Hogea Lavinia Maria, Hogea Bogdan Gheorghe, Nussbaum Laura Alexandra, Grigoraş Mirela Loredana, Andor Bogdan Corneliu, Levai Codrina Mihaela, Bredicean Ana Cristina
Discipline of Pedopsychiatry, Department of Neurosciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania;
Rom J Morphol Embryol. 2017;58(1):175-179.
No deformity of the forefoot occurs more frequently than hallux valgus (HV), which is considered to be medial deviation of the first metatarsal and lateral deviation and rotation of the hallux, either with or without medial soft tissue enlargement of the metatarsal head. The HV deformity can lead to painful motion of the joint or difficulty in daily joint activity that often requires surgical correction. The aims of this study were to investigate the levels of foot pain and quality of life of patients with HV before and after surgery. Our study is focusing on imagistic investigations in HV, clinical aspects, specific treatment, foot pain levels, quality of life and general health before and after surgery.
PATIENTS, MATERIALS AND METHODS: Our research was conducted in the period 2010-2015. We recruited 56 patients, 35 women and 21 men, age range 20 to 76 years, mean age 44.4 years, with HV (radiographic HV angle 25-40 and >40). We applied Visual Analogue Scales (VAS) for the foot pain and the Euro Quality of Life - five dimensions health questionnaire (EQ-5D).
The results show statistically significant differences concerning the foot pain levels in VAS and also pain/discomfort, mobility and anxiety÷depression in the EQ-5D subscale in HV before and after surgery. The results prove high improvement of the scores of foot pain, discomfort, mobility and anxiety÷depression after surgery. Concerning the participation in usual activities and the self-care, the obtained results were not statistically significant.
Our research was a proof that the surgery in HV represents a fruitful pathway of intervention and care and shows a high rate of success, favorable outcomes and improvement in quality of life of the patients.
前足畸形中，拇外翻（HV）最为常见，其表现为第一跖骨向内偏移，拇趾向外偏移并旋转，可伴有或不伴有跖骨头内侧软组织肿大。HV畸形可导致关节疼痛或日常关节活动困难，常需手术矫正。本研究旨在调查HV患者手术前后的足部疼痛程度和生活质量。我们的研究聚焦于HV的影像学检查、临床方面、具体治疗、足部疼痛程度、生活质量以及手术前后的总体健康状况。
患者、材料与方法：我们的研究在2010年至2015年期间进行。我们招募了56例患者，其中35名女性和21名男性，年龄在20至76岁之间，平均年龄44.4岁，患有HV（影像学HV角为25 - 40度及>40度）。我们应用视觉模拟量表（VAS）评估足部疼痛，并使用欧洲五维健康量表（EQ - 5D）。
结果显示，手术前后HV患者在VAS足部疼痛程度以及EQ - 5D子量表中的疼痛/不适、活动能力和焦虑/抑郁方面存在统计学显著差异。结果证明手术后足部疼痛、不适、活动能力和焦虑/抑郁评分有显著改善。关于参与日常活动和自我护理方面，所得结果无统计学显著差异。
我们的研究证明，HV手术是一种有效的干预和治疗途径，成功率高，效果良好，能改善患者生活质量。
