>Results: </strong>The OCM and PC cohorts did not have significant differences in their postoperative PROMIS scores. Both cohorts had modest but significant improvements postoperatively in the physical function, pain interference, and pain intensity domains. The OCM group had a larger degree of improvement in physical function, pain interference, and pain intensity (<i>P</i> = .015, .011, .001, respectively). No significant difference was identified in the reoperation rate.</p><p><strong>Conclusion: </strong>Patients undergoing an OCM had worse preoperative PROMIS scores and a modestly greater change in patient-reported outcomes than patients undergoing a PC.</p><p><strong>Level of evidence: </strong>Level III, retrospective review.</p>","PeriodicalId":12429,"journal":{"name":"Foot & Ankle Orthopaedics","volume":"9 3","pages":"24730114241264557"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401145/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparing the Clinical Outcomes of Percutaneous Cheilectomy to Open Cheilectomy With Moberg Osteotomy for the Treatment of Hallux Rigidus.\",\"authors\":\"Grace M DiGiovanni, Seif El Masry, Rami Mizher, Agnes Jones, A Holly Johnson, Scott J Ellis, Matthew S Conti\",\"doi\":\"10.1177/24730114241264557\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Both an open cheilectomy with a Moberg osteotomy and percutaneous cheilectomy have been successfully used to treat hallux rigidus and preserve motion.However, there have been no studies that have compared these 2 procedures using validated patient-reported outcomes such as the Patient Reported Outcome Measurement Information System.</p><p><strong>Methods: </strong>A retrospective review of hallux rigidus patients between January 2016 and July 2021 collected 48 percutaneous cheilectomy (PC) patients and 71 open cheilectomy with Moberg (OCM) patients. Preoperative and minimum 1-year postoperative PROMIS scores were collected.</p><p><strong>Results: </strong>The OCM and PC cohorts did not have significant differences in their postoperative PROMIS scores. Both cohorts had modest but significant improvements postoperatively in the physical function, pain interference, and pain intensity domains. The OCM group had a larger degree of improvement in physical function, pain interference, and pain intensity (<i>P</i> = .015, .011, .001, respectively). No significant difference was identified in the reoperation rate.</p><p><strong>Conclusion: </strong>Patients undergoing an OCM had worse preoperative PROMIS scores and a modestly greater change in patient-reported outcomes than patients undergoing a PC.</p><p><strong>Level of evidence: </strong>Level III, retrospective review.</p>\",\"PeriodicalId\":12429,\"journal\":{\"name\":\"Foot & Ankle Orthopaedics\",\"volume\":\"9 3\",\"pages\":\"24730114241264557\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-09-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401145/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foot & Ankle Orthopaedics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/24730114241264557\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot & Ankle Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/24730114241264557","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景：Moberg截骨开放式腓肠肌切除术和经皮腓肠肌切除术都已成功用于治疗Halux僵直症并保持运动功能。然而，目前还没有研究使用有效的患者报告结果（如患者报告结果测量信息系统）对这两种手术进行比较：方法：对2016年1月至2021年7月期间的硬下疳患者进行回顾性研究，收集了48例经皮髋臼切除术（PC）患者和71例Moberg开放式髋臼切除术（OCM）患者。收集了术前和术后至少 1 年的 PROMIS 评分：结果：OCM 和 PC 两组患者的术后 PROMIS 评分差异不大。两组患者术后在身体功能、疼痛干扰和疼痛强度方面都有适度但显著的改善。OCM 组在身体功能、疼痛干扰和疼痛强度方面的改善程度更大（P = .015、.011、.001）。在再次手术率方面没有发现明显差异：结论：与接受 PC 治疗的患者相比，接受 OCM 治疗的患者术前 PROMIS 评分较差，患者报告结果的变化略大：证据等级：III级，回顾性研究。
Comparing the Clinical Outcomes of Percutaneous Cheilectomy to Open Cheilectomy With Moberg Osteotomy for the Treatment of Hallux Rigidus.
Background: Both an open cheilectomy with a Moberg osteotomy and percutaneous cheilectomy have been successfully used to treat hallux rigidus and preserve motion.However, there have been no studies that have compared these 2 procedures using validated patient-reported outcomes such as the Patient Reported Outcome Measurement Information System.
Methods: A retrospective review of hallux rigidus patients between January 2016 and July 2021 collected 48 percutaneous cheilectomy (PC) patients and 71 open cheilectomy with Moberg (OCM) patients. Preoperative and minimum 1-year postoperative PROMIS scores were collected.
Results: The OCM and PC cohorts did not have significant differences in their postoperative PROMIS scores. Both cohorts had modest but significant improvements postoperatively in the physical function, pain interference, and pain intensity domains. The OCM group had a larger degree of improvement in physical function, pain interference, and pain intensity (P = .015, .011, .001, respectively). No significant difference was identified in the reoperation rate.
Conclusion: Patients undergoing an OCM had worse preoperative PROMIS scores and a modestly greater change in patient-reported outcomes than patients undergoing a PC.
Level of evidence: Level III, retrospective review.
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