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Correction of foot deformities with hallux valgus by transversal arch restoration
Biocybernetics and Biomedical Engineering ( IF 5.3 ) Pub Date : 2020-10-07 , DOI: 10.1016/j.bbe.2020.09.006
Jacek Dygut , Piotr Piwowar , Jerzy Detyna , Tadeusz Popiela , Wojciech Kogut , Wiktor Boroń , Piotr Dudek , Monika Piwowar

The paper presents the effects of the application of a new technical solution along with medical procedures. This approach aims to correct the collapsed transverse arch of the foot and thus restore the physiological course of the anatomical structures. In this way, the alignment of the toes is achieved, thus also eliminating valgus of the big toe. In the article are presented results for 19 patients with stage I and 22 patients with stage II of the foot deformities. Patients applied the orthosis at 5−7 h daily per one year. Physical examination and X-ray scans were used to assess correction progress. Angles between individual bones of the foot were compared. Correction of the transverse arch of the foot reduces the remain toes deformities of the foot (II–V). The HV angle in the group of patients with the degree I deformity before and after the therapy was 18.3° (3.1°) and 15.2° (±2.6°), respectively, and for patients with degree II deformity it was 19.2° (±2.9°) and 16.3. (±3.2°).

The correction deficit was reduced in stage I from 22% to 1.33% and in stage II from 28% to 8.6% (p < .05). The proposed approach to treating feet with the developed device, ie Forefoot arch-type orthosis: (1) restores spatial arrangement of tendons, bones, and ligaments and prevents the development of foot contractures (2) enables gradual stretching of extra-articular and capsular contractures (3) can reduce forefoot pain and improves the quality of life.



中文翻译:

足弓外翻修复足趾畸形

本文介绍了采用新技术解决方案以及医疗程序的效果。这种方法的目的是纠正脚塌陷的足弓,从而恢复解剖结构的生理过程。以这种方式,实现了脚趾的对准,因此也消除了大脚趾的外翻。本文介绍了19例I期患者和22例II期足部畸形患者的结果。患者每年每年5-7小时应用矫形器。使用身体检查和X射线扫描来评估矫正进度。比较了脚的各个骨骼之间的角度。矫正脚的横弓可减少脚的残留脚趾畸形(II–V)。Ⅰ度畸形患者在治疗前后的HV角分别为18.3°(3.1°)和15.2°(±2.6°),而II度畸形患者的HV角为19.2°(±2.9) °)和16.3。(±3.2°)。

第一阶段的矫正赤字从22%降低到1.33%,第二阶段的矫正赤字从28%降低到8.6%(p <.05)。用已开发的装置治疗脚的建议方法,即前足弓型矫形器:(1)恢复肌腱,骨骼和韧带的空间排列,并防止脚挛缩的发展(2)使关节外和囊膜逐渐伸展挛缩(3)可以减轻前脚疼痛并改善生活质量。

更新日期:2020-10-30
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