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The influence of obesity and gender on outcome after reversed L-shaped osteotomy for hallux valgus

BMC Musculoskeletal Disorders Oct 30, 2019

Wirth SH, Renner N, Niehaus R, et al. - Using a retrospective cohort design, researchers undertook this inquiry at a single University Hospital in Switzerland from January 2004 to December 2013, to determine radiological and clinical outcome post-reversed L-shaped osteotomy (ReveL) for hallux valgus deformity (HV) in correlation with obesity and gender. Participants were adult patients managed with ReveL for HV. Radiological relapse of HV (HV angle > 15 degrees [°]) at the last follow-up was assessed as the primary outcome. Improvable patient satisfaction, complication, redo surgery, and optional hardware removal were evaluated as secondary outcomes. Findings revealed no link of obesity with unsatisfactory outcomes post-ReveL for HV, therefore, the prior suggestion that preoperative weight loss may be required for a successful surgical treatment outcome is challenged. The likelihood of suffering a relapse and of improvable satisfaction was 91% more and 79% more, respectively, in males. Hardware removal was 47% less likely in males. Regarding potentially higher links with unfavourable results, males may be informed.
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