Treatment of transverse flatfoot with hallux valgus in type I and II foot flatness

NewsBot · Dec 31, 2019

Members do not see these Ads. Sign Up.
Treatment of transverse flatfoot with hallux valgus in type I and II foot flatness.
Zhanaspaev, A. M. ; Sorokin, M. N. ; Zhanaspaev, M. A. ; Bokembaev, N. A.
Science & Healthcare 2019 Vol.21 No.1 pp.80-90 ref.38

Introduction Static deformity of the forefoot is up to 80% among orthopedic foot pathology in adults. Pathology causes a significant violation of the biomechanics of the entire lower limb, accompanied by pain in the front section of foot, difficulty in selecting and wearing shoes, reduces the ability to work and significantly the patient's quality of life. In this regard, the development of a treatment for static deformity of the front section of foot involving the elimination of hallux valgus, metatarsusprimavarus and plantar deviation of the central foot rays remains an incompletely solved and urgent problem of modern orthopedics and is demanded by public health. The aim. To construct a device for the intraoperative correction of the lateral flatness of the foot and the method of fixation of the metatarsal bones of the postoperative period in a corrected position. Research methods. Research method a series of cases. This paper presents preliminary immediate results of using an intraoperative corrector to restore the transverse arch of the foot during an operation of reconstruction of the front section of foot in 17 patients aged 33 to 66 years. The average age was 53,9 years. Results. Intraoperative correction of transverse flatness of the foot was achieved in all patients. The loss of correction during the year did not exceed 2 mm and did not affect the outcome of the treatment of patients. Hallux valgus was eliminated in all patients and the HVA angle ranged from 5° to 10°. During the year, the loss of correction in our patients was within 3°-5° and did not affect the outcome of the treatment of patients. In the postoperative period, marginal necrosis of the wound in the area of MFJ 1 was observed in one patient, the wound healed by secondary intention and did not affect the outcome of the treatment. In all our patients, there was no recurrence of halluxvalgus, metatarsusprimavarus, transverse flatness of the foot, and the failure of PKS1 arthrodesis. Conclusion. The clinical evaluation of the correction of the transverse flatness of the foot by the proposed device and the stable fixation of the labia-like joints with an angular stability plate showed the feasibility of using the device. At the same time, given the short duration of observations and a small number of samples, the results obtained need to be confirmed by subsequent studies.
Click to expand...

NewsBot · Jan 20, 2020

Detailed analysis of the transverse arch of hallux valgus feet with and without pain using weightbearing ultrasound imaging and precise force sensors.
Zeidan H et al
PLoSOne. 2020 Jan 9;15(1)

BACKGROUND:
Hallux valgus is the most common forefoot deformity and affects the transverse arch structure and its force loading patterns. This study aims to clarify the differences in the transverse arch structure and the force under the metatarsal heads individually, between normal feet and hallux valgus feet, and between hallux valgus feet with pain and without pain. We further test the association between the parameters of the transverse arch and hallux valgus angle and between the parameters and pain in hallux valgus.

METHODS:
Women's feet (105 feet) were divided into normal group (NORM) and hallux valgus group (HVG); and further into subgroups: hallux valgus without pain (HV Pain (-)) and hallux valgus with pain (HV Pain (+)). Transverse arch height and metatarsal heads height were measured using weight-bearing ultrasound imaging. Force under the metatarsal heads was measured using force sensors attached directly on the skin surface of the metatarsal heads. The measurements were taken in three loading positions: sitting, quiet standing and 90% weight shift on the tested foot. Differences between the groups were compared using Student t-test and Wilcoxon Exact test. Multivariate logistic analysis with adjustment for physical characteristics was also conducted.

RESULTS:
Transverse arch height was significantly higher in HVG than in NORM in all positions; there were no significant differences between HV Pain (+) and HV pain (-). Lateral sesamoid was significantly higher in HVG and HV Pain (+) than in NORM and HV Pain (-) respectively when bearing 90% of the body weight unilaterally. There was a trend of higher forces under the medial forefoot without significant difference. Transverse arch height and lateral sesamoid height were associated with the hallux valgus angle, while lateral sesamoid height was associated with forefoot pain in hallux valgus deformity.

CONCLUSIONS:
This study shows the differences in the transverse arch structure between normal feet and feet with hallux valgus, and between hallux valgus feet with and without pain. This finding is noteworthy when considering future treatments of painful feet, notably the height of the lateral sesamoid which seems to play a role in forefoot pain.
Click to expand...

NewsBot · Oct 13, 2020

Correction of foot deformities with hallux valgus by transversal arch restoration
JacekDygut et al
Biocybernetics and Biomedical Engineering; 7 October 2020

The paper presents the effects of the application of a new technical solution along with medical procedures. This approach aims to correct the collapsed transverse arch of the foot and thus restore the physiological course of the anatomical structures. In this way, the alignment of the toes is achieved, thus also eliminating valgus of the big toe. In the article are presented results for 19 patients with stage I and 22 patients with stage II of the foot deformities. Patients applied the orthosis at 5−7 h daily per one year. Physical examination and X-ray scans were used to assess correction progress. Angles between individual bones of the foot were compared. Correction of the transverse arch of the foot reduces the remain toes deformities of the foot (II–V). The HV angle in the group of patients with the degree I deformity before and after the therapy was 18.3° (3.1°) and 15.2° (±2.6°), respectively, and for patients with degree II deformity it was 19.2° (±2.9°) and 16.3. (±3.2°).

The correction deficit was reduced in stage I from 22% to 1.33% and in stage II from 28% to 8.6% (p < .05). The proposed approach to treating feet with the developed device, ie Forefoot arch-type orthosis: (1) restores spatial arrangement of tendons, bones, and ligaments and prevents the development of foot contractures (2) enables gradual stretching of extra-articular and capsular contractures (3) can reduce forefoot pain and improves the quality of life.
Click to expand...

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Proprioceptive Insoles in Treatment of TMD

Phytoterpenes for the Treatment of Plantar Fasciitis

Nail Lacquer in the Treatment of Nail Diseases

Patients Questions Over Bunion Treatments

Paraffin wax treatments

Boron based gel for the treatment of diabetic foot ulcers

Stage 1 PTTD Treatment Plan - Posterior Tibial Tendon Dysfunction

Share This Page