Hallux Valgus Surgery May Produce Early Improvements in Balance Control

Abstract

Background Hallux valgus (HV) is associated with poorer performance during gait and balance tasks and is an independent risk factor for falls in older adults. We sought to assess whether corrective HV surgery improves gait and balance. Methods Using a cross-sectional study design, gait and static balance data were obtained from 40 adults: 19 patients with HV only (preoperative group), 10 patients who recently underwent successful HV surgery (postoperative group), and 11 control participants. Assessments were made in the clinic using body-worn sensors. Results Patients in the preoperative group generally demonstrated poorer static balance control compared with the other two groups. Despite similar age and body mass index, postoperative patients exhibited 29% and 63% less center of mass sway than preoperative patients during double- and single-support balance assessments, respectively (analysis of variance P =.17 and P =.14, respectively [both eyes open condition]). Overall, gait performance was similar among the groups, except for speed during gait initiation, where lower speeds were encountered in the postoperative group compared with the preoperative group (Scheffe P = .049). Conclusions This study provides supportive evidence regarding the benefits of corrective lower-extremity surgery on certain aspects of balance control. Patients seem to demonstrate early improvements in static balance after corrective HV surgery, whereas gait improvements may require a longer recovery time. Further research using a longitudinal study design and a larger sample size capable of assessing the long-term effects of HV surgical correction on balance and gait is probably warranted.

The Association between Hallux Valgus and Proximal Joint Alignment in Young Female Dancers

“…Furthermore, signs of osteoar thritis in the first metatarsophalangeal joint were found to be associated with hallux rigidus and hallux valgus in the general population and among professional elite ballet dancers [3,31]. Hallux valgus poses significant functional limita tions, such as foot pain, formation of painful bun ions on the medial border of the first MP joint, immobility, and poor balance [27,30,38], Surgi cal correction is the most invasive treatment option in the general population and in juveniles, with more than 100 different techniques being described in the literature [24,29]. However, surgical correction of hallux valgus deformities in dancers differs from corrections in the general population, as dancers must avoid any loss of power or range of motion at the first MP joint muscles and liga ments that may be involved in surgery [7,12,14].…”

Results of the Application of the Original Method of Surgical Treatment of Patients with Severe Hallux Valgus

“…При этом выбор тактики лечения пациентов Hallux valgus (HV) является трудной задачей [7,8,9]. Проблематика данного направления хирургии состоит в отсутствии единых подходов, значительном количестве осложнений, высоком риске рецидивов деформации [10,11,12]. По данным литературы, для коррекции грубого варусного отклонения первой плюсневой кости (ППК) и коррекции HV тяжёлой степени используются «двойные» или «биполярные» остеотомии, так как с их помощью хирург способен достичь значительной коррекции её деформации [13,14,15].…”

Efficacy of Bilateral Simultaneous Hallux Valgus Correction Compared to Unilateral

“…При этом выявлено только 11 исследований, в которых производилось срав-нение результатов одно-и двусторонних кор-рекций. Одни авторы считают, что двустороннее вмешательство может увеличивать число ослож-нений [18,19] и приводить к повышению частоты рецидивов деформации [7]. В то же время другие исследования показали, что статистически значи-мой разницы в послеоперационном периоде между сравниваемыми группами нет [12].…”