The effects of hallux valgus and hallux rigidus surgery on gait biomechanics: a systematic review

Q3 Medicine

Postepy Rehabilitacji Pub Date : 2021-01-01 DOI:10.5114/AREH.2021.106434

Karol Lann Vel Lace, M. Błażkiewicz, P. Kolodziejski

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引用次数: 0

Abstract

Hallux valgus (HV) and hallux rigidus (HR) are common foot conditions that lead to deterioration of health status. This review aims to summarize and update information on the currently published research explicitly related to the influence of HV and HR surgeries on lower extremity gait biomechanics. A review of papers published from 1999 to 2020 has been conducted. The databases searched included Science Direct, PubMed Central, PubMed and EBSCO. After HV surgeries, most of patients’ spatio-temporal parameters remain the same as they were before them. Changes in plantar pressure parameters of the hallux region are inconclusive and depend on a study. In patients after HR surgeries, such as cheilectomy and Ist metatarsophalangeal joint (MTP I) arthrodesis, they do not affect knee or hip kinematics. The influence of MTP I arthrodesis on ankle joint kinematics is unclear. Cheilectomy in most cases increases MTP I motion in the sagittal plane. The HV angle and the intermetatarsal angle have significantly decreased after surgeries in all papers. American Orthopedic Foot and Ankle Society MTP–IP score results are also much better than their pre-operative values in patients after HV and HR surgeries.

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拇外翻和拇僵硬手术对步态生物力学的影响:系统综述

拇外翻(HV)和拇僵硬(HR)是导致健康状况恶化的常见足部疾病。本综述旨在总结和更新目前已发表的有关HV和HR手术对下肢步态生物力学影响的研究信息。对1999年至2020年发表的论文进行了回顾。检索的数据库包括Science Direct、PubMed Central、PubMed和EBSCO。HV手术后，大部分患者的时空参数与术前保持一致。趾区足底压力参数的变化是不确定的，取决于一项研究。在HR手术后的患者，如颧骨切除术和跖趾关节(MTP I)融合术，它们不影响膝关节或髋关节的运动学。MTP I关节融合术对踝关节运动学的影响尚不清楚。大多数病例的截骨术增加了矢状面MTP I的运动。手术后HV角和跖间角均明显减小。美国骨科足踝学会(American orthopicdic Foot and Ankle Society) MTP-IP评分结果在HV和HR手术后也明显优于术前值。手术治疗减轻疼痛，并允许患者进行日常生活活动，但它不能使步态参数正常化。需要对大量患者进行进一步的研究，以全面评估HV和HR手术后的动力学、运动学和足底压力参数以及肌肉活动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Postepy Rehabilitacji Medicine-Rehabilitation

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Advances in Rehabilitation is not only directed to representatives of biological and medical sciences, specialists from almost all fields of medicine, such as cardiology, neurology, orthopedics, traumatology and internal diseases, have been published in it. The journal contains papers concerning psychological, sociological, and occupational rehabilitation, along with articles which deal with organization and marketing. The journal is also dedicated to the ethical problems of rehabilitation. A significant part of the published papers have focused on the problems of sport and physical activity for people with disabilities