Faculty Collaboration Database

Multisegmental foot and ankle motion analysis after hallux valgus surgery. Foot Ankle Int 2012 Feb;33(2):141-7

Date

03/03/2012

Pubmed ID

22381346

Pubmed Central ID

PMC4612516

DOI

10.3113/FAI.2012.0141

Scopus ID

2-s2.0-84859074740 (requires institutional sign-in at Scopus site)   29 Citations

Abstract

BACKGROUND: Gait changes in patients with hallux valgus, including altered kinematic and temporal-spatial parameters, have been documented in the literature. Although operative treatment can yield favorable clinical and radiographic results, restoration of normal gait in this population remains unclear. Segmental kinematic changes within the foot and ankle during ambulation after operative correction of hallux valgus have not been reported. The aim of this study was to analyze changes in multisegmental foot and ankle kinematics in patients who underwent operative correction of hallux valgus.

METHODS: A 15-camera Vicon Motion Analysis System was used to evaluate 24 feet in 19 patients with hallux valgus preoperatively and postoperatively. The Milwaukee Foot Model was used to characterize segmental kinematics and temporal-spatial parameters (TSPs). Preoperative and postoperative kinematics and TSPs were compared using paired nonparametric methods; comparisons with normative data were performed using unpaired nonparametric methods. Outcomes were evaluated using the SF-36 assessment tool.

RESULTS: Preoperatively, patients with hallux valgus showed significantly altered temporal-spatial and kinematic parameters. Postoperatively, kinematic analysis demonstrated restoration of hallux position to normal. Hallux valgus angles and intermetatarsal angles were significantly improved, and outcomes showed a significant increase in performance of physical activities. Temporal-spatial parameters and kinematics in the more proximal segments were not significantly changed postoperatively.

CONCLUSION: Postoperative results demonstrated significant improvement in foot geometry and hallux kinematics in the coronal and transverse planes. However, the analysis did not identify restoration of proximal kinematics.

CLINICAL RELEVANCE: Further investigation is necessary to explore possible causes/clinical relevance and appropriate treatment interventions for the persistently altered kinematics.

Author List

Canseco K, Long J, Smedberg T, Tarima S, Marks RM, Harris GF

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
Sergey S. Tarima PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin

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

Adult
Aged
Analysis of Variance
Biomechanical Phenomena
Female
Gait
Hallux Valgus
Humans
Male
Middle Aged
Prospective Studies
Range of Motion, Articular
Statistics, Nonparametric
Treatment Outcome