Incidence of hallux valgus primary surgical treatment. Finnish nationwide data from 1997 to 2014. Issue 6 (December 2019)

• Record Type: Journal Article
• Authors: Partio, Nikke; Mäenpää, Heikki; Huttunen, Tuomas; Haapasalo, Heidi; Laine, Heikki-Jussi; Mattila, Ville M.
• Is Part Of: Foot and ankle surgery. Volume 25:Issue 6(2019)
• Page Start: 761
• Page End: 765
• Publication Date: 2019-12
• Subjects: Hallux valgus -- Epidemiology -- Operative treatment -- Finland -- Hospital discharge register; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2018.10.001
• Languages: English
• ISSNs: 1268-7731

Abstract

Highlights: The overall incidence of HV operation has decreased remarkably during the last two decades in Finland. MT-1 osteotomy is the most common technique in the surgical treatment of HV. The MTP-1 joint arthrodesis incidence increased by over 1000% and TMT-1 joint arthrodesis by nearly 2000% during the last two decades in Finland The resection arthroplasty of first MTP joint procedure decreased remarkably 1997–2014. The gender difference (13% men, 87% women) is consistent with previous studies. Abstract: Background: Many surgical procedures have been described for hallux valgus. Evidence provided by the current literature on the different procedures is, however, poor. The purpose of this study was to assess the incidence of HV surgery in Finland between 1997 and 2014 and to find out whether changes in operation techniques of HV have occurred during the study period. Methods: The study included all adult patients (≥18 years) who underwent primary HV operation. Patients were included into study if they had been operated with a diagnosis of HV (ICD-10 code M20.1). The data were collected by the Finnish National Hospital Discharge Register (NHDR). Results: The total incidence of primary HV operations was 66.7 per 100, 000 person-years in 1997 and 41.4 per 100, 000 person-years in 2014. The incidence of arthroplasty operations of the MTP-1 joint decreased while at the same time the incidence of the MTP-1 joint arthrodesis and TMT-1 arthrodesis increased. The gender difference (13% men, 87% women) is consistent with previous studies. Conclusion: This study shows a significant decreasing trend of HV operations in Finland between 1997 and 2014. During the study period, the incidence of MTP I joint arthroplasty decreased, and since 2005 the incidence of MT-1-osteotomies has almost halved. At the same time, the incidence of MTP-1 joint arthrodesis increased by over 1000% and TMT-1 joint arthrodesis by nearly 2000%.