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Prospective Gait Analysis in Patients with First Metatarsophalangeal Joint Arthrodesis for Hallux Rigidus
- Source :
- Foot & Ankle International. 28:162-165
- Publication Year :
- 2007
- Publisher :
- SAGE Publications, 2007.
-
Abstract
- Background: Arthrodesis of the first metatarsophalangeal (MTP) joint is a common procedure with a proven long-term success rate. However, there is limited scientific information on its functional results. There is little data in the literature about changes in gait parameters after first MTP joint arthrodesis. The purpose of this study was to objectively evaluate the effects of first MTP joint arthrodesis on gait. Methods: Twenty-three patients with symptomatic hallux rigidus refractory to nonoperative treatment were treated with first MTP joint arthrodesis. A prospective gait analysis study was performed on all patients at an average of 8.6 days before surgery and then again at least 1 year postoperatively. Preoperative and postoperative data from the patients were compared to determine differences in clinically relevant temporal-spatial, kinematic, and kinetic parameters of gait. Results: There were three statistically significant changes in gait: increases in maximal ankle push-off power and single-limb support time on the involved extremity, and a decrease in step width. Conclusions: First MTP joint arthrodesis produces objective improvement in propulsive power, weightbearing function of the foot, and stability during gait.
- Subjects :
- Metatarsophalangeal Joint
medicine.medical_specialty
Arthrodesis
medicine.medical_treatment
Treatment outcome
Joint arthrodesis
03 medical and health sciences
Hallux rigidus
0302 clinical medicine
Hallux Rigidus
Humans
Medicine
Orthopedics and Sports Medicine
In patient
Prospective Studies
Gait
030222 orthopedics
business.industry
030229 sport sciences
Middle Aged
medicine.disease
Surgery
Treatment Outcome
Gait analysis
business
Subjects
Details
- ISSN :
- 19447876 and 10711007
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Foot & Ankle International
- Accession number :
- edsair.doi.dedup.....2f2d1596f7e988ee38c65c866abb7058