Footwear modification following hallux valgus surgery: The all-or-none phenomenon

作     者：Cal Robinson Abhijit Bhosale Anand Pillai 

作者机构：Orthopaedics Department University Hospital of South Manchester School of Medicine University of Manchester 

出 版 物：《World Journal of Methodology》 (世界方法学杂志)

年 卷 期：2016年第6卷第2期

页      面：171-180页

学科分类：07[理学] 0701[理学-数学] 070101[理学-基础数学] 

主　　题：Hallux valgus Bunion Footwear High heels Scarf osteotomy Lapidus procedure 

摘      要：AIM:To define footwear outcomes following hallux valgus surgery,focusing on patient return to comfortable and heeled footwear and patterns of post-operative footwear ***:Surgical intervention is indicated for symptomatic cases of hallux valgus unresponsive to conservative methods,with favourable reported *** return to various types of footwear postoperatively is reflective of the degree of correction achieved,and corresponds to patient *** are expected to return to comfortable footwear post-operatively without significant residual *** female patients will additionally attempt to return to high-heeled,narrow toe box ***,minimal evidence exists to guide their *** female hallux valgus patients that had undergone primary surgery bet ween 2011 and 2013 were retrospectively identified using our hospital surgical *** were reviewed using a footwearspecific outcome questionnaire at a mean 18.5 mo ***:Eighty-six percent of patients were able to return to comfortable footwear post-operatively with minimal *** those intending to resume wearing heeled footwear,62%were able to do so,with 77%of these patients wearing these as or more frequently than *** significant difference was observed between pre-and post-operative heel *** time to return to heeled footwear was 21.4wk *** outcomes were very high and did not adversely impact footwear ***:We report high rates of return to both comfortable and heeled shoes in female patients following primary hallux valgus *** observed anall-ornone phenomenonwhere patients rejected a return to heeled footwear unless able to tolerate them at the same frequency and heel size as pre-operatively.A minority of patients were unable to return to comfortable footwear post-operatively,which had adverse ramifications on their *** recommend that the importance