DOI

Background. Hallux valgus (HV) is a common orthopedic deformity, and optimization of postoperative rehabilitation is considered one of the key factors in accelerating functional recovery after corrective osteotomies. The aim of the study - to evaluate the effectiveness of the developed accelerated postoperative rehabilitation protocol for patients who underwent open or minimally invasive hallux valgus correction. Methods. A prospective non-randomized comparative cohort study was conducted, including 120 patients older than 18 years with hallux valgus deformity. All patients underwent surgical treatment: open scarf osteotomy (n = 40) or minimally invasive MICA osteotomy (n = 80). After surgery, all patients were assigned an original accelerated rehabilitation protocol. Patients with pain intensity >= 6 points on the visual analog scale (VAS) at week 2 were transferred to the standard rehabilitation protocol. As a result, two groups were formed: accelerated protocol (AP, n = 74) and standard protocol (SP, n = 46). Pain intensity was assessed using the VAS at 4 and 8 weeks, 6 months, and 1 year; functional outcomes were evaluated using the AOFAS score at 8 weeks, 6 months, and 1 year; postoperative complication rates were also analyzed. Results. Patients in the AP group demonstrated significantly lower VAS pain scores compared with the SP group at 4 weeks (median 3.00 vs 5.00 points; p < 0.001), 8 weeks (1.00 vs 3.00 points; p < 0.001), and 6 months (0.00 vs 1.00 point; p < 0.001). At 1 year, no significant difference in VAS scores between the groups was observed (p = 0.364). Functional outcomes assessed by the AOFAS score at 8 weeks were higher in the AP group (median 65.00 points) compared with the SP group (52.00 points); p < 0.001. At 6 months (88.00 vs 82.00 points; p = 0.183) and 1 year (95.00 vs 92.00 points; p = 0.353), no significant differences were noted. Complication rates were comparable between the groups: 8.1% in the AP group and 6.5% in the SP group (p = 1.000). The AP group predominantly included patients who underwent minimally invasive MICA osteotomy (89.2%), whereas scarf osteotomy was more frequently performed in the SP group (69.6%; p < 0.001). Conclusion. The combination of a minimally invasive surgical technique and an accelerated rehabilitation protocol constituted an optimal treatment model, providing adequate deformity correction with minimal postoperative pain and reduced recovery time.
Переведенное названиеApplication of an Accelerated Rehabilitation Protocol After Surgical Treatment of Acquired Hallux Valgus
Язык оригиналарусский
Страницы (с-по)75-85
Число страниц11
ЖурналТРАВМАТОЛОГИЯ И ОРТОПЕДИЯ РОССИИ
Том32
Номер выпуска1
DOI
СостояниеОпубликовано - 2026

    Области исследований

  • hallux valgus, forefoot deformity, rehabilitation, corrective osteotomy, scarf, MICA, CHEVRON OSTEOTOMY, TRIAL

ID: 151952827