Outcome of the modified Lapidus procedure for hallux valgus deformity during the first year following surgery: A prospective clinical and gait analysis study

Women after Bilateral Surgical Correction of Hallux Valgus Do not Show Improvement in Spatiotemporal Gait Parameters at 18 Weeks Postoperatively

“…Menz et al [ 6 ] revealed that foot pain is significantly associated with difficulty performing various weight-bearing activities. Similar conclusions were drawn by Moerenhout et al [ 19 ], who reported that longer contact time on the lateral border of the foot and at the medial forefoot to dampen the push-off and prevent hallux loading was observed in HV patients in the short term after surgery (within 6 months). We also observed this in our research, in which the single support line for the right and left limb was significantly shorter at 18 weeks postoperatively as compared to preoperatively, which attests to a flat positioning of the foot during first contact and restricted propulsion.…”

“…It would appear that the timing of postsurgical examination has a great influence on the results. Moerenhout et al [ 19 ] showed that gait parameters continue to improve at 12 months postoperatively, and this improvement is expected to continue after 12 months. Maximal force and pressure at the second and first toe were seen to improve at 12 months compared to the six-month follow-up.…”

“…The results of Canseco et al [ 20 ], Kuni et al [ 22 ] and Klugarova et al [ 7 ], in turn, indicate that HV operation negatively affects spatiotemporal parameters. In contrast, Moerenhout et al [ 19 ] and Brodsky et al [ 21 ] reported improvement in spatiotemporal outcomes and restoration to a normal gait pattern postoperatively.…”

“…The effectiveness of the specific surgical procedures has, in most cases, been evaluated by questionnaires and radiological examination [ 16 , 17 , 18 ], whereas only a limited amount of information exists regarding the influence of HV correction surgical procedures on gait parameters [ 7 , 19 , 20 , 21 , 22 , 23 ]. Authors have found higher functional scores and less pain demonstrated in most patients; however, there is no agreement as to whether hallux valgus correction actually improves spatiotemporal gait parameters.…”

Comparision of the Stress Distribution Between High-Heeled and Flat Shoes on The First Metatarsal Bone

“…One of the easiest ways to analyze the stress and the pressure distribution is Finite Element Analysis (FEA) [13][14][15][16]. The walking takes place in the three stages [17]. The sole of the foot is divided into the three separate areas as forefoot, rearfoot and midfoot.…”