title: Prognostic factors in bunion surgery.
abstract: Between 1977 and 1992, 42 patients were seen who had 51 feet operated upon for bunions in which the surgery failed. A total of 105 procedures were done on these 51 feet until the patients either achieved satisfactory correction (N = 28) or they declined (N = 14) further surgery. An analysis of these failures and review of literature revealed 12 anatomic variations and 7 secondary factors that were seen in association with surgical failure. These findings were correlated with published criteria and our experience with various bunion procedures to advance general indications and contraindications for specific bunion procedures.
authors.forename: P E
authors.initials: PE
authors.lastname: Scranton
authors.forename: J E
authors.initials: JE
authors.lastname: McDermott
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery; D008683:Metatarsophalangeal Joint / Q000601:surgery; D008875:Middle Aged; D009989:Orthotic Devices; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods; D010149:Postoperative Pain / Q000601:surgery; D017060:Patient Satisfaction; D011379:Prognosis; D011859:Radiography; D012086:Reoperation; D014034:Toes / Q000601:surgery; D017211:Treatment Failure; D016312:Treatment Refusal