This lady presented today complaining of left 1st mpj and anterior tib pain and also plantar metatarsalgia 3rd 4th 5th mpj. Little wonder considering the surgical intervention where the 1st MPJ is pinned rigid and plantarflexed in line with the declination of the 1st ray which is also fairly rigid resulting in a forefoot equinus.
Members do not see these Ads. Sign Up.
You can see this in the picture below.
The consequence is that she cannot progress over the planted 1st mpj/hallux and so she supinates the STJ and plantar flexes the lesser rays and dorsiflexes the 1st ray as much as possible to give what is effectively a f/foot supinatus. Therefore the medial aspect barely touches the ground in stance phase. Explaining the overworking of ant tib, compression of the 1st mp joint, and high plantar pressures sub 3-5 mpjs.
The result of ill considered surgery in terms of the biomechanical sequelae, i would say. But what to do about it now? What type of orthotic intervention would you design? Or would you consider more surgery as a better option
Regards Dave Smith
Tags:
Loading...
- Similar Threads - Surgery without biomechanical
-
- Replies:
- 1
- Views:
- 1,723
-
- Replies:
- 0
- Views:
- 1,454
-
- Replies:
- 0
- Views:
- 4,743
-
- Replies:
- 0
- Views:
- 265
-
- Replies:
- 0
- Views:
- 298
-
- Replies:
- 1
- Views:
- 1,218
-
- Replies:
- 0
- Views:
- 549