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Foot Width Changes Following Hallux Valgus Surgery.

Shay A Tenenbaum1, Amir Herman2, Nathan Bruck1

  • 11 Department of Orthopedic Surgery, Chaim Sheba medical center at Tel Hashomer, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Foot & Ankle International
|June 29, 2018
PubMed
Summary
This summary is machine-generated.

Hallux valgus surgery minimally impacts foot width, with overall reduction of only 2%. Postoperative width changes varied among patients, with no strong correlation to deformity correction.

Keywords:
foot widthhallux valgusscarf osteotomy

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Area of Science:

  • Orthopedic Surgery
  • Podiatry
  • Biomechanical Analysis

Background:

  • Hallux valgus (HV) significantly impacts patient quality of life, with concerns about postoperative foot appearance and width.
  • Limited data exists on the effect of hallux valgus surgery on foot width.

Purpose of the Study:

  • To evaluate the impact of scarf osteotomy for hallux valgus on both bony and soft tissue foot width.
  • To determine the correlation between angular deformity correction and changes in foot width.

Main Methods:

  • Radiographic analysis of 71 patients with moderate to severe hallux valgus treated with scarf osteotomy.
  • Measurement of preoperative and postoperative bone width (first to fifth metatarsal heads) and soft tissue width.
  • Assessment of hallux valgus angle (HVA), intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA).

Main Results:

  • Successful correction of angular deformities (HVA, IMA, DMAA) was achieved postoperatively.
  • Overall bony foot width decreased by 5% and soft tissue width by 2%.
  • Foot width decreased in 45.1%, remained unchanged in 36.6%, and increased in 18.3% of patients; angular deformity showed low correlation with width changes.

Conclusions:

  • Scarf osteotomy for hallux valgus has a minimal effect on overall foot width.
  • Postoperative foot width reduction occurred in approximately half of the patients, independent of the magnitude of angular deformity correction.
  • Patients with wider preoperative feet experienced width reduction, while those with narrower feet saw an increase in width.