Plantar Loading After Chevron Osteotomy Combined With Postoperative Physical Therapy

Schuh, Reinhard; Adams, Samuel B.; Hofstaetter, Stefan G.; Krismer, Martin; Trnka, Hans-Joerg

doi:10.3113/fai.2010.0980

Cited by 23 publications

(19 citation statements)

References 32 publications

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“…Moreover, Schuh et al . evaluated plantar loading after Austin osteotomy combined with postoperative physical therapy and found a significant increase in the mean maximum force as well as the mean force‐time integral for the big toe region. Recapitulating their data showed improved weight‐bearing of the first ray and the big toe followed by a functional improvement, which does not correspond to the results reported by other authors.…”

Section: Discussionmentioning

confidence: 64%

“…Four weeks after surgery, the patients received a multimodal physical therapy program. These included cryotherapy, lymphatic drainage, manual therapeutic interventions of the first metatarsophalangeal (MTP) joint, muscle strengthening exercises, and gait training as previously described.…”

Section: Methodsmentioning

confidence: 87%

“…The data were not normalized to foot size and weight. The standard deviation reflects between‐subject variations .…”

Section: Methodsmentioning

confidence: 99%

“…Schuh et al . found that postoperative physical therapy and gait training may lead to improved function and weight‐bearing of the first ray after hallux valgus surgery.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Plantar Pressure Distribution and Functional Outcome after Scarf and Austin Osteotomy

Puchner

Trnka²,

Willegger

et al. 2018

Orthopaedic Surgery

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Section: Discussionmentioning

confidence: 64%

Section: Methodsmentioning

confidence: 87%

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Comparison of Plantar Pressure Distribution and Functional Outcome after Scarf and Austin Osteotomy

Puchner

Trnka²,

Willegger

et al. 2018

Orthopaedic Surgery

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“…Although both groups suff ered a decrease in activity postoperatively there was no diff erence in the size of the drop. 1 At 360 we were disappointed to fi nd there was no diff erence between the two groups.…”

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confidence: 99%

Foot & Ankle

2012

Bone & Joint 360

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The October 2012 Foot & Ankle Roundup360 looks at: ankle arthrodesis in young active patients; the Bologna-Oxford total ankle replacements; significant failure and revision rates for total ankle arthroplasty; surgical treatment of Achilles tendon rupture; selective plantar fascia release; whether removal of metalwork can resolve foot pain; allografting of osteochondral lesions; distracting from osteoarthritis; and ultrasound-guided minimally invasive surgery.

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Plantar pressure characteristics in hallux valgus feet

et al. 2014

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Due to the pathoanatomical changes in hallux valgus feet, the plantar flexion moment of the first metatarsophalangeal joint is reduced. Therefore, load bearing of the hallux is decreased during push-off. We assessed loading parameters in hallux valgus feet. Based on dorsal-plantar weight bearing radiographs of 61 feet, the intermetatarsal-, hallux valgus-, distal metatarsal articulationangle, and sesamoid position were evaluated. Plantar pressure assessment was performed with the emed 1 system during level walking. We found negative correlations between hallux valgus angle and peak pressure in the great toe (r ¼ À0.301, p < 0.023), the maximum force of the hallux (r ¼ À0.481, p < 0.001), and contact time of the great toe (r ¼ À0.448, p < 0.001), and positive correlations for force time integral (r ¼ 0.348, p < 0.001), contact area (r ¼ 0.307, p < 0.020), maximum force (r ¼ 0.430, p < 0.001), and peak pressure (r ¼ 0.361, p < 0.006) of the fifth metatarsal head. A positive correlation between the sesamoid and the metatarsal subluxation regarding maximum force (r ¼ 0.294, p < 0.034), and a negative correlation between the contact area of the hallux (r ¼ À0.232, p < 0.020) was shown. Depending on the severity, hallux valgus angle, and sesamoid subluxation, load shows significant lateral transmission in hallux valgus feet. Hallux valgus is a common pathologic, gradually progressive condition of the musculoskeletal system. Due to the weakness of the medial collateral ligament and capsule, the proximal phalanx drifts into valgus, and the metatarsal head drifts into varus. With increasing deviation of the first metatarsal, the medial sesamoid shifts under the metatarsal head, and the lateral sesamoid shifts into the space between the first and the second metatarsal head. As a consequence, the tendons of the extensor hallucis longus and the flexor hallucis longus are shifted laterally, becoming abductors and thereby exacerbating the deformity.

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Plantar Loading After Chevron Osteotomy Combined With Postoperative Physical Therapy

Cited by 23 publications

References 32 publications

Comparison of Plantar Pressure Distribution and Functional Outcome after Scarf and Austin Osteotomy

Comparison of Plantar Pressure Distribution and Functional Outcome after Scarf and Austin Osteotomy

Foot & Ankle

Plantar pressure characteristics in hallux valgus feet

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