Subjective versus objective assessment in early clinical outcome of modified Lapidus procedure for hallux valgus deformity.

Détails

ID Serval
serval:BIB_EFB4454930B3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Subjective versus objective assessment in early clinical outcome of modified Lapidus procedure for hallux valgus deformity.
Périodique
Clinical biomechanics (Bristol, Avon)
Auteur(s)
Chopra S., Moerenhout K., Crevoisier X.
ISSN
1879-1271 (Electronic)
ISSN-L
0268-0033
Statut éditorial
Publié
Date de publication
02/2016
Peer-reviewed
Oui
Volume
32
Pages
187-193
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish

Résumé
Studies have assessed the outcome of hallux valgus surgeries based on subjective questionnaires, usually the American Orthopaedic Foot and Ankle Society Score, and radiographic results reporting good to excellent outcome at 6-12 months postoperatively. However, contrasting results were reported by gait studies at 12-24 months postoperatively. In a previous study, we found nine gait parameters which can describe the altered gait in hallux valgus deformity. This study aimed, to assess the outcome of modified Lapidus at 6 months postoperatively, using gait assessment method, to determine if the nine specified gait parameters effectively relates with the clinical scores and the radiological results or add information missed by these commonly used clinical assessments.
We assessed 21 participants including 11 controls and 10 patients with moderate to severe hallux valgus deformity. The patient group was followed 6 months postoperatively. The ambulatory gait assessment was performed utilizing pressure insoles and inertial sensors. Clinical assessment includes foot and ankle questionnaires along with radiographic results. Comparison was made using non parametric tests, P<0.05.
Altered gait patterns, similar to the preoperative outcome, persisted at 6 months postoperatively when compared to controls. The foot and ankle ability measure score showed an outcome comparable to the gait results. In contrast, the American Orthopaedic Foot and Ankle Society Score and radiographic results showed significant improvement.
Study supports the reliability of nine defined gait parameters in assessing the outcome of hallux valgus surgeries. The existing clinical assessment overestimates the functional outcome at the early postoperative phase.

Mots-clé
Adult, Ankle Joint/physiopathology, Ankle Joint/surgery, Female, Foot/physiopathology, Foot/surgery, Gait, Hallux/physiopathology, Hallux/surgery, Hallux Valgus/physiopathology, Hallux Valgus/surgery, Humans, Middle Aged, Orthopedic Procedures/methods, Physical Therapy Modalities, Postoperative Period, Reproducibility of Results, Surveys and Questionnaires, Tarsal Bones/radiography
Pubmed
Création de la notice
26/04/2016 17:11
Dernière modification de la notice
20/08/2019 16:17
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