Return to Physical Activities after Scarf Osteotomy for Hallux Valgus

Scarf osteotomy is an effective method of surgical treatment of hallux valgus. The final im-pact of the procedure on patients' physical activity has not been assessed so far. Our goals were to evaluate sports and physical activities in patients following the Scarf osteotomy and to compare these...

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Published inOrtopedia, traumatologia, rehabilitacja Vol. 22; no. 2; p. 95
Main Authors Ciechanowicz, Dawid, Kozłowski, Jan, Kołodziej, Łukasz, Kromuszczyńska, Justyna
Format Journal Article
LanguageEnglish
Published Poland 30.04.2020
Subjects
Adult
Aged
Exercise - psychology
Female
Hallux Valgus - psychology
Hallux Valgus - surgery
Humans
Male
Middle Aged
Osteotomy - methods
Osteotomy - psychology
Patient Satisfaction
Return to Sport - psychology
Surveys and Questionnaires
Treatment Outcome
hallux valgus
Scarf osteotomy
physical activity
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Summary:Scarf osteotomy is an effective method of surgical treatment of hallux valgus. The final im-pact of the procedure on patients' physical activity has not been assessed so far. Our goals were to evaluate sports and physical activities in patients following the Scarf osteotomy and to compare these with clinical outcomes. The study included 79 patients who were treated for hallux valgus with a Scarf osteotomy in 2015-2016. The average age in the examined group at the time of surgery was 55.43 (± 11.97) years, while the follow-up was on average 3.13 (± 0.42) years. Physical activity was measured using the UCLA - Activity Score and Author's Sport Specific Questionnaire. Clinical outcomes were evaluated with the Ame-rican Orthopedic Foot and Ankle Score (AOFAS HMI) and compared to sports outcomes. After the procedure, the frequency of undertaking physical activity increased by about 21% (p = 0.0005) and the time spent by patients during the week on sports (minutes per week) increase by about 19% (p = 0.005). The result of the UCLA - Activity Score after surgery increased by an average of about 4.7% (p = 0.016). The average satisfaction with the result of the surgery was 8.2 (1-10 scale). The majority of patients (67%) were able to maintain the amount of physical activity after the surgery and few patients (24%) were able to increase this amount. The study suggests that Scarf osteotomy has a positive effect on the ability of patients with hallux valgus to return to sport and physical activity.
ISSN:2084-4336