Abstract
We studied prospectively the influence of personality traits on the subjective outcome of a chevron osteotomy in 42 patients with hallux valgus. The mean age of patients was 48.3 (20–70) years. Personality traits were evaluated by the means of the Freiburg Personality Inventory (FPI-R). Three months postoperatively 37 patients were satisfied, and five patients not satisfied with the operative procedure. The preoperative AOFAS Score improved from an average of 48.7 (30–65) points to 87.9 (50–100) points. A comparison of satisfied and dissatisfied patients revealed statistically significant differences in the personality traits aggressiveness (p=0.003), extraversion (p=0.001) and health worries (p=0.04). The postoperative hallux valgus angle was 12.2±7.8° and 13.4±8.3° (p=0.74) among satisfied and not satisfied patients, respectively, and the intermetatarsal angle (I–II) was 7.4±2.5° and 7.6±4° (p=0.89), respectively. The results suggest that the patient’s subjective result after the operative correction may be influenced by some individual, personality profiles.
Résumé
Nous avons étudié l’influence des traits de la personnalité sur le résultat subjectif d’une ostéotomie en chevron chez 42 malades avec hallux valgus. L’âge moyen des malades était de 48,3 ans (20–70). Les traits de la personnalité ont été évalués au moyen de l’Inventaire de Personnalité de Fribourg (FPI-R). A trois mois postopératoires 37 malades étaient satisfaits de la procédure opératoire, et 5 ne l’étaient pas. Le Score préopératoire AOFAS a été amélioré d’une moyenne de 48,7 (30–65) points à 87,9 (50–100) points. Une comparaison de malades satisfaits et non satisfaits a révélé des différences statistiquement significatives dans le caractère agressif des traits de la personnalité (p=0,003), extraversion (p=0,001) et inquiétude sur sa santé (p=0,04). L’angle de l’hallux valgus postopératoire était respectivement de 12,2±7,8° et 13,4±8,3° (p=0,74) pour les malades satisfaites et les malades non satisfaits, et l’angle intermétatarsien (I–II) était de 7,4±2,5° et 7,6±4° (p=0,89) respectivement. Les résultats suggèrent que le résultat subjectif après la correction opératoire peut être influencé par le profil de personnalité du malade.
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Radl, R., Leithner, A., Zacherl, M. et al. The influence of personality traits on the subjective outcome of operative hallux valgus correction. International Orthopaedics (SICOT) 28, 303–306 (2004). https://doi.org/10.1007/s00264-004-0574-x
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DOI: https://doi.org/10.1007/s00264-004-0574-x