Zhang Wei Qiang , Li Ju Bao , Li Fan Bing , Li Peng Fei . Effect of SCARF Osteotomy Operation of Hallux Valgus on the Stage of Knee Osteoarthritis Patients in the Lesion Side[J]. Journal of Kunming Medical University, 2017, 38(09): 100-104.
Citation: Zhang Wei Qiang , Li Ju Bao , Li Fan Bing , Li Peng Fei . Effect of SCARF Osteotomy Operation of Hallux Valgus on the Stage of Knee Osteoarthritis Patients in the Lesion Side[J]. Journal of Kunming Medical University, 2017, 38(09): 100-104.

Effect of SCARF Osteotomy Operation of Hallux Valgus on the Stage of Knee Osteoarthritis Patients in the Lesion Side

Funds:

基金: 云南省自然科学基金资助项目 (2011FZ266);

  • Received Date: 2017-04-23
  • Objective To investigate the effect of SCARF or reverse SCARF osteotomy operation of Hallux Valgus on the stage of knee osteoarthritis patients in the lesion side.Methods Retrospective analysis was used to recruit the 45 patients who were diagnosed as moderate or severe Hallux Valgus accompanying Knee osteoarthritis on the lesion side and had complete data.We divided the 22 cases who received the SCARF (or reverse SCARF) osteotomy operation into operation group and divided the 23 cases who received the no-operation treatments into no-operation group.T test was used to compare the difference of Hallux Valgus common malformation angles between of two groups before and after the resident treatment.χ2 test was used to compare the difference between two groups on stages of knee osteoarthritis before and after the resident treatment.Results Follow-up for 2-3 yearsr: (1) Compared with the no-operation group, the amelioration of Hallux Valgus common malformation angles measured of operation patient group, the difference had statistical significance (P <0.01) . (2) Compared with the no-operation group the accelerating speed of knee osteoarthritis in the lesion side of operation patient group was delayed, the relation of staging before and after the treatment had significant difference (P <0.01) . (3) Compared with the operation group, the accelerating speed of knee osteoarthritis in the lesion side of operation patient group was increased without the relation of staging before and after the treatment and had no significant difference (P>0.05) . (4) After the treatment, the constitution rate difference of Knee Osteoarthritis between the two groups had statistical significance (P<0.01) .Conclusion For the patients who suffered from Hallux Valgus and Knee Osteoarthritis in the lesion side, active applying the SCARF or reverse SCARF osteotomy operation of Hallux Valgus may not only cure the local symptoms of Hallux Valgus but also delay the pathological accelerating speed of Knee Osteoarthritis in the lesion side.
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