Correction of foot deformities with hallux valgus by transversal arch restoration

• Autorzy: Dygut Jacek , Piwowar Piotr , Detyna Jerzy , Popiela Tadeusz , Kogut Wojciech , Boron Wiktor , Dudek Piotr , Piwowar Monika

Identyfikatory

DOI

10.1016/j.bbe.2020.09.006

• Języki publikacji: EN

Abstrakty

EN

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 57 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 18.38 (3.18) and 15.28 (2.68), respectively, and for patients with degree II deformity it was 19.28 (2.98) and 16.3. (3.28). 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.

Słowa kluczowe

EN

hallux valgus; transverse arch collapse; foot orthosis; treatment of foot deformities; HV preoperative prevention; HV postoperative prevention

PL

paluch koślawy; korygowanie stopy; deformacja stopy

• Wydawca: Nałęcz Institute of Biocybernetics and Biomedical Engineering of the Polish Academy of Sciences ; Elsevier
• Czasopismo: Biocybernetics and Biomedical Engineering
• Rocznik: 2020
• Tom: Vol. 40, no. 4
• Strony: 1556--1567
• Opis fizyczny: Bibliogr. 46 poz., rys., tab.

Twórcy

autor

Dygut Jacek

• Independent Public Health Care Center in Miedzyrzec Podlaski, Department of Orthopedic and Trauma and Department of Medical Rehabilitation, Miedzyrzec Podlaski, Poland

autor

Piwowar Piotr

• AGH University of Science and Technology, Faculty of Electrical Engineering, Automatics, Computer Science and Biomedical Engineering, Department of Measurements and Electronic, Kraków, Poland

autor

Detyna Jerzy

• Department of Mechanics, Materials Science and Engineering, Faculty of Mechanical Engineering, Wroclaw University of Science and Technology, Wroclaw, Poland

autor

Popiela Tadeusz

• Jagiellonian University – Medical College, Radiology Department, Kraków, Poland

autor

Kogut Wojciech

• AGH University of Science and Technology, Faculty of Electrical Engineering, Automatics, Computer Science and Biomedical Engineering, Department of Measurements and Electronic, Kraków, Poland

autor

Boron Wiktor

• Independent Public Health Care Center in Miedzyrzec Podlaski, Department of Orthopedic and Trauma and Department of Medical Rehabilitation, Miedzyrzec Podlaski, Poland

autor

Dudek Piotr

• AGH University of Science and Technology, Faculty of Mechanical Engineering and Robotics, Department of Manufacturing Systems, Kraków, Poland

autor

Piwowar Monika

• Jagiellonian University – Medical College, Department of Bioinformatics and Telemedicine, Kraków, Poland

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