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Post-surgical functional assessment in patients with diagnosis of hallux valgus treated with minimally invasive technique in the Traumatology Service of Luis Vernaza Hospital, during 2017

Abstract:

Introduction: The hallux valgus is due to an evolutionary deformation of the first metatarsus-digital segment of the foot. The first metatarsal along with its two sesamoids are affected, which produces a more complex picture than a simple aesthetic deformity. Therefore, the present study aimed to assess the evolution of patients with the diagnosis of hallux valgus treated with minimally invasive technique. Materials and methods: A prospective cohort study was conducted in a series of 21 patients diagnosed with moderate and severe hallux valgus who attended the Luis Vernaza Hospital in a period of 6 months from January to July 2017. The scale of Functional assessment of the American Orthopedic Foot and Ankle Society Score (AOFAS) was used. Results: Of the total 21 patients, 31.1% (n=8) were men and 61.9% (n=13) women with an average age of 47.2 years. 71.43% had a "good" AOFAS overall rating; the pain was classified as mild at 61.90%. Women had a higher frequency of mild pain (69.23%) than men (50.0%). 80% of patients with good evolution presented mild pain, while patients with a poor evolution had moderate pain in 100% of the cases Conclusions: Minimally invasive surgery is effective for the treatment of hallux valgus, leaving aside complications that may exist not because of the type of intervention, but because of the surgical skill of the person performing it. There is improvement of pain after surgery, with marked improvement in women, and it is defined that the largest percentage of patients who are operated on are female, consistent with the pathophysiology of the disease and its relationship with the use of footwear.