Short and Medium Term Postoperative Complications After Hallux Valgus Surgery

Hallux Valgus Clinical Trial

— HALLUXVALGUS  

Official title:

Short and Medium Term Postoperative Complications After Hallux Valgus Surgery

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT04986358
• Other study ID #: LOCAL2021-WH01
• Status: Active, not recruiting
• Phase: N/A
• Start date: January 5, 2022
• Est. completion date: October 19, 2025

Study information

• Verified date: February 2024
• Source: Clinique Saint Jean, France
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to make a precise inventory of the complications that may occur postoperatively in the more or less long term in a cohort of patients who should benefit from surgical management of Hallux Valgus.

Description:

Hallux Valgus surgery is one of the most common foot surgeries. The surgical procedure itself has evolved a lot and is now, in almost all cases, on an outpatient basis with greatly improved pain management.

However, various postoperative complications, more or less severe and more or less long term, can worsen the final result. The literature describing these complications comes mainly from meta-analysis, retrospective studies or studies targeting a particular type of complications.

As a result, there are few complete and objective descriptions of these complications.

In addition, studies reporting postoperative consequences always assess the "serious" long-term complications responsible for a poor functional outcome, primarily the recurrence of the initial deformity, defined as surgical failure. It seemed relevant to try to assess early complications, "less serious", not necessarily worsening the final result but directly impacting the postoperative recovery period.

The evaluation of this recovery period and the length of time off work based on these "less severe" complications could improve the quality of surgical management of hallux valgus.

This is why it seemed interesting to carry out a precise inventory of the complications that may occur postoperatively in the more or less long term in a cohort of patients.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 400
• Est. completion date: October 19, 2025
• Est. primary completion date: October 19, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patient with medical insurance.

• Patient who recieved information about study and signes a consent to participate in the study.

• Major patient requiring surgical management of a Hallux Valgus.

Exclusion Criteria:

• Minor patient.

• Patient participating in another interventional study.

• Patient with one of the following pathologies: Rheumatoid arthritis, haemophilia, inflammatory rheumatism or neurological spasticity.

• Patient to undergo a one-step bilateral Hallux Valgus surgical treatment (surgery of both feet on the same day).

• Patient refusing to sign the consent form.

• Patient for whom it is impossible to give informed information.

• Patient under the protection of justice, under curatorship ou under tutorship.

Related Conditions & MeSH terms

• Bunion
• Hallux Valgus
• Postoperative Complications

Intervention

Other:
• Follow up at 2 years
The patients will have a follow-up to carry out 2 years after their intervention in addition to their traditional care

Locations

Country	Name	City	State
France	Clinique Saint Jean	Saint-Jean-de-Védas

Sponsors (1)

Lead Sponsor	Collaborator
Clinique Saint Jean, France

Country where clinical trial is conducted

France, 

References & Publications (25)

Barg A, Harmer JR, Presson AP, Zhang C, Lackey M, Saltzman CL. Unfavorable Outcomes Following Surgical Treatment of Hallux Valgus Deformity: A Systematic Literature Review. J Bone Joint Surg Am. 2018 Sep 19;100(18):1563-1573. doi: 10.2106/JBJS.17.00975. — View Citation

Bock P, Kluger R, Kristen KH, Mittlbock M, Schuh R, Trnka HJ. The Scarf Osteotomy with Minimally Invasive Lateral Release for Treatment of Hallux Valgus Deformity: Intermediate and Long-Term Results. J Bone Joint Surg Am. 2015 Aug 5;97(15):1238-45. doi: 10.2106/JBJS.N.00971. — View Citation

Brogan K, Lindisfarne E, Akehurst H, Farook U, Shrier W, Palmer S. Minimally Invasive and Open Distal Chevron Osteotomy for Mild to Moderate Hallux Valgus. Foot Ankle Int. 2016 Nov;37(11):1197-1204. doi: 10.1177/1071100716656440. Epub 2016 Jul 4. — View Citation

Chong A, Nazarian N, Chandrananth J, Tacey M, Shepherd D, Tran P. Surgery for the correction of hallux valgus: minimum five-year results with a validated patient-reported outcome tool and regression analysis. Bone Joint J. 2015 Feb;97-B(2):208-14. doi: 10.1302/0301-620X.97B2.34891. — View Citation

Costa MT, de Almeida Pinto RZ, Ferreira RC, Sakata MA, Frizzo GG, Santin RA. OSTEOTOMY OF THE FIRST METATARSAL BASE ON THE TREATMENT OF MODERATE TO SEVERE HALLUX VALGUS RESULTS AFTER MEAN FOLLOW-UP TIME OF EIGHT YEARS. Rev Bras Ortop. 2015 Nov 16;44(3):247-53. doi: 10.1016/S2255-4971(15)30075-6. eCollection 2009 Jan. — View Citation

Coughlin MJ, Freund E. Roger A. Mann Award . The reliability of angular measurements in hallux valgus deformities. Foot Ankle Int. 2001 May;22(5):369-79. doi: 10.1177/107110070102200503. — View Citation

Coughlin MJ. Hallux valgus. J Bone Joint Surg Am. 1996 Jun;78(6):932-66. No abstract available. — View Citation

Dawson J, Boller I, Doll H, Lavis G, Sharp R, Cooke P, Jenkinson C. Responsiveness of the Manchester-Oxford Foot Questionnaire (MOXFQ) compared with AOFAS, SF-36 and EQ-5D assessments following foot or ankle surgery. J Bone Joint Surg Br. 2012 Feb;94(2):215-21. doi: 10.1302/0301-620X.94B2.27634. — View Citation

Filippi J, Briceno J. Complications after Metatarsal Osteotomies for Hallux Valgus: Malunion, Nonunion, Avascular Necrosis, and Metatarsophalangeal Osteoarthritis. Foot Ankle Clin. 2020 Mar;25(1):169-182. doi: 10.1016/j.fcl.2019.10.008. Epub 2019 Nov 26. — View Citation

Fuhrmann RA, Zollinger-Kies H, Kundert HP. Mid-term results of Scarf osteotomy in hallux valgus. Int Orthop. 2010 Oct;34(7):981-9. doi: 10.1007/s00264-010-0958-z. Epub 2010 Feb 16. — View Citation

Jeuken RM, Schotanus MG, Kort NP, Deenik A, Jong B, Hendrickx RP. Long-term Follow-up of a Randomized Controlled Trial Comparing Scarf to Chevron Osteotomy in Hallux Valgus Correction. Foot Ankle Int. 2016 Jul;37(7):687-95. doi: 10.1177/1071100716639574. Epub 2016 Mar 23. — View Citation

Kaufmann G, Mortlbauer L, Hofer-Picout P, Dammerer D, Ban M, Liebensteiner M. Five-Year Follow-up of Minimally Invasive Distal Metatarsal Chevron Osteotomy in Comparison with the Open Technique: A Randomized Controlled Trial. J Bone Joint Surg Am. 2020 May 20;102(10):873-879. doi: 10.2106/JBJS.19.00981. — View Citation

Lai MC, Rikhraj IS, Woo YL, Yeo W, Ng YCS, Koo K. Clinical and Radiological Outcomes Comparing Percutaneous Chevron-Akin Osteotomies vs Open Scarf-Akin Osteotomies for Hallux Valgus. Foot Ankle Int. 2018 Mar;39(3):311-317. doi: 10.1177/1071100717745282. Epub 2017 Dec 14. — View Citation

Lee KB, Cho NY, Park HW, Seon JK, Lee SH. A comparison of proximal and distal Chevron osteotomy, both with lateral soft-tissue release, for moderate to severe hallux valgus in patients undergoing simultaneous bilateral correction: a prospective randomised controlled trial. Bone Joint J. 2015 Feb;97-B(2):202-7. doi: 10.1302/0301-620X.97B2.34449. — View Citation

Lee KB, Kim MS, Park KS, Lee GW. Importance of postoperative sesamoid reduction on the outcomes of proximal chevron osteotomy for moderate to severe hallux valgus deformity. Foot Ankle Surg. 2019 Aug;25(4):434-440. doi: 10.1016/j.fas.2018.02.006. Epub 2018 Feb 16. — View Citation

Lee KM, Ahn S, Chung CY, Sung KH, Park MS. Reliability and relationship of radiographic measurements in hallux valgus. Clin Orthop Relat Res. 2012 Sep;470(9):2613-21. doi: 10.1007/s11999-012-2368-6. Epub 2012 Apr 28. — View Citation

Lee KT, Park YU, Jegal H, Lee TH. Deceptions in hallux valgus: what to look for to limit failures. Foot Ankle Clin. 2014 Sep;19(3):361-70. doi: 10.1016/j.fcl.2014.06.003. Epub 2014 Jul 2. — View Citation

Lehman DE. Salvage of complications of hallux valgus surgery. Foot Ankle Clin. 2003 Mar;8(1):15-35. doi: 10.1016/s1083-7515(02)00130-4. — View Citation

Lewis TL, Ray R, Miller G, Gordon DJ. Third-Generation Minimally Invasive Chevron and Akin Osteotomies (MICA) in Hallux Valgus Surgery: Two-Year Follow-up of 292 Cases. J Bone Joint Surg Am. 2021 Jul 7;103(13):1203-1211. doi: 10.2106/JBJS.20.01178. — View Citation

Monteagudo M, Martinez-de-Albornoz P. Management of Complications After Hallux Valgus Reconstruction. Foot Ankle Clin. 2020 Mar;25(1):151-167. doi: 10.1016/j.fcl.2019.10.011. Epub 2019 Nov 29. — View Citation

Nix S, Smith M, Vicenzino B. Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. J Foot Ankle Res. 2010 Sep 27;3:21. doi: 10.1186/1757-1146-3-21. — View Citation

Raikin SM, Miller AG, Daniel J. Recurrence of hallux valgus: a review. Foot Ankle Clin. 2014 Jun;19(2):259-74. doi: 10.1016/j.fcl.2014.02.008. Epub 2014 Mar 29. — View Citation

Smith RW, Reynolds JC, Stewart MJ. Hallux valgus assessment: report of research committee of American Orthopaedic Foot and Ankle Society. Foot Ankle. 1984 Sep-Oct;5(2):92-103. doi: 10.1177/107110078400500208. No abstract available. — View Citation

Talbot KD, Saltzman CL. Assessing sesamoid subluxation: how good is the AP radiograph? Foot Ankle Int. 1998 Aug;19(8):547-54. doi: 10.1177/107110079801900808. — View Citation

Zambelli R, Baumfeld D. Intraoperative and Postoperative Evaluation of Hallux Valgus Correction: What Is Important? Foot Ankle Clin. 2020 Mar;25(1):127-139. doi: 10.1016/j.fcl.2019.10.007. Epub 2019 Dec 4. — View Citation

* Note: There are 25 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Onset complication within 1 year after the intervention	Collection of the type of complication and its degree of severity (Clavien Dindo classification)	1 year
Secondary	Evaluation of patient satisfaction	satisfaction collected directly from the patient by a self-administered questionnaire : very satisfied, satisfied, not pronounced, dissatisfied or very dissatisfied.	2 years
Secondary	Onset all complications within 2 years after the intervention	collection of the type of complication and its degree of severity (Clavien Dindo classification)	2 years