Development and reliability of an intra-operative first metatarsophalangeal joint cartilage evaluation tool for use in hallux valgus surgery
2011

Evaluating Cartilage in Foot Surgery

Sample size: 20 publication Evidence: high

Author Information

Author(s): Smith Simon E, Landorf Karl B, Gilheany Mark F, Menz Hylton B

Primary Institution: Department of Podiatry, Faculty of Health Sciences, La Trobe University, Bundoora, Victoria, Australia

Hypothesis

The study aims to assess the reliability of an intra-operative evaluation tool for cartilage degeneration in hallux valgus surgery.

Conclusion

The study found a high degree of reliability between examiners using the cartilage evaluation tool during surgery.

Supporting Evidence

  • Inter-examiner reliability for lesion location showed 90 to 100% agreement.
  • Kappa values for lesion location ranged from 0.78 to 1.00.
  • For lesion depth, percentage agreement ranged from 33 to 100%.
  • Weighted kappa values for lesion depth ranged from 0 to 1.00.
  • The ICC for lesion surface area was 0.98, indicating excellent reliability.

Takeaway

Doctors used a special tool to check the cartilage in people's feet during surgery, and they mostly agreed on what they saw.

Methodology

Two examiners documented cartilage lesions during surgery in 20 females, assessing location, depth, and surface area using various scales.

Participant Demographics

20 females aged 17 to 69 years (mean 50.9, SD 13.5)

Statistical Information

Confidence Interval

95% CI, 0.97 to 0.99

Digital Object Identifier (DOI)

10.1186/1757-1146-4-S1-O45

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