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Radiological and Clinical Outcome After Reversed L-Shaped Osteotomy: A Large Retrospective Swiss Cohort Study.
J Foot Ankle Surg 2019; 58(1):86-92JF

Abstract

The objective was to report radiological and clinical outcomes after reversed L-shaped osteotomy (ReveL) for hallux valgus (HV). A retrospective cohort study was performed between January 2004 and December 2013. The primary outcome was radiological recurrence of HV (HV angle [HVA] >15°). There were various exposure and secondary outcome variables. The results showed a median follow-up of 12.0 months (N = 827). Radiological recurrence, limited patient satisfaction, complication, revision surgery, and elective hardware removal were found in 25.0%, 15.3%, 4.6%, 2.5%, and 26.7%. Median pre- to postoperative changes were highest for HVA (delta = -16.7°). Recurrence was more likely in cases with preoperative HVA ≥40° (adjusted odds ratio [ORadjusted]) 3.63, p < .001). Revisions were more likely with concomitant diseases and bilateral surgery (ORadjusted 12.53, p = .010; ORadjusted 3.35, p = .030). Hardware removal was less likely in patients ≥50 years (ORadjusted 0.67, p = .014). In conclusion, ReveL was a good surgical option for HV because of the relatively low rates of unfavorable outcomes.

Authors+Show Affiliations

Attending Physician, Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland. Electronic address: thorsten.jentzsch@gmail.com.Attending Physician, Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.Resident, Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.Resident, Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.Resident Physician, University of Zurich, Zurich, Switzerland.Medical Student, University of Zurich, Zurich, Switzerland.Epidemiologist, Fondazione Ospedale San Camillo IRCCS, Venice, Italy.Chief-of-Service, Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30583785

Citation

Jentzsch, Thorsten, et al. "Radiological and Clinical Outcome After Reversed L-Shaped Osteotomy: a Large Retrospective Swiss Cohort Study." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 58, no. 1, 2019, pp. 86-92.
Jentzsch T, Renner N, Niehaus R, et al. Radiological and Clinical Outcome After Reversed L-Shaped Osteotomy: A Large Retrospective Swiss Cohort Study. J Foot Ankle Surg. 2019;58(1):86-92.
Jentzsch, T., Renner, N., Niehaus, R., Farei-Campagna, J., Deggeller, M., Scheurer, F., ... Wirth, S. H. (2019). Radiological and Clinical Outcome After Reversed L-Shaped Osteotomy: A Large Retrospective Swiss Cohort Study. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 58(1), pp. 86-92. doi:10.1053/j.jfas.2018.08.004.
Jentzsch T, et al. Radiological and Clinical Outcome After Reversed L-Shaped Osteotomy: a Large Retrospective Swiss Cohort Study. J Foot Ankle Surg. 2019;58(1):86-92. PubMed PMID: 30583785.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Radiological and Clinical Outcome After Reversed L-Shaped Osteotomy: A Large Retrospective Swiss Cohort Study. AU - Jentzsch,Thorsten, AU - Renner,Niklas, AU - Niehaus,Richard, AU - Farei-Campagna,Jan, AU - Deggeller,Marcel, AU - Scheurer,Fabrice, AU - Palmer,Katie, AU - Wirth,Stephan H, PY - 2018/01/17/received PY - 2018/12/26/entrez PY - 2018/12/26/pubmed PY - 2019/4/30/medline KW - hallux valgus deformity (HV) KW - limited patient satisfaction KW - long plantar arm osteotomy KW - orthopaedic surgery KW - radiological recurrence KW - reversed L-shaped osteotomy (ReveL) KW - surgical technique SP - 86 EP - 92 JF - The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons JO - J Foot Ankle Surg VL - 58 IS - 1 N2 - The objective was to report radiological and clinical outcomes after reversed L-shaped osteotomy (ReveL) for hallux valgus (HV). A retrospective cohort study was performed between January 2004 and December 2013. The primary outcome was radiological recurrence of HV (HV angle [HVA] >15°). There were various exposure and secondary outcome variables. The results showed a median follow-up of 12.0 months (N = 827). Radiological recurrence, limited patient satisfaction, complication, revision surgery, and elective hardware removal were found in 25.0%, 15.3%, 4.6%, 2.5%, and 26.7%. Median pre- to postoperative changes were highest for HVA (delta = -16.7°). Recurrence was more likely in cases with preoperative HVA ≥40° (adjusted odds ratio [ORadjusted]) 3.63, p < .001). Revisions were more likely with concomitant diseases and bilateral surgery (ORadjusted 12.53, p = .010; ORadjusted 3.35, p = .030). Hardware removal was less likely in patients ≥50 years (ORadjusted 0.67, p = .014). In conclusion, ReveL was a good surgical option for HV because of the relatively low rates of unfavorable outcomes. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/30583785/Radiological_and_Clinical_Outcome_After_Reversed_L_Shaped_Osteotomy:_A_Large_Retrospective_Swiss_Cohort_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(18)30313-2 DB - PRIME DP - Unbound Medicine ER -