Tengman Eva, Brodén Cyrus, Söderpalm Ann-Charlott, Cöster Maria C
Department of Community Medicine and Rehabilitation, Umeå University, Sweden.
Department of Surgical Sciences, Orthopaedics and Handsurgery, Uppsala University, Sweden.
Foot Ankle Orthop. 2025 Jul 24;10(3):24730114251351634. doi: 10.1177/24730114251351634. eCollection 2025 Jul.
Hallux valgus (HV) is a common condition associated with pain, functional limitations, and reduced health-related quality of life. Population-level data on 2-year results of surgical treatment remain limited. The aim of this study was to evaluate patient-reported outcome measures (PROMs) before surgery, and 1- and 2-year follow-up in patients registered in the Swedish quality registry for foot and ankle surgery ("Swefoot") who underwent surgery for HV. Further, the relation between PROMs and HV severity, BMI, and smoking habits was explored.
Seven hundred sixty-five feet from 742 patients (median age 58, 87% women) who underwent primary surgery for HV were included. Data on demographics, comorbidities, HV severity, surgical procedures, and PROMs were extracted. PROMs included the Self-Reported Foot and Ankle score (SEFAS), EuroQol 5-dimensional, 3-level (EQ-5D), and satisfaction regarding surgery, appearance, shoe wear, and pain.
At both 1- and 2-year follow-ups, approximately 80% of responding patients reported satisfaction with the surgical outcome (80.4% and 81.0%, respectively). Patients reported significant improvements in SEFAS scores: mean increase of 10 points (95% CI 9.1-10.4) at 1 year and 11 points (95% CI 9.8-11.2) at 2 years compared to baseline. Health-related quality of life also improved significantly; EQ-5D VAS was improved with 7 (95% CI 5-8) after 1 year and EQ-5D index was improved with 0.19 (95% CI 0.17-0.21). The EQ-5D VAS and index did not change significantly between the 1- and 2-year follow-ups.Significant improvements were also reported in satisfaction with appearance, shoe wear, and pain. Regardless of HV grade, the patients had similar improvement in SEFAS. Overweight/obese patients experienced similar improvements as underweight/normal BMI ones. Smokers showed significantly less improvement in SEFAS.
This population-based study using the Swefoot registry data demonstrates that patients surgically treated for HV reported significant improvements in PROMs from before surgery to 1 and 2 years after surgery.
Level II, prognostic study.
拇外翻（HV）是一种常见病症，与疼痛、功能受限及健康相关生活质量下降有关。关于手术治疗2年结果的人群水平数据仍然有限。本研究的目的是评估在瑞典足踝手术质量登记处（“Swefoot”）登记的接受HV手术患者术前、术后1年和2年的患者报告结局指标（PROMs）。此外，还探讨了PROMs与HV严重程度、体重指数（BMI）和吸烟习惯之间的关系。
纳入742例（中位年龄58岁，87%为女性）接受原发性HV手术患者的765只脚。提取人口统计学、合并症、HV严重程度、手术程序和PROMs的数据。PROMs包括自我报告的足踝评分（SEFAS）、欧洲五维健康量表3级（EQ-5D）以及对手术、外观、鞋类穿着和疼痛的满意度。
在1年和2年随访时，约80%的应答患者报告对手术结果满意（分别为80.4%和81.0%）。患者报告SEFAS评分有显著改善：与基线相比，1年时平均增加10分（95%CI 9.1-10.4），2年时增加11分（95%CI 9.8-11.2）。健康相关生活质量也有显著改善；1年后EQ-5D视觉模拟量表（VAS）提高了7分（95%CI 5-8），EQ-5D指数提高了0.19（95%CI 0.17-0.21）。1年和2年随访之间，EQ-5D VAS和指数没有显著变化。在外观、鞋类穿着和疼痛满意度方面也报告有显著改善。无论HV分级如何，患者在SEFAS方面的改善相似。超重/肥胖患者与体重过轻/正常BMI患者的改善相似。吸烟者在SEFAS方面的改善明显较少。
这项基于人群的研究使用Swefoot登记处数据表明，接受HV手术治疗的患者报告从术前到术后1年和2年PROMs有显著改善。
二级，预后研究。
