Outcome of the modified Lapidus procedure for hallux valgus deformity during the first year following surgery: A prospective clinical and gait analysis study.

Détails

ID Serval
serval:BIB_DC0C05EB1765
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Outcome of the modified Lapidus procedure for hallux valgus deformity during the first year following surgery: A prospective clinical and gait analysis study.
Périodique
Clinical biomechanics
Auteur(s)
Moerenhout K., Chopra S., Crevoisier X.
ISSN
1879-1271 (Electronic)
ISSN-L
0268-0033
Statut éditorial
Publié
Date de publication
01/2019
Peer-reviewed
Oui
Volume
61
Pages
205-210
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The modified Lapidus procedure is a surgical option to treat moderate to severe hallux valgus deformity with good radio-clinical outcome. However, comprehensive biomechanical outcome evaluation of this surgery at mid-term follow-up is missing. This study assesses and compares the radio-clinical and gait outcome at 6 and 12 months following modified Lapidus procedure.
Ten consecutive female patients with moderate to severe hallux valgus who underwent modified Lapidus procedure participated in the study. Comprehensive gait assessment was performed preoperatively, at 6 and 12 months postoperatively. Gait parameters including spatiotemporal, kinematics and plantar pressure were analyzed using pressure insoles and 3-dimensional inertial sensors. Outcome was evaluated using two clinical questionnaires, i.e. the American Orthopaedic Foot and Ankle Score and the Foot and Ankle Ability Measure, and X-rays.
Three spatiotemporal, two kinematics, and seven plantar pressure parameters significantly improved between 6 months and 12 months postoperatively. Significant improvement in radiological and clinical outcome was reported at 6 and 12 months. The Foot and Ankle Ability Measure showed non-significant improvement at 12 months.
The outcome of this study is consistent with the previously reported good clinical and radiological results at one year following Lapidus for moderate to severe hallux valgus. Twelve gait parameters demonstrated that outcome improves from 6 months to 12 months postoperative with room for further improvement at long term. The gait outcome in this study confirms the longer rehabilitation period following modified Lapidus procedure. Studies with a larger sample size are required to confirm these findings.
Mots-clé
Biomechanics, Foot, Gait, Hallux valgus, Lapidus
Pubmed
Web of science
Open Access
Oui
Création de la notice
23/01/2019 10:58
Dernière modification de la notice
20/08/2019 16:00
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