Comparison of Plantar Pressure, Clinical, and Radiographic Changes of the Forefoot after Biplanar Austin Osteotomy and Triplanar Boc Osteotomy in Patients with Mild Hallux Valgus

Cancilleri, Francesco; Marinozzi, Andrea; Martinelli, Nicolò; Ippolito, Massimiliano; Spiezia, Filippo; Ronconi, Paolo; Denaro, Vincenzo

doi:10.3113/fai.2008.0817

Cited by 29 publications

(34 citation statements)

References 23 publications

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“…Galica et al [10] tried to evaluate the plantar pressure and force of HV feet in a large population-based cohort, but they did not further classify the subjects according to different manifestation, which in fact might bring misinterpretation because different symptoms might couple with different or even contradictory loading patterns [11–14]. Wen et al [13] divided the HV patients into pain and asymptomatic groups and investigated their difference in loading pattern with normal foot.…”

Section: Introductionmentioning

confidence: 99%

Loading pattern of postoperative hallux valgus feet with and without transfer metatarsalgia: a case control study

et al. 2017

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BackgroundPostoperative transfer metatarsalgia is a common complication after hallux valgus surgeries. Shortening of the first metatarsal is traditionally thought to be the primary cause of it. However, we speculate the abnormal loading pattern during gait is the real reason. This study is to determine specific differences in the loading patterns between reconstructive hallux valgus (HV) feet with and without postoperative transfer metatarsalgia, so as to find risky loading characteristics of this complication.MethodsThirty feet with postoperative transfer metatarsalgia were recruited as pain group, while another 30 postoperative feet without pain as controls. All participants were asked to walk barefoot at self-selected speed through a plantar force measuring plate (Rs-Scan Inc.) for three times. Certain plantar load variables were recorded or calculated, and their differences between two groups were compared.ResultsFor pain group, the maximum plantar force and force time integral of the first metatarsal decrease significantly; the force time integral of the central rays (second plus third metatarsal) does not significantly differ with that in the controls, but their cumulative load percentage to the whole foot is higher. In pain group, the time point when central rays reached their peak force during the push-off is significantly later than that in controls. And the regional instant load percentage at this moment presented significantly higher for central rays, while significantly lower for the first metatarsal and the hallux compared to the controls.ConclusionsFor hallux valgus feet with postoperative metatarsalgia, the load function of the first metatarsal is obviously impaired. But for central rays, indicative difference is not reflected in either peak or cumulative load during the gait cycle, but in the instant load distribution when central rays reach their peak load. So we can conclude that whether the remaining regions can adequately share certain load during walking, especially around the time metatarsalgia often occurs, plays an unnegligible role. So surgeons should pay more attention to reconstruct a foot where load can be evenly distributed.

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Section: Introductionmentioning

confidence: 99%

Loading pattern of postoperative hallux valgus feet with and without transfer metatarsalgia: a case control study

et al. 2017

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“…Comparing the post‐operative values with the control group, one observes that the pattern of pressures under the hallux was restored. The percutaneous DSTR‐Akin technique achieves a plantar pressure result similar to those of the McBride,16 Chevron,1 Lindgren,17 or Austin18 open techniques. Since the most important determinant of post‐operative pressure values was found to be the HAA (which explained 13.2% of the variance in mean pressure), the reduction of pressure under the hallux seems to be related to the Akin osteotomy.…”

Section: Discussionmentioning

confidence: 71%

“…Hallux valgus (HV) is a common disorder of the first ray that causes clinically significant alterations in the distribution of plantar pressures 1. Radiographically, the normal value of the hallux abductus angle (HAA) is up to 15°, while 15–30° should be considered a mild deformity, 30–40° a moderate deformity, and >40° a severe deformity 2.…”

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confidence: 99%

Dynamic plantar pressure analysis and midterm outcomes in percutaneous correction for mild hallux valgus

Nova

Sánchez-Rodríguez

Leal-Muro

et al. 2011

Journal Orthopaedic Research

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Mild hallux valgus (HV), which can lead to alteration of the plantar pressure pattern with an overpressure under the hallux, can be repaired percutaneously. Our goals were to determine whether the percutaneous distal soft tissue release (DSTR)-Akin procedure restores the loading pattern and to evaluate which are the determinants of the measures of post-operative outcome. Seventynine percutaneous DSTR-Akin procedures were performed in the same number of patients. The plantar pressure patterns were evaluated using the BioFoot/IBV 1 in-shoe system and compared with measurements from 98 controls. The clinical and radiological outcome parameters measured were the pre-and post-operative AOFAS scores, and the first intermetatarsal, hallux abductus, and first metatarsal-hallux declination angles (FIMA, HAA, FMHDA) in weight-bearing radiographs. The mean follow-up was 28.1 (range 24-33) months. The plantar pressure analysis showed a significant decrease (328-152 kPa, p ¼ 0.001) in the mean pressure under the hallux. Significant improvements occurred in the AOFAS scores, and angular deviations were reduced. The post-operative HAA correlated with the mean pressure under the 1st toe (r 2 ¼ 0.132, p < 0.001). The DSTR-Akin percutaneous technique in mild HV restores physiological patterns of pressure on the hallux and achieves significant correction of radiographic angles and commensurate improvement in clinical status. ß

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“…Cancilleri et al . found a mean AOFAS score of 81.9 points at a mean of 37 months after surgery after an Austin osteotomy. Trnka et al .…”

Section: Discussionmentioning

confidence: 97%

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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Comparison of Plantar Pressure, Clinical, and Radiographic Changes of the Forefoot after Biplanar Austin Osteotomy and Triplanar Boc Osteotomy in Patients with Mild Hallux Valgus

Abstract: The Boc triplane osteotomy seems to restore more physiologic loading of the forefoot in comparison to the Austin procedure, reducing the incidence of painful callus under the second and third metatarsal head.

Cited by 29 publications

References 23 publications

Loading pattern of postoperative hallux valgus feet with and without transfer metatarsalgia: a case control study

Loading pattern of postoperative hallux valgus feet with and without transfer metatarsalgia: a case control study

Dynamic plantar pressure analysis and midterm outcomes in percutaneous correction for mild hallux valgus

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

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