Orthopaedics & Traumatology Department, Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.
Foot Ankle Int. 2021 Dec;42(12):1584-1588. doi: 10.1177/10711007211019940. Epub 2021 Jun 30.
In this study, our aim was to determine the effect of cosmetic improvement on patient satisfaction and functional scores in hallux valgus (HV) surgery.
Preoperative foot photographs of 105 patients who had undergone chevron osteotomy for HV between 2016 and 2018 were taken. The patients were divided into 2 groups. Twenty-four months after surgery, the preoperative foot photographs were shown to patients in group 1 (n = 52) but not to patients in group 2 (n = 53). The groups were then compared using the visual analog scale (VAS), the American Orthopaedic Foot & Ankle Society Hallux Metatarsophalangeal-Interphalangeal (AOFAS Hallux MTP-IP), and the 36-Item Short Form Health Survey (SF-36) scores. Both groups were evaluated radiologically with preoperative and postoperative hallux valgus angles and intermetatarsal angles.
There was no difference between the 2 groups in terms of radiologic parameters either pre- or postoperatively, or AOFAS Hallux MTP-IP scores postoperatively. However, for group 1, the VAS was lower (0.4±0.8 vs 1.8±1.6, = .003) and both the SF-36 physical functioning (88.3±18.1 vs 79.1±23.2, = .017) and SF-36 mental health scores were higher (78.8±19 vs 69.2±16.3, = .022).
Visualizing improvement in the cosmetic appearance of the foot appears associated with patients' perception of subjective pain and functional improvement. We recommend that preoperative foot photographs be taken and recorded.
Level III, case-control study.
本研究旨在探讨美容改善对拇外翻（HV）手术患者满意度和功能评分的影响。
对 2016 年至 2018 年间接受 Chevron 截骨术治疗 HV 的 105 例患者的术前足部照片进行拍摄。将患者分为 2 组。术后 24 个月，向第 1 组（n=52）患者展示术前足部照片，但第 2 组（n=53）患者则不展示。然后使用视觉模拟评分（VAS）、美国矫形足踝协会拇趾跖趾-趾间关节（AOFAS 拇趾 MTP-IP）和 36 项简短健康调查问卷（SF-36）评分对两组进行比较。两组均进行术前和术后的拇外翻角和跖骨间角的影像学评估。
两组患者在术前和术后的影像学参数或 AOFAS 拇趾 MTP-IP 评分方面均无差异。然而，对于第 1 组，VAS 评分更低（0.4±0.8 比 1.8±1.6， =.003），SF-36 躯体功能评分（88.3±18.1 比 79.1±23.2， =.017）和 SF-36 心理健康评分（78.8±19 比 69.2±16.3， =.022）更高。
足部美容外观的改善似乎与患者对主观疼痛和功能改善的感知有关。我们建议拍摄和记录术前足部照片。
III 级，病例对照研究。
