Short term results of dynamic splinting for hallux valgus — A prospective randomized study

Plaaß, Christian; Karch, Annika; Koch, Armin; Wiederhoeft, Vivien; Ettinger, Sarah; Claaßen, Leif; Daniilidis, Kiriakos; Yao, Daiwei

doi:10.1016/j.fas.2019.01.002

Cited by 23 publications

(32 citation statements)

References 27 publications

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“…There is some evidence to support orthotics, toe spacers, splinting and braces, which may provide symptomatic relief and decrease pain in some patients. [9][10][11][12][13] Unfortunately, the available literature on the use of orthotics is limited, and no strong conclusions can be drawn regarding their use. If they do lead to improvement in symptoms, this effect is unlikely to last long term.…”

Section: Aetiologymentioning

confidence: 99%

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Bunions: A review of management

Aebischer

Duff

2020

Aust J Gen Pract

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Background Bunions are a common complaint, particularly among older female patients. They are characterised by progressive deformity at the metatarsophalangeal joint, resulting in a painful dorsomedial prominence. This may cause difficulties with shoe wear and contribute to falls in the elderly. Objective The aim of this article is to discuss the aetiology, non-operative and operative management of bunions, as well as indications for referral. Discussion Initial treatment of symptomatic bunions should be non-operative. Accommodative footwear is important. There is evidence supporting the use of nonsteroidal antiinflammatory drugs, orthotics, splints/ braces and toe spacers. However, these may not provide long-term relief, and referral to an orthopaedic surgeon is recommended if the patient has a painful prominence, has exhausted non-operative treatment and is a suitable operative candidate. Cosmesis alone is not an indication for operative management. Smoking is a relative contraindication to surgery, and cessation is recommended. In paediatric or adolescent patients (juvenile bunion), surgery should be delayed until skeletal maturity.

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Section: Aetiologymentioning

confidence: 99%

“…9 It is also important to note that correction of the deformity will not occur with braces or splinting. 12,13 For patients who complain of transfer metatarsalgia, a metatarsal dome may help offload the lesser toe metatarsal heads. Orthotics to address associated pes planus in paediatric patients may also relieve bunion pain.…”

Section: Aetiologymentioning

confidence: 99%

Bunions: A review of management

Aebischer

Duff

2020

Aust J Gen Pract

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“…A special consideration must be given to patients with general ligamentous hyperlaxity or hypermobility of the first tarsometatarsal joint because data suggest a strong correlation with high recurrence rates after surgical correction. Nevertheless, the overall patient satisfaction and functional results have been shown to be superior after surgical treatment compared to the nonoperative management [15,16].…”

Section: Conservative Treatmentmentioning

confidence: 99%

Review of current hallux valgus management options

Nica

Creţu

Ene

et al. 2019

Romanian Journal of Orthopaedic Surgery and Traumatology

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Hallux valgus is one of the most common forefoot pathologies, with a multifactorial etiology that causes important functional impairment and metatarsalgia. The characteristic deformity originates from a biomechanical imbalance induced by the disruption of first metatarsophalangeal joint alignment and manifests as an abnormal weight transfer on the first ray during walking. Conservative treatment is unable to correct the deformity or stop the evolution of the disease but can distinctly control the symptoms. With time, a myriad of surgical correction techniques have been developed but no definitive surgical treatment algorithm has been generally accepted. Nonetheless, the decision process for choosing the suitable technique must be completed on an individual basis after considering the deformity severity stratification, status of the metatarsophalangeal and tarsometatarsal joints, bone anatomy, and associated comorbidities. In spite of a large variety of surgical options, there are a few main strategies that incorporate these variations: metatarsophalangeal and/or tarsometatarsal joint fusion, metatarsal osteotomies and soft tissue procedures. Nowadays, the surgical management of hallux valgus is dominated by first metatarsal osteotomies performed through open surgery or minimally invasive techniques. Hallux valgus angle has been found to be the single most important parameter for surgical outcome prognostic.

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“…H allux valgus (HV) is a pathological condition manifested as the lateral deviation of the great toe accompanying with the medial deviation of the first metatarsus [1]. Although numerous predisposing factors including flat foot and hindfoot pronation, female gender, family history, occupation, and in particular inappropriate and constricting shoe wear GMJ.2021;10:e1888 www.gmj.ir have been demonstrated for hallux valgus [2][3][4], the primary etiology of this deformity is still a question.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Kinesio Taping Versus Phonophoresis for the Treatment of Painful Hallux Valgus: A Pilot Study

Taheri

Maghroori

Heidari

2021

GMJ

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Background: Hallux valgus (HV) is a deformity that affects the quality of life and function in a negative manner causing disturbed balance and walking and even alters the foot kinematics. Conservative treatments are the choice for mild to moderate HV, but the question about the best method has not been responded yet. In the current study, it is aimed to assess and compare the efficacy of kinesiotaping (KT) versus phonophoresis (PH) for the treatment of painful HV. Materials and Methods: This randomized clinical trial has been conducted on a total number of 37 toes (37 toes of a total number of 24 patients) randomly divided into two subgroups of either KT or PH with 1% hydrocortisone among which the total numbers of 31 toes from 20 patients fulfilled the study protocol. The variables including pain (using VAS score), function (using Manchester-Oxford Foot questionnaire)(MOXFD), hallux valgus angle (HVA), and intermetatarsal angle (IMA) were assessed and compared between two groups before and after two months following the interventions. Results: The pain score decreased significantly within the time in both groups (P-value<0.001), while the comparison of KT with PH revealed insignificant difference (P-value=0.08). MOXFD assessments showed significantly improved status within two months for both interventions (P-value<0.001) with no remarkable difference between the groups (P-value=0.55). The IMA and HVA altered following both of the techniques. KT was superior to PH for the correction of HVA, but not for IMA (P-value>0.05). Conclusion: We found both of the KT and PH techniques could successfully rehabilitate the patients’ pain and improve function, however the KT was slightly better than PH due to HVA reduction. [GMJ.2021;10:e1888]

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Short term results of dynamic splinting for hallux valgus — A prospective randomized study

Cited by 23 publications

References 27 publications

Bunions: A review of management

Bunions: A review of management

Review of current hallux valgus management options

Assessment of Kinesio Taping Versus Phonophoresis for the Treatment of Painful Hallux Valgus: A Pilot Study

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