{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:16:09Z","timestamp":1783012569245,"version":"3.54.6"},"reference-count":27,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gerontology"],"abstract":"<jats:p>Introduction: The presence of a bunion (hallux valgus) deformity is a recognized risk factor for falls among older adults; however, it is uncertain whether surgical correction of the foot deformity can help mitigate this risk. Methods: We conducted a retrospective cohort study of US adults aged 50 years and over with hallux valgus using commercial, state, and federal healthcare claims obtained from a national database (PearlDiver, Inc.). Patients who underwent bunion surgery were compared to those treated nonoperatively for their bunion deformities from January 2011 to April 2022. Claims-based falls (all-cause) were tracked using diagnosis codes for up to 11 years. Group differences in fall risk were examined using both 1-year and long-term adjusted hazard ratios (aHRs) and corresponding absolute risks. Results: There were 127,990 people diagnosed with hallux valgus and 17,406 (13.6%) underwent surgery. The median follow-up time was 2,905 and 2,298 days for the surgery and non-surgery groups, respectively. A smaller proportion of people fell in the surgery versus non-surgery group (5 vs. 8% at 1 year; 16 vs. 21% over total follow-up). Furthermore, after controlling for important covariates, patients who underwent bunion surgery were 16% less likely to fall in the first year (aHR 0.84, 95% CI: 0.76\u20130.92) and 42% less likely to fall over the 11-year follow-up (aHR 0.58, 95% CI: 0.52\u20130.63) compared to those with uncorrected hallux valgus deformity. Conclusion: Among older adults in whom surgery is already indicated, a potential ancillary benefit may be a reduction in injurious falls over time.<\/jats:p>","DOI":"10.1159\/000551884","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T16:00:32Z","timestamp":1775491232000},"page":"438-445","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Bunion Surgery on Fall Risk: A Nationwide Database Study of 127,990 Older Adults with Hallux Valgus"],"prefix":"10.1159","volume":"72","author":[{"given":"Adam","family":"Fleischer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Albright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zalak","family":"Bhatt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neveen","family":"Abuali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dyane","family":"Tower","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lowell","family":"Weil Jr.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6927a5"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15304"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.7547\/1030489"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2021.11.019"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1080\/00140138508963219"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198812293192604"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/17.6.365"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/25.1.29"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/BF03324435"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50161.x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1080\/09638280500030506"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/61.8.866"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2018.10.001"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.7547\/15-186"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.7547\/1030534"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.7547\/19-143"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221082644"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/342650"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2019.12.005"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2025.05.007"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2004.049478"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51611"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/s0735-1097(01)01537-6"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600610"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2011.05.023"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.7547\/0950357"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-13-197"}],"container-title":["Gerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000551884","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T16:20:51Z","timestamp":1783009251000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000551884"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,6]]},"references-count":27,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,7,2]]},"published-print":{"date-parts":[[2026,7,8]]}},"URL":"https:\/\/doi.org\/10.1159\/000551884","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.31938504","asserted-by":"subject"}]},"ISSN":["0304-324X","1423-0003"],"issn-type":[{"value":"0304-324X","type":"print"},{"value":"1423-0003","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,6]]}}}