Dynamic-passive correction of hallux valgus and associated static foot deformities

Acta of Bioengineering and Biomechanics

article

J.Dygut¹  J.StrÄ k²  J.Detyna³  M.Piwowar⁴ 

[1] Ascroft Medical Clinic;Independent Public Healthcare Center in Radzyn Podlaski;Wrocław University of Science and Technology, Faculty of Mechanical Engineering, Department of Mechanics, Materials and Biomedical Engineering;Jagiellonian University Medical College, Faculty of Medicine, Department of Bioinformatics and Telemedicine

关键词: hallux valgus;    dynamic-passive correction;    foot deformities;    foot rehabilitation;    orthopedics;   

DOI  :  10.37190/ ABB-02200-2023-02

学科分类：生物科学（综合）

来源: Politechnika Wroclawska

【 摘 要 】

Purpose: The paper presents, the effects of hallux valgus correction and coexisting staticdeformities of the foot (transversely-plano and plano-valgus foot) obtained with a newdynamic-passive method of treatment.Methods: The study involved 50 patients; 26 with full big toe correction after the passivecorrection grip (group I) and 24 with big toe correction requiring additional passive abduction(group II). The patients regularly performed exercises using the designed device according tothe planned schedule. The progress of the correction was assessed by a medical examinationand additional tests.Results: The cross-sectional area [cm2] of the abductor hallucis muscle in three-time pointsamong I and II groups of patients with the Hallux Valgus was measured based on MRIimages. The STIR examination showed among other the abductor hallucis muscle edema afterexercises with the DPc device were carried out. It evidences that exercises with the newdevice activate the muscle. Alignment of the big toes of both feet in groups I and II wereobtained with a statistically significant result (p<0.05). The percentage progression ofcorrection for HV and I/II IM was calculated.Conclusions: Based on the new correction approach the alignment of the big toe phalangesand the remaining toes was obtained. The passive setup of the tendons with their distal insertsat the level of the big toe phalanges to the correct path of their course with the withdrawal ofarticular subluxations was obtained. Simultaneously, the big toe's passive correction wasdynamically consolidated through a specially selected set of exercises.

【 授权许可】

Unknown