Abstract
There are over 350,000 bunion surgeries performed in the USA annually, making it one
of the most common elective forefoot surgeries. Studies have suggested that as many
as 10% of patients remain dissatisfied after bunion surgery. The purpose of this study
is to evaluate if radiographic variables are associated with patient satisfaction
at 1 year postoperatively. We performed a secondary analysis of prospectively collected
data on 69 consecutive adult patients (mean age 45 ± 14 years, 91% female [63/69])
who underwent isolated hallux valgus surgery from January 2016 to January 2017. Subjects
completed a standardized 4-item survey inquiring about their satisfaction with regards
to pain relief, overall operative result, cosmetic appearance, and ability to wear
desired shoe gear. Conventional radiographic indices for hallux valgus were examined
preoperatively and 3 months postoperatively. An association model using backward stepwise
logistic regression was utilized to determine which variables, if any, are most important
in explaining patient satisfaction after surgery. Sixty-nine subjects completed the
4-item satisfaction survey with 53.6% (37/69) of subjects answering they were fully
satisfied on all aspects of the survey at 12 months postoperatively. In the final
regression model, no radiographic or demographic variables were associated with patient satisfaction
including shoe gear, cosmetic appearance, pain relief, and overall operative result.
Radiographic variables did not appear to be associated with patient satisfaction at
one year postoperatively in our study. Factors such as quality of life, anxiety levels,
fear of surgery, and/or preoperative expectations may offer more insight into satisfaction;
however, further research should be performed to examine this further.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: May 12, 2022
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
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© 2022 by the American College of Foot and Ankle Surgeons. All rights reserved.
