Painful Bunions: Risk Factors for Failure of Corrective Surgery What are the main findings?

Response: We set out to find if certain characteristics – patient or procedure based – were associated with failure of the bunion surgery and found that patients who had prior bunion surgery, higher body mass index, and a bigger preoperative angle of their bunions (a marker of the deformity’s severity) were at a higher risk for nonunion (when the bones don’t heal together as intended with the procedure). What should readers take away from your report?

Response: Having identified these above risk factors for nonunion, surgeons can educate patients prior to surgery, and potentially address them for more successful outcomes. What recommendations do you have for future research as a result of this study?

Response: Future prospective, randomized studies may be warranted to identify if certain lab values and if medications play a role in predicting adverse outcomes of the modified Lapidus procedure for bunion treatment.

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Wang B, Manchanda K, Lalli T, Liu GT, VanPelt MD, Raspovic KM, Wukich DK, Johnson MJ. Identifying Risk Factors for Nonunion of the Modified Lapidus Procedure for the Correction of Hallux Valgus. Foot Ankle Orthop. 2022 Jan 21;7(1):2473011421S00495.
doi: 10.1177/2473011421S00495. PMCID: PMC8793564.

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Last Updated on February 13, 2023 by