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Clinical Results Over Time for Unilateral versus Bilateral Simultaneous Short Scarf Osteotomy

편측 또는 양측을 동시에 시행한 단축 스카프 절골술의 시간 경과에 따른 임상적 결과

  • Jeong, Changhoon (Department of Orthopedic Surgery, The Catholic Universtiy of Korea, Bucheon St. Mary's Hospital) ;
  • Park, Il-Kyu (Department of Orthopedic Surgery, The Catholic Universtiy of Korea, Bucheon St. Mary's Hospital) ;
  • Chung, Jin-Wha (Department of Orthopedic Surgery, The Catholic Universtiy of Korea, Bucheon St. Mary's Hospital)
  • 정창훈 (가톨릭대학교 부천성모병원 정형외과) ;
  • 박일규 (가톨릭대학교 부천성모병원 정형외과) ;
  • 정진화 (가톨릭대학교 부천성모병원 정형외과)
  • Received : 2019.10.14
  • Accepted : 2019.11.18
  • Published : 2019.12.15

Abstract

Purpose: This study compared the radiographic and clinical outcomes of simultaneous bilateral short scarf osteotomy with those of unilateral short scarf osteotomy in hallux valgus patients. Materials and Methods: The authors undertook a retrospective chart and radiographic review between January 2015 and June 2017 to identify 15 patients (30 cases, group A) who underwent a simultaneous bilateral short scarf osteotomy. The patients were matched with 30 patients (30 cases, group B) with a unilateral short scarf osteotomy. No significant preoperative differences were observed between the two groups in terms of age, gender, American Orthopaedic Foot and Ankle Society (AOFAS) hallux score, and radiographic parameters. The clinical and radiographic follow-up was carried out at three months and one year. Results: Hallux valgus angles in groups A and B were reduced from the mean preoperative values of 32.5° and 34.7° to 12.5° and 12.2° at 12 months, respectively. The first-second intermetatarsal angles in groups A and B were also reduced from the mean preoperative values of 14.2° and 16.5° to 7.4° and 7.3° at 12 months, respectively. No significant inter-group differences in radiographic outcomes were observed. After three months, the patients in group A reported significantly worse mean pain and functional scores than group B. The mean AOFAS hallux score was higher in group B at the three-month follow-up, but this difference disappeared at the one-year followup. Conclusion: Simultaneous bilateral surgery can be offered to patients with a hallux valgus deformity requiring correction. On the other hand, they should be informed of the long recovery period.

Keywords

References

  1. Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int. 2007;28:759-77. doi: 10.3113/FAI.2007.0759.
  2. Young KW, Park YU, Kim JS, Jegal H, Lee KT. Unilateral hallux valgus: is it true unilaterality, or does it progress to bilateral deformity? Foot Ankle Int. 2013;34:498-503. doi: 10.1177/1071100712469333.
  3. Fridman R, Cain JD, Weil L Jr, Weil LS Sr, Ray TB. Unilateral versus bilateral first ray surgery: a prospective study of 186 consecutive cases-patient satisfaction, cost to society, and complications. Foot Ankle Spec. 2009;2:123-9. doi: 10.1177/1938640009335972.
  4. Lee KB, Hur CI, Chung JY, Jung ST. Outcome of unilateral versus simultaneous correction for hallux valgus. Foot Ankle Int. 2009;30:120-3. doi: 10.3113/FAI.2009.0120.
  5. Carvalho P, Viana G, Flora M, Emanuel P, Diniz P. Percutaneous hallux valgus treatment: unilaterally or bilaterally. Foot Ankle Surg. 2016;22:248-53. doi: 10.1016/j.fas.2015.11.002.
  6. Kristen KH, Berger C, Stelzig S, Thalhammer E, Posch M, Engel A. The SCARF osteotomy for the correction of hallux valgus deformities. Foot Ankle Int. 2002;23:221-9. doi: 10.1177/107110070202300306.
  7. Aminian A, Kelikian A, Moen T. Scarf osteotomy for hallux valgus deformity: an intermediate followup of clinical and radiographic outcomes. Foot Ankle Int. 2006;27:883-6. doi: 10.1177/107110070602701103.
  8. Kwon SY, Gil HJ, Chung JW. Short scarf osteotomy for moderate hallux valgus. J Korean Foot Ankle Soc. 2012;16:235-40.
  9. Rajeev A, Tumia N. Three-year follow-up results of combined short scarf osteotomy with Akin procedure for hallux valgus. J Foot Ankle Surg. 2019;58:837-41. doi: 10.1053/j.jfas.2018.12.016.
  10. Hardy RH, Clapham JC. Observations on hallux valgus; based on a controlled series. J Bone Joint Surg Br. 1951;33-B:376-91. doi: 10.1302/0301-620X.33B3.376.
  11. Murray O, Holt G, McGrory R, Kay M, Crombie A, Kumar CS. Efficacy of outpatient bilateral simultaneous hallux valgus surgery. Orthopedics. 2010;33:394. doi: 10.3928/01477447-20100429-09.
  12. Kitaoka HB, Alexander IJ, Adelaar RS, A Nunley J, Myerson MS, Sanders M, et al. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. 1997;18:187-8. doi: 10.1177/107110079701800315.
  13. Bullock DP, Sporer SM, Shirreffs TG Jr. Comparison of simultaneous bilateral with unilateral total knee arthroplasty in terms of perioperative complications. J Bone Joint Surg Am. 2003;85:1981-6. doi: 10.2106/00004623-200310000-00018.
  14. Meehan JP, Danielsen B, Tancredi DJ, Kim S, Jamali AA, White RH. A population-based comparison of the incidence of adverse outcomes after simultaneous-bilateral and staged-bilateral total knee arthroplasty. J Bone Joint Surg Am. 2011;93:2203-13. doi: 10.2106/JBJS.J.01350.
  15. Odum SM, Springer BD. In-hospital complication rates and associated factors after simultaneous bilateral versus unilateral total knee arthroplasty. J Bone Joint Surg Am. 2014;96:1058-65. doi: 10.2106/JBJS.M.00065.
  16. Osei DA, Calfee RP, Stepan JG, Boyer MI, Goldfarb CA, Gelberman RH. Simultaneous bilateral or unilateral carpal tunnel release? A prospective cohort study of early outcomes and limitations. J Bone Joint Surg Am. 2014;96:889-96. doi: 10.2106/JBJS.M.00822.
  17. Barg A, Knupp M, Hintermann B. Simultaneous bilateral versus unilateral total ankle replacement: a patient-based comparison of pain relief, quality of life and functional outcome. J Bone Joint Surg Br. 2010;92:1659-63. doi: 10.1302/0301-620X.92B12.25204.