Hallux valgus surgery affects kinematic parameters during gait

Abstract

Background The aim of our study was to compare spatiotemporal parameters and lower limb and pelvis kinematics during the walking in patients with hallux valgus before and after surgery and in relation to a control group. Methods Seventeen females with hallux valgus, who underwent first metatarsal osteotomy, constituted our experimental group. The control group consisted of thirteen females. Kinematic data during walking were obtained using the Vicon MX system. Findings Our results showed that hallux valgus before surgery affects spatiotemporal parameters and lower limb and pelvis kinematics during walking. Hallux valgus surgery further increased the differences that were present before surgery. Specifically after hallux valgus surgery, the walking speed decreased even more (p=0.09, η2= 0.19) while step time increased (p=0.002, η2=0.44) on both legs. The maximum ankle plantar flexion of the operated leg during toe off decreased to a greater extend (p=0.03, η2=0.26). The asymmetry in the hip and the pelvis movements in the frontal plane (present preoperatively) persisted after surgery. Interpretation Hallux valgus is not an isolated problem of the first ray, which could be just surgically addressed by correcting the foot’s alignment. It is a long-term progressive malfunction of the foot affecting the entire kinematic chain of the lower extremity.

Evaluation of foot static disturbances in patients with rheumatic diseases

“…On the basis of pedobarographic examination, it was shown that in patients suffering from the degenerative disease of the hips, the plantar surface loading distribution was not even and the body weight was evidently shifted onto the healthy limb [ 21 ]. As is the case in RA, the most common types of foot deformities in OA are those of the longitudinal and transverse arches, as well as of the first metatarsophalangeal joint [ 22 , 23 ]. Recent research confirms the relation between the degree of pain intensity and the development of degenerative changes in the knee and feet joints and a fallen longitudinal arch [ 24 ].…”

Effects of Hallux Valgus Orthoses on Ground Reaction Force Using 3D Motion Analysis in Individuals With Hallux Valgus Deformity

“…However, there were no significant differences in the other GRF variables between the orthosis conditions (p > 0.05) ( Table 2). subjects [15]. The repulsive force applied to the feet and toes from the ground during walking is known as a very important variable when evaluating the function of the foot and ankle joints in gait patterns and daily activities such as balance [16,17].…”

Eficacia de las técnicas quirúrgicas en el Hallux Abductus Valgus mediante aplicación de escala de la American Orthopedic Foot and Ankle Society: Revisión bibliográfica

“…En la revisión se encuentran tres estudios, cinemáticos (2,24) y baropodométrico (5), que referencian la situación real del pie durante la marcha tras un procedimiento quirúrgico de HAV, pero sí mejora el patrón hiperqueratósico producido por la deformidad (5,24).…”