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Quantitative motion analysis in patients with hallux rigidus before and after cheilectomy. J Orthop Res 2009 Jan;27(1):128-34

Date

07/18/2008

Pubmed ID

18634010

DOI

10.1002/jor.20711

Scopus ID

2-s2.0-58149271033 (requires institutional sign-in at Scopus site)   50 Citations

Abstract

The purpose of this study was to quantify changes in temporal-spatial parameters and multisegmental foot/ankle kinematics in a group of patients with hallux rigidus following cheilectomy. Three-dimensional motion analysis was conducted using a 15-camera Vicon Motion Analysis System on a population of 19 patients who underwent cheilectomy for hallux rigidus. Data were analyzed using the four-segment Milwaukee Foot Model. Preoperative and postoperative tests were compared using paired parametric methods. Results showed significant improvements in walking speed, cadence, stride length, and stance/swing ratio from preoperative to postoperative state. Altered hallux and forefoot positions preoperatively showed shifts towards normal after cheilectomy. Although clinical improvements in pain and passive range of motion were statistically significant, similar improvements in range of motion were not demonstrated during ambulatory testing. The results of this study provide insight into ambulatory improvements following cheilectomy, and suggest further study of the rehabilitation process to improve the recovery of functional range of motion.

Author List

Canseco K, Long J, Marks R, Khazzam M, Harris G

Authors

Karl Canseco MD Research Scientist II in the Orthopaedic Surgery department at Medical College of Wisconsin
Gerald Harris PhD Director in the Orthopaedic Research Engineering Center (OREC) department at Marquette University




MESH terms used to index this publication - Major topics in bold

Adult
Aged
Ankle
Biomechanical Phenomena
Female
Foot
Hallux Rigidus
Humans
Male
Middle Aged
Pain
Prospective Studies
Range of Motion, Articular
Treatment Outcome