Does Patient Age Influence First Ray Procedure Selection?
- Volume 25 - Issue 2 - February 2012
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We also stress the importance of long-term versus short-term solutions. Temporary procedures such as Silver procedures may provide five to 10 years of relief but inevitably bony overgrowth begins to develop and cause recurrence of the deformity. For older populations, a short-term procedure may translate into a long-term solution as their activity status and age indicate a proclivity to less “wear and tear,” thus preventing acceleration of HAV symptoms. A salvage procedure with a 10-year symptom relief rate may be successful for a longer period of time for an older patient whose activity level continues to decrease.
Ultimately, surgical selection is an individualized process. There is no exact formula to determine which procedure is best for which age group. A surgeon must take into account multiple factors including physiologic age, activity level and goals of the procedure for the best possible treatment for each patient. The wide arsenal of procedures and options afforded for HAV deformities allows surgeons great diversity for individualized treatment.
Dr. Dinh is an Assistant Professor of Surgery at Harvard Medical School and is affiliated with the Beth Israel Deaconess Medical Center in Boston. She is a Fellow of the American College of Foot and Ankle Surgeons.
Dr. Kim is a surgical podiatric resident at the Beth Israel Deaconess Medical Center in Boston.
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