Pedobarographic evaluation of the foot after Keller's procedure for Hallux valgus and Hallux rigidus
Nikratowicz, P.; Woźniak, W.; Łapaj, Łu.; Wierusz-Kozłowska, M.łg.; Ławniczak, D.
Chirurgia Narzadow Ruchu i Ortopedia Polska 74(4): 224-227
2009
ISSN/ISBN: 0009-479X PMID: 19999617 Document Number: 636116
Hallux valgus and hallux rigidus are common foot deformities. One of possible procedures is Keller's surgery. The purpose of this study is to evaluate the use of pedobarography for postoperative evaluation of the foot. Group. We examined 54 patients aged 48 to 82 (average 60.4) after surgical treatment of Hallux valgus (78 feet) or Hallux Rigidus (15 feet). Methods. Retrospective pedobarographic evaluation 1 to 11 years after surgery was performed using PEL-38 system. Clinical results. All patients had markedly increased pressure under the 2nd and 3rd metatarsal heads comparing to other forefoot regions. Only 17% of feet had distal dynamic transverse arch during stance phase of gait. There was severe impairment of function of the great toe in entire group. In 82.7% of feet there was no ground contact of the great toe in dynamic evaluation of the stance phase. Conclusion. Pedobarographic examination has good value in postoperative functional assessment of the foot. It's a valuable addition to physical and radiological examination.