Surgical treatment of hallux valgus—the current practice in Scotland

“…Treatments vary: There are a wide variety of conservative treatment options [ 8 , 9 ], but surgical intervention is quite common, with more than 100 different invasive correction techniques having been described [ 10 , 11 , 12 ]. Moreover, HV is reported to be bilateral in 84% of cases [ 13 ]; the majority of patients require surgical correction on both feet, and some researchers have provided evidence in favor of simultaneous surgical correction [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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

Kaczmarczyk

Barton

Wiszomirska

et al. 2021

JCM

View full text Add to dashboard Cite

Background: Hallux valgus (HV) is a gait-altering orthopedic deformity, somewhat more prevalent in women, which often affects both limbs. Although surgery is a commonly applied treatment, there is no consensus in the literature on how invasive HV correction affects spatiotemporal gait parameters, or how quickly improvement can be expected. We investigated gait parameters in female HV patients who underwent bilateral surgical correction of hallux valgus, both preoperatively and 18 weeks following surgery (a timeframe relevant from the perspective of physical therapy), and also in relation to a non-HV control group. Methods: A total of 23 women aged 40–70 years, with moderate to severe HV deformity in both feet, were assessed preoperatively and 18 weeks postoperatively, and an age-matched control group of 76 healthy women was also assessed. A total of 22 spatiotemporal parameters were collected during 30 s walks over an electronic walkway (Zebris Medical System). Results: Of the 22 parameters analyzed, significant differences between the preoperative experimental and control groups were found only in 4 parameters (Velocity, Right step time, Total double support and Stride time), but in 16 parameters between the postoperative experimental and control groups (the greatest impact being found for: Left and Right Step time, Stride time, Cadence, Right Foot rotation, Left Step length (%leg length) and Stride length (%leg length)). Conclusions: Women after bilateral HV correction did not exhibit improved (i.e., more normal) gait parameters at 18 weeks postoperatively; rather, they showed more gait abnormalities than preoperatively. These findings urge longer-term planning of postoperative rehabilitation, involving continual evaluation of gait improvement.

show abstract

Surgical treatment of hallux valgus—the current practice in Scotland

Cited by 2 publications

References 9 publications

The impact of hallux valgus on foot kinematics: A cross-sectional, comparative study

The impact of hallux valgus on foot kinematics: A cross-sectional, comparative study

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

Contact Info

Product

Resources

About