Einfluss von Physiotherapie auf die Funktionsverbesserung nach Hallux-valgus-Operationen – eine prospektive pedobarografische Studie

Schuh, Reinhard; Hofstaetter, Stefan G.; Kristen, Karl-Heinz; Trnka, Hans-Jörg

doi:10.1055/s-2008-1038800

Cited by 8 publications

(6 citation statements)

References 12 publications

(17 reference statements)

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“…Die Großzehe soll im Gangzyklus wieder Verwendung finden. Da die plantare Fußdruckmessung sich bereits in der Literatur als gute Methode in der prä-und postoperativen Diagnostik bei Cheilektomie bewiesen hat, soll der positive Effekt dieses Operationsverfahrens gezeigt werden[21,22,27]. Die pedobarografischen Analysen der vorliegenden Studie zeigen, dass dem pathologisch veränderten Abrollverhalten über den lateralen Fußrand mittels Cheilektomie Abhilfe geschaffen werden kann und die Großzehe wieder aktiv im Gangzyklus Verwendung findet.…”

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Funktionelles Outcome der Cheilektomie in der Behandlung des Hallux rigidus

2010

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Cheilectomy represents a reliable technique for hallux rigidus that can achieve good results in patient satisfaction and functional outcome. Since the resection of osteophytes improves kinematics of the first MTP joint the technique of cheilectomy may help to restore physiological gait patterns. This is represented by the pedobarographic results of the present study. In fact, they revealed a plantar pressure distribution that is reconstructed to a satisfactory extent, showing that the big toe is reintegrated into a physiological gait pattern.

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“…Metatarsophalangealköpfchen und der Großzehe[22]. Zwei Studien demonstrierten eine Verlagerung der Druckverteilung von lateral nach medial[22,27]. 2001 untersuchten Lau et al in ihrer Studie die Cheilektomie als Operationsverfahren bei Hallux rigidus und verwendeten zur Nachuntersuchung unter anderem die dynamische Fußdruck-messung.…”

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Funktionelles Outcome der Cheilektomie in der Behandlung des Hallux rigidus

2010

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“…When the proximal hand was applied longitudinally, stress concentrated upon the bone, and the distal palm of the physical therapist supported the plantar features of the manipulated areas. Such mobilization movements can be carried out while sitting down [ 9 ]. Soft-tissue strategies were employed to enhance the circulation while minimizing stress within the flexor hallucis longus, adductor hallucis (oblique and transverse heads), abductor hallucis, and tibialis anterior musculature.…”

Section: Reviewmentioning

confidence: 99%

“…The goal for both surfaces and intramuscular EMG techniques is to study the time and magnitude of muscle stimulation [ 8 ]. According to the latest pedobarographic assessments, there is reduced movement in the big toe and the initial ray following HV surgery, although satisfactory clinical and radiographic outcomes [ 9 ]. Two different ideas explain whether central and transmitted metatarsalgia develops.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Therapeutic Approaches on Hallux Valgus Deformity

Khan,

Patil

2024

Cureus

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Hallux valgus (HV) is a relatively frequent disease caused by a complicated structural malformation of the primary ray. The bunion or middle projection generated by the hallux's lateral displacement and pronation is merely one element of the three-dimensional abnormality. HV may trigger severe discomfort and affect joint kinematics. The specific kinematic cause is still unknown. Female age, gender, restrictive footwear, and heritage are risk indicators. HV frequently coexists along metatarsal adducts, equines contracture, hammertoe imperfection, and pes planus. HV is a frequent foot ailment with multiple, complicated, unknown etiology and course. HV has a preference for females. It is an ongoing condition for which there is no known treatment to reduce or prevent improvement. Fibrodysplasia ossificans progressiva (FOP) is distinguished by hereditary symmetrical HV deformities or symptoms that begin heterotopic calcification that is either idiopathic or caused by trauma, such as subcutaneous immunizations. Localized heterotopic calcification may be preceded by aggravating, recurring soft-tissue enlargements (flare-ups). Heterotopic calcification may happen anywhere; however, it most commonly impacts locations near the axial bone structure during the early/mild phases until advancing to the appendicular skeleton. As an effect of calcification affecting the flexibility of the joints, it might cause limitations in motion. The initial line of therapy focuses on non-surgical methods including night splinting, orthotics, and larger shoes. The next suggested line of action is surgical intervention if conservative therapy fails. Patients have good postoperative tolerance, and bone union often happens six to seven weeks after surgery. Stretching exercises help to restore function by extending shortened soft tissue and restoring range of motion (ROM). The goal of joint mobilization, a form of manual treatment method, is to extend the ligament, the soft tissue surrounding the limited joint, and the restricting joint capsule by applying modest amplitude passive movement to the joint components.

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“…Non-degradable steel and titanium-based implants are commonly used in orthopedic surgery [10]. These implants provide maximum stability but may require a second surgery for removal [11]. In addition, the non-degradable implants also interfere with imaging techniques such as CT scans and MRIs [12].…”

Section: Introductionmentioning

confidence: 99%

Comparison of 2 Types of Bioabsorbable Implants Performing The Chevron Osteotomy to Treat Hallux Valgus Deformity: A Randomized Prospective Clinical Study

2023

J Orthop Res Ther

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Background: Chevron Osteotomy is a treatment option for realigning a mild hallux valgus deformity. There are multiple different ways to fix this osteotomy. We compared prospectively two different types of bioabsorbable screws for the fixation of the Chevron Osteotomy. Questions/purposes:The purpose of the study was to compare two types of bioabsorbable screws to stabilize the chevron osteotomy. In particular, we were interested in the stability of fixation, the absorbability of the implants without losing the initial angular correction of both IMA and HVA, complications with the hardware, and the healing process of both the osteotomy site and the soft tissue envelop, finally the patient satisfaction with the intervention. Patients and methods:We included patients between 19-90 years old with a mild to moderate hallux valgus deformity (IM angle I/II -15 degrees). Between Nov. 2016 and Oct. 2017, 71 patients were randomly assigned to either the Mg group or the PLLA group. Clinical, radiographic, and pedobarographic examinations were performed preoperatively, four weeks postoperatively, and two years postoperatively. Results:The clinical improvement measured by AOFAS, FFI, and FAOS was statistically significant for all patients in both groups compared to the preoperative values. We observed a significant statistically unchanged correction of both IMA and HVA in both groups throughout the entire observation period. There were no malunions or loss of correction in both groups. We observed a screw fracture in 8 cases four weeks postoperatively; despite this finding, it did not affect the IMA, and HVA achieved correction. In one case, we had to replace a PLLA screw intraoperatively with a classic titanium headless screw due to intraoperative loss of compression. We also had one superficial infection in both groups and a deep infection in the Mg group that required implant removal. Conclusion:The Chevron osteotomy remains a sound and viable osteotomy correcting mild and moderate hallux valgus deformity. To our knowledge, this is the first study to compare Both resorbable screws and showed satisfying and comparable clinical and radiological midterm results. Screw fractures were observed with the magnesium-based implant. This occurrence could not be seen with the PLLA implant due to its biocomposite nature. Further research is needed with another radiological tool to understand the reason behind implant failure.

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Einfluss von Physiotherapie auf die Funktionsverbesserung nach Hallux-valgus-Operationen – eine prospektive pedobarografische Studie

Abstract: The authors conclude that postoperative physiotherapy improves big toe function and pressure distribution in the region of the first metatarsal head. This helps to restore physiological gait patterns after hallux valgus surgery.

Cited by 8 publications

References 12 publications

Funktionelles Outcome der Cheilektomie in der Behandlung des Hallux rigidus

Funktionelles Outcome der Cheilektomie in der Behandlung des Hallux rigidus

The Effect of Therapeutic Approaches on Hallux Valgus Deformity

Comparison of 2 Types of Bioabsorbable Implants Performing The Chevron Osteotomy to Treat Hallux Valgus Deformity: A Randomized Prospective Clinical Study

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