Patient satisfaction after radiological recurrence hallux valgus

Area of Science:

• Orthopedic Surgery
• Foot and Ankle Surgery
• Radiology

Background:

• Hallux valgus (HV) recurrence is a common complication after surgical correction.
• Factors influencing patient satisfaction post-HV surgery are debated.
• Distal chevron metatarsal osteotomy (DCMO) is a common surgical technique for HV.

Purpose of the Study:

• To investigate the association between radiological recurrence of HV deformity and patient satisfaction after DCMO.
• To determine if radiological recurrence influences patient-reported outcomes.

Main Methods:

• Retrospective study of 120 patients (134 feet) with moderate to severe HV deformity treated with DCMO.
• Radiographic evaluation of hallux valgus angle (HVA) to define recurrence (final HVA ≥ 20°).
• Patient satisfaction assessed using the Patient Acceptable Symptom State (PASS) at final follow-up.

Main Results:

• The recurrence rate of radiological HV deformity was 76.1%.
• Overall patient satisfaction was high, with 78.36% reporting satisfactory outcomes.
• No significant association was found between radiological recurrence and patient satisfaction.

Conclusions:

• Radiological recurrence of hallux valgus deformity after DCMO is not associated with patient satisfaction.
• Patient satisfaction following HV surgery is multifactorial and not solely determined by radiographic correction.