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  • 1.
    Cöster, M.C.
    et al.
    Lund University, Skåne University Hospital Malmö, Sweden.
    Rosengren, B.E.
    Lund University, Skåne University Hospital Malmö, Sweden.
    Bremander, Ann
    Lund University, Lund, Sweden.
    Karlsson, M.K.
    Lund University, Skåne University Hospital Malmö, Sweden.
    Surgery for adult acquired flatfoot due to posterior tibial tendon dysfunction reduces pain, improves function and health related quality of life2015In: Foot and Ankle Surgery, ISSN 1268-7731, E-ISSN 1460-9584, Vol. 21, no 4, p. 286-289Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Patients with adult acquired flatfoot deformity (AAFD) due to posterior tibial tendon dysfunction (PTTD) may require surgery but few reports have evaluated the outcome.

    METHODS: We evaluated 21 patients with a median age of 60 (range 37-72) years who underwent different surgical reconstructions due to stage II AAFD before and 6 and 24 months after surgery by the validated Self-Reported Foot and Ankle Score (SEFAS), Short Form 36 (SF-36) and Euroquol 5 Dimensions (EQ-5D).

    RESULTS: The improvement from before to 24 months after surgery was in SEFAS mean 12 (95% confidence interval 8-15), SF-36 physical function 21 (10-22), SF-36 bodily pain 28 (17-38), EQ-5D 0.2 (0.1-0.3) and EQ-VAS 11 (2-21).

    CONCLUSION: Surgery for AFFD due to PTTD results in reduced pain and improved function and health related quality of life. The outcome scores have been demonstrated as useful. It has also been shown, since there is a further improvement between 6 and 24 months after surgery, that a minimum follow-up of 2 years is needed.

    LEVEL OF CLINICAL EVIDENCE: III - prospective observational cohort study.

    2015 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

  • 2.
    Nilsdotter, Anna K.
    et al.
    Departments of Orthopedics and Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden & Department of R&D, Sahlgrenska University Hospital, Göteborg, Sweden.
    Cöster, Maria E.
    Departments of Orthopedics and Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden.
    Bremander, Ann
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). Departments of Rheumatology and Clinical Sciences Lund, Lund University, Lund, Sweden.
    Cöster, M. C.
    Departments of Orthopedics and Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden.
    Patient-reported outcome after hallux valgus surgery — a two year follow up2019In: Foot and Ankle Surgery, ISSN 1268-7731, E-ISSN 1460-9584, Vol. 25, no 4, p. 478-481Article in journal (Refereed)
    Abstract [en]

    Background: Patients with hallux valgus deformity may require surgery but prospective patient-reported data is scarce.

    Methods: We evaluated 53 patients with a mean age of 55.3 years (SD 14.1, 50 women), who underwent surgery due to hallux valgus. They completed the PROMs SEFAS, EQ-5D and SF-36 before and 6, 12 and 24 months after surgery.

    Results: All patient-reported outcomes improved at 6, 12 and 24 months compared with the preoperative status. The greatest improvement occurred at 6 months: SEFAS Δ 10.0 (95% confidence interval 7.8–12.2), EQ-5D Δ 0.22 (0.15–0.29), EQ-VAS Δ 8.4 (4.4–12.4), PF SF-36 Δ 22.0 (14.6–29.3) and BP SF-36 Δ 30.6 (23.1–38.1).

    Conclusions: Hallux valgus surgery considerably reduced pain and improved function already within 6 months after surgery. The improvement between 6 and 24 months’ follow-up was minimal measured with PROMs.

    Level of clinical evidence: III — prospective observational cohort study.

    © 2018 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

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