Abstract
The prevalence of hallux valgus increases with age. However, few studies have compared
the effectiveness of surgical correction among different age groups. The authors present
a retrospective evaluation of the influence of age on clinical outcomes. Patients
who underwent corrective surgery for hallux valgus at an academic hospital were stratified
into 2 age groups: ≥70 years old (Group 1) and <70 years old (Group 2). Following
propensity score matching there were 106 patients: 53 patients in each group. Clinical
outcomes, quality of life, and satisfaction questionnaires were collected preoperatively
and at 6 months and 24 months postoperatively. There were no differences between both
patient groups in preoperative biodata and clinical parameters. However, elderly patients
had significantly poorer Physical Component Summary scores postoperatively at both
6 months (p = .001) and 24 months (p < .001), and significantly poorer American Orthopaedic Foot and Ankle Society Hallux
Metatarsophalangeal- Interphalangeal Scale at 24 months (p = .026). There was no difference between the 2 groups in patient satisfaction rates
at 24 months postoperatively (70% vs 85%, p > .05). Elderly patients display significant improvements in their clinical scores
24 months postoperatively with no significant difference between satisfaction rates
with their younger counterparts. Elderly patients can stand to benefit from hallux
valgus surgery.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: August 20, 2021
Footnotes
#All work was performed in Singapore General Hospital, Singapore.
Financial Disclosure: None reported.
Conflicts of Interest: The authors declare that they have no conflicts of interest, and no funding was required for this study.
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