Sex-related differences in outcomes after hallux valgus surgery

Gi Won Choi, Hak Jun Kim, Tae Wan Kim, Ji Wun Lee, Sung Bum Park, Jin Kak Kim

    Research output: Contribution to journalArticlepeer-review

    9 Citations (Scopus)

    Abstract

    Purpose: With differences between the sexes in foot bone anatomy and ligamentous laxity, there is the possibility that the results of hallux valgus surgery may also differ between the sexes. We aimed to compare the results of hallux valgus surgery between the sexes. Materials and Methods: The authors retrospectively reviewed 60 males (66 feet) and 70 females (82 feet) who underwent distal or proximal chevron osteotomy for the treatment of hallux valgus deformity between June 2005 and December 2011. We compared the clinical and radiologic outcomes between the sexes. Results: There were no statistically significant differences in demographics between the sexes. The mean American Orthopedic Foot and Ankle Society score, visual analogue scale for pain, and patient satisfaction at the last follow-up did not differ significantly between the sexes. The mean preoperative hallux valgus angle (HVA) and inter-metatarsal angle (IMA) were not significantly different between the sexes. At the last follow-up, the mean HVA was significantly greater in females (p=0.003) than in males; mean IMA was not significantly different between the sexes. The mean correction of HVA in males was significantly greater than that in females (p=0.014). Conclusion: There were no significant differences between the sexes regarding clinical outcomes after distal and proximal chevron osteotomy. However, male patients achieved greater correction of HVA than female patients. There is a possibility that sexual dimorphism of the foot may affect postoperative HVA.

    Original languageEnglish
    Pages (from-to)466-473
    Number of pages8
    JournalYonsei medical journal
    Volume56
    Issue number2
    DOIs
    Publication statusPublished - 2015

    Keywords

    • Distal chevron osteotomy
    • Gender
    • Hallux valgus
    • Proximal chevron osteotomy

    ASJC Scopus subject areas

    • Medicine(all)

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