BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

Search

RSS Abstracts 476 Expand/Collapse
- RSS 2013 64 Expand/Collapse
  - RSS Poster 24 Expand/Collapse
  - RSS Podium 40 Expand/Collapse
- RSS 2014 36 Expand/Collapse
  - RSS Podium 36 Expand/Collapse
- RSS 2015 49 Expand/Collapse
  - RSS Poster 20 Expand/Collapse
  - RSS Podium 29 Expand/Collapse
- RSS 2016 45 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 27 Expand/Collapse
- RSS 2017 40 Expand/Collapse
  - RSS Poster 15 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2018 47 Expand/Collapse
  - RSS Poster 22 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2019 48 Expand/Collapse
  - RSS Poster 25 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2021 15 Expand/Collapse
  - RSS Poster 10 Expand/Collapse
  - RSS Podium 6 Expand/Collapse
- RSS 2022 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2023 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2024 40 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 22 Expand/Collapse

Categories: Abstracts, 2023, Poster

COSMIC feasibility study - comparing open scarf osteotomy and minimally invasive chevron osteotomy for hallux valgus correction

A. Pujol Nicolas, M. Kakwani, A. Griffiths, N. Hutt, D. Townshend, A. Murty, R. Kakwani

¹Northumbria Healthcare NHS Foundation Trust, North Shields, United Kingdom

²Gloucestershire Royal Hospital, Gloucester, United Kingdom

Background: Minimally invasive surgery (MIS) has gained popularity for hallux valgus correction. Current evidence shows similar outcomes to scarf osteotomy (SO), however there are limited randomised controlled studies (RCT). The aim of this study was to assess the feasibility of conducting a RCT to compare the patient recorded and clinical outcomes for the surgical management of Hallux Valgus between SO and MIS.

Methods: Patients suitable for surgical correction of moderate hallux valgus were invited to participate. Patients completed a validated questionnaire (Manchester Oxford Foot questionnaire and EQ-5D-5L) preoperatively and postoperatively at 6 months and 1 year. Radiological parameters and range of motion (ROM) were measure pre and post operatively.

Results: 31 patients were recruited between Dec 2017 and June 2022. 17 patients were randomised to MIS (15 female, mean age 51) and 14 to SO (13 female, mean age 51). Both groups had a significant improvement in all MOXFQ parameters at 6m and 12m, as well as radiological parameters. VAS improved for SO at 6m (p=0.048) and 12m (p=0.025) but only improvement at 6m was seen for MIS (p=0.059). There was no significant improvement in EQ-5D in either group at 12 months and no significant difference in surgical time (p=0.53). Higher number of complications were seen in MIS with 5 removal of metalwork (29.4%) and 2 superficial infections (11.8%) vs none in SO. The dorsiflexion significantly improved in the SO group at 6months (p=0.04). No patients were lost at follow up.

Conclusion: Both surgical options show similar clinical results, but higher complication rates were seen with MIS. A larger study is needed to evaluate further. This was a difficult study to recruit to. Challenges included: surgeon equipoise, patient preference, prior approval ticket restriction, training requirement and Covid 19- pandemic which could be mitigated in a larger multicentre study

Print

Tags: MIS Hallux Valgus Forefoot

Documents to download

COSMIC feasibility study - comparing open scarf osteotomy and minimally invasive chevron osteotomy for hallux valgus correction(.pdf, 678.2 KB) - 557 download(s)

Click thumbnail below to view poster / thumbnail:

Archive of Abstracts