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Dissertations / Theses on the topic 'Physiotherapy of hallux valgus'

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Published: 4 June 2021
Last updated: 1 February 2022

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1

Resch, Sylvia. "Hallux valgus surgery." Lund, Sweden : Dept. of Orthopedics, University Hospital, 1995. http://catalog.hathitrust.org/api/volumes/oclc/37990161.html.

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2

Wolter, Lydia Isabel. "Resektionsinterpositionsarthroplastik nach Hueter-Mayo bei Hallux valgus und Hallux rigidus versus subkapitale Metatarsale-I-Osteotomie nach Stoffella bei Hallux valgus." [S.l.] : [s.n.], 2004. http://deposit.ddb.de/cgi-bin/dokserv?idn=972002464.

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3

Juriansz, A. "Conservative treatment of hallux valgus : a randomised controlled clinical trial of a hallux valgus night splint." Thesis, King's College London (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.541455.

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4

Neumeier, Christian. "Die Scarf-Osteotomie bei Hallux valgus." Diss., lmu, 2007. http://nbn-resolving.de/urn:nbn:de:bvb:19-77366.

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5

Wels, Andreas. "Rekonstruktion versus Resektion beim Hallux abducto valgus." [S.l.] : [s.n.], 2001. http://deposit.ddb.de/cgi-bin/dokserv?idn=963474081.

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6

Kilmartin, Timothy Edward. "The orthotic treatment of juvenile hallux valgus." Thesis, University of Nottingham, 1994. http://eprints.nottingham.ac.uk/11917/.

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Pronation of the foot is proposed as a possible aetiological factor in hallux valgus. Root type foot orthoses have been shown to restrict foot pronation and therefore have been used to treat hallux valgus. A controlled prospective 3 year trial tested the value of a Root foot orthosis in the treatment of juvenile hallux valgus. Six thousand nine year old Kettering children were screened for hallux valgus using goniometric and clinical examination. A clinical diagnosis of hallux valgus was made in 150 children and confirmed using radiography in 122 cases. Pes planus was as common in children with hallux valgus as children with no hallux valgus. The biomechanical examination of hallux valgus children revealed that a plantarflexed first metatarsal was the only consistent biomechanical abnormality. The sagittal plane position of the first metatarsal did not however relate to the degree of metatarsus primus varus which is apparent in the unaffected feet of children with unilateral hallux valgus prior to the development of hallux valgus in both feet. The 122 children with hallux valgus were randomised into a non-treatment control group and a treatment group where Root foot orthoses were worn for three years. Compliance and fit of the orthoses were checked every 4 to 6 months. At the end of the 3 year period, 96 children underwent a second weight bearing radiograph of both feet. The same observer measured the intermetatarsal and hallux valgus angle on all radiographs. The hallux valgus had deteriorated significantly in both the control and treatment group. Though not statistically significant, the deterioration was slightly more marked in the treatment group. A Root foot orthosis prescribed to restrict foot pronation will not significantly alter the progression of juvenile hallux valgus. This may indicate that pronation of the foot is not an important aetiological factor in juvenile hallux valgus.
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7

Bryant, Alan R. "Plantar pressure distribution before and after hallux valgus and hallux limitus surgery." Curtin University of Technology, School of Physiotherapy, 2001. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=12661.

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Hallux valgus and hallux limitus are two common foot pathologies that may require surgical intervention. While the modified Austin bunionectomy and the Youngswick osteotomy/cheilectomy respectively, are often used to correct these conditions, insufficient research has been published regarding the effects of these procedures on plantar pressure distribution of the foot. This thesis involves a series of six studies investigating topics relating to radiographic measurements and plantar pressure distribution over a two-year period, in normal feet and in hallux valgus and hallux limitus feet before and after corrective surgery.A review of the literature is presented relating to the development of plantar pressure measurement technology, the aetiology and surgical management of hallux valgus and hallux limitus, the reliability of the EMED system used in the studies, and the related clinical uses of plantar pressure measurement.An initial study was designed to investigate the reliability measurements using a simplified two-step method of data collection as compared to the traditional mid-gait technique of ten normal asymptomatic subjects. Intra-class correlation coefficients were calculated and compared for the pressure variables of contact area, contact time, maximum force and peak pressure of ten regions of the foot.A study to determine normal reference range values for the EMED-SF system was then conducted using thirty healthy subjects and the two-step method of data collection. Descriptive statistical reporting of peak pressure, mean pressure and pressure-time- integrals were presented for ten regions of the foot.Three related studies on radiographic and plantar pressure measurement differences, and their relationships were made using thirty normal, hallux valgus and hallux limitus feet. Various angular and linear radiographic measurements were tested for intra-rater ++
reliability of measurement and pressure variables of peak pressure, mean pressure and pressure-time-integral of 10 regions of the foot were recorded and one way analysis of variance employed to assess any significant differences.Finally, two independent two-year prospective studies were designed to investigate the effects of the modified Austin bunionectomy for hallux valgus and the Youngswick osteotomy/cheilectomy for hallux limitus on plantar pressure distribution of the forefoot. In addition, fundamental radiographic measurement changes of the forefoot of hallux valgus subjects and range of motion changes of the first metatarsophalangeal joint of hallux limitus subjects were conducted. Thirty-six healthy volunteers acted as control subjects, 31 subjects (44 feet) with hallux valgus and 17 subjects (23 feet) with hallux limitus were included in the study. Using an EMED-SF system, plantar pressure variables of peak pressure, pressure-time-integral, contact time, maximum force and force-time-integral were recorded at six regions of the forefoot, pre-operation and repeated at three, six, 12, 18 and 24-months post-operation for surgical subjects. Control subjects were tested at zero and 24-months. Descriptive statistics, multivariate and univariate analysis of variance with contrasts, t-tests of significance and correlations between certain measurement parameters were used in the analysis of the results.The findings of these studies suggest that the two-step method of data collection of plantar pressure measurements is more reliable that the traditional mid-gait technique for most pressure variables. Consequently, the two-step method was employed as the preferred method of data collection in this series of studies.With respect to radiographic differences between normal, hallux valgus and hallux limitus, it appears that hallux valgus feet have significant increases in ++
metatarsus primus varus and first metatarsal protrusion distance, while hallux limitus feet have increased hallux abductus interphalangeal angles. Comparison of pressure variables between each group demonstrate hallux valgus feet have a medial localisation of peak pressure beneath the first, second and third metatarsal heads, suggesting that hyperpronation of the foot is associated with the development of hallux valgus. Hallux limitus feet on the other hand, show increased pressure beneath the hallux, third and fourth metatarsals and lesser toes, indicating a more lateral locus of pressure loading, suggestive -of the foot functioning in a more supinated position. No significant relationship was found between any radiographic parameter and pressure variable tested in either group of subjects.Plantar pressure measurement changes show the greatest variation during the initial three to six months following surgical treatment of hallux valgus and hallux limitus. The Youngswick osteotomy/cheilectomy for the treatment of hallux limitus produces near-normal range of motion of the first metatarsophalangeal joint. Pressures of the first metatarsal head remain relatively constant over the period of measurement, while a significant reduction of the hallux and lateral metatarsals were noted, related to increased dorsiflexion of the hallux. Pressures of the second metatarsal head remained significantly above pre-operation levels. The modified Austin bunionectomy for the treatment of hallux valgus produced 24-month radiographic changes consistent with accepted values. Pressure variables of the hallux reduced to normal values, with the first metatarsal head demonstrating an initial significant decrease and subsequent increase by twelve months post-operation to remain with the second metatarsal head at relatively similar values to pre-operation measurements.The research demonstrates ++
the two-step method of data collection is a viable means of obtaining reliable plantar pressure measurement data in the clinical situation. The investigations into radiographic and plantar pressure distribution indicate that structural radiographic and functional differences exist between normal, hallux valgus and hallux limitus feet. However, no relationship could be found between any of the radiographic parameters and pressure variables tested.The modified Austin bunionectomy for hallux valgus significantly reduced fundamental radiographic measurements to accepted post-operative values, while the Youngswick procedure for hallux limitus significantly increased the amount of post-operative dorsiflexion of the hallux to normal values. The research demonstrates that immediate and longer-term functional changes to the forefoot occur following the surgical treatment of hallux valgus and hallux limitus, however plantar pressure measurements do not return to normal values. No correlation was found between plantar pressure measurements and post- operative radiographic measurements in the hallux valgus group. However, the increased amount of dorsiflexion of the hallux post-operatively in the hallux limitus group was correlated with reduced lateral loading of the forefoot. Post-operation changes of plantar pressure distribution indicate that the rehabilitative period required to achieve stable foot function is between twelve to eighteen months. Furthermore, plantar pressure measurement technology offers the clinician a useful tool to monitor foot function prior to and following therapeutic intervention.
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8

Saro, Carlos. "Hallux valgus surgery : epidemiological aspects and clinical outcome /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-233-0/.

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9

Spooner, Simon K. "Predictors of hallux valgus : a study of heritability." Thesis, University of Leicester, 1997. http://hdl.handle.net/2381/8784.

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Hallux valgus is a complex progressive foot deformity of uncertain aetiology. The disorder is characterised by a lateral deviation of the hallux at the first metatarsophalangeal joint; an angle ≥ 15° is considered as clinical hallux valgus. A model that predicts first metatarsophalangeal joint angle and thus, hallux valgus is potentially very useful; enabling the clinician to identify individuals at risk of developing the disorder and to predict prognosis. The aim of this study is to develop such a model. The literature relating to hallux valgus identifies eight potential aetiological factors of hallux valgus. The scientific evidence presented in support of these suspected aetiological factors, and the theories of pathology of hallux valgus in association with these factors were critically evaluated by a review of the literature. Methods to evaluate the significance of these factors in hallux valgus were identified and appraised. These methods were applied to a large sample of genetically related individuals. The genetic and environmental influences affecting first metatarsophalangeal joint angle, pes planus, metatarsal formula, digital formula and first ray neutral position were explored through the statistical analysis of the data obtained from the sample. The results of analyses suggest that all of these variables are gender influenced, multifactorial traits. Further analysis of a subset of data generated a statistical model that relates the degree of hallux deviation at the fast metatarsophalangeal joint (and thus, the degree of hallux valgus) to clinically measurable predictor variables. A further subset of data was applied to test the model. The model was found to accurately predict first metatarsophalangeal joint angle in 92% of cases. Application of the model allows the clinician to evaluate an individual's risk of developing hallux valgus enabling accurate prognosis. Recommendations for achieving improved prognosis and the implications for future research are proposed.
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10

Eshraghi, Saba. "Biomechanical study of foot with hallux valgus deformity." Thesis, Brunel University, 2015. http://bura.brunel.ac.uk/handle/2438/11674.

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Background: Hallux valgus (HV) is one of the most common foot deformities. Considering the fact that 23% of adults develop such condition during their lifetime, understanding HV is badly needed. Plantar pressure technologies are used widely for determination of biomechanical changes in foot during walking. There are already published claims relating to the pressure distribution of HV condition. Association of HV to sole pressure widely presented as a means of identifying such condition. Methods: plantar pressure patterns can be linked to the deformity progression or existence, extracting some patterns out of force measurements can be beneficial in recognizing the patients with and without deformity. The dynamic changes of the forces that applied to the fore-foot in volunteers with and without HV when they walked at self-selected and fast speeds were examined. Furthermore, Markovian chain transfer matrices were used to obtain the transfer coefficient of the force among five metatarsals. Another method was to measure the lateral flexibility of the 1st metatarsal joint as an indication of HV deformity by Motion Capture cameras. Finally, two 3D feet models of HV and non-HV volunteers were made in Mimics software and then in FEA (finite element analysis) the stress distribution under the foot was validated with the experiments. Results: The higher forces were observed under the 2nd, 3rd and 1st metatarsal heads in both speeds but the results obtained were significantly different among groups and in fast speed and under 3rd and 1st metatarsals in self-selected speed. In this study the use of Markovian transfer matrices as a means of characterising the gait pattern is new and novel. It was intended that highest coefficients of the matrix would indicate the existence of HV, however studies showed that the biggest difference between HV and non HV patients was the scatter of the coefficients which shown to give very strong indication of the existence of HV. It was shown by kinematic studies and also it was found that the 1st metatarsal joint was significantly more flexible in HV patients compared to non–HV individuals. Finally FEA studies has shown that in the 3D feet models of both volunteers (with and without HV), the highest stress was under the heal area and then transfers towards fore-foot area. In patient with HV the higher force were seen under the 1st to 3rd metatarsal heads compare to non-HV individual and each model was validated its related experiments. Conclusion: it was observed that there was a significant variability of pressure distribution of the same individual from one trial to another indicating that getting consistent pressure pattern is an important hurdle to overcome in our studies, raised loading is observed on Metatarsal 2, 3 and 1 in HV patients and it was possible to give statistical significance to these findings. In this thesis, it was intended to obtain early diagnostics of HV condition and much work was put in this, however outcome was not conclusive. However it was possible to distinguish HV form non-HV volunteers from the scatter characteristics of the transfer pattern. Investigation of the 1st metatarsal joint laxity of non-HV and HV patients revealed that HV individuals were significantly higher compared to non–HV volunteers and this can be used as an indication of HV existence. Finally, the 3D models show that FEA is a reliable tool as the FEA study showed good correlation with the experimental results.
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11

Rengholt, Frederik Wilhelm. "Langzeitergebnisse distaler Korrekturosteotomien des Hallux valgus mit pedographischer Untersuchung /." Tübingen, 2008. http://opac.nebis.ch/cgi-bin/showAbstract.pl?sys=000253983.

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12

Nölke, Dorothea Antonie. "Neue Aspekte in der operativen Therapie des Hallux valgus." [S.l.] : [s.n.], 2003. http://deposit.ddb.de/cgi-bin/dokserv?idn=967952980.

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13

Glenz, Dionys. "Beitrag zur Problematik der operativen Behandlung des Hallux valgus /." [S.l : s.n.], 1985. http://www.ub.unibe.ch/content/bibliotheken_sammlungen/sondersammlungen/dissen_bestellformular/index_ger.html.

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14

POTIER, JEAN-YVES. "Le traitement de l'hallux valgus par arthrodese metatarso-phalangienne : etude retrospective avec evaluation clinique et radiologique de 128 pieds." Reims, 1994. http://www.theses.fr/1994REIMM058.

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15

Keller, Kerstin. "Biomechanische Analyse von Fixierungsverfahren nach dreidimensionaler Korrekturosteotomie bei Hallux valgus." [S.l.] : [s.n.], 2003. http://deposit.ddb.de/cgi-bin/dokserv?idn=967704707.

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16

COILLARD-LAVIROTTE, JEAN-YVES. "L'hallux varus acquis de l'adulte : possibilites therapeutiques." Aix-Marseille 2, 1991. http://www.theses.fr/1991AIX20708.

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17

Barrientos, Tenorio Miguel Angel. "Resultados del manejo de hallux valgus en el Centro Médico Naval." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2014. https://hdl.handle.net/20.500.12672/12007.

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Publicación a texto completo no autorizada por el autor
Muestra los resultados y complicaciones en el manejo del hallux valgus, operados con las técnicas más utilizadas en el Centro Médico Naval, lo cual permitirá al personal de salud perfeccionar el conocimiento y práctica sobre el tema, así también conocer mejor las indicaciones para determinada técnica quirúrgica con el fin de disminuir sus complicaciones. Se evaluaron 70 casos operados desde enero 2004 hasta agosto 2013, teniendo en cuenta la edad, el sexo, el pie afectado, patologías agregadas, la presencia de artrosis, inestabilidad, técnica quirúrgica utilizada, los ángulos IMTT, HV, PASA, DASA pre y post quirúrgicos y las complicaciones postquirúrgicas con un seguimiento mínimo de 6 meses. La edad promedio fue 43.56±19.04 años, predominio sexo femenino y pie izquierdo, las osteotomías distales (Chevron y Bosch modificado) corrigieron adecuadamente los HV leves y moderados, mas no el severo y en el caso del Bosch modificado en su mayoría produjo limitación para la extensión del hallux; la técnica de Lelievre y la artrodesis corrigieron parcialmente el ángulo IMTT en su mayoría, pero calmaron el dolor del hallux, aunque algunos quedaron con metatarsalgia residual, la osteotomía basal corrigió adecuadamente el hallux severo, pero tuvo recidiva en 3 casos ya que no se corrigieron las deformidades asociadas y/o presencia de inestabilidad, en la mayoría de pacientes en los que persistió el dolor fue por la mala elección de la técnica. El cirujano deberá escoger la técnica apropiada para la corrección del HV, teniendo cuidado en el manejo de las partes blandas, hacer un buen planeamiento preoperatorio, tomando en cuenta los ángulos referidos, evaluando la artrosis como también la inestabilidad de la articulación cuneometatarsiana y las deformidades adicionales que pudieran causar también el hallux valgus; se deberá también hacer un control postoperatorio adecuado teniendo en cuenta el vendaje adecuado, para así evitar las correcciones insuficientes, recidivas u otras complicaciones.
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18

Berges, Boutitie Marie-Laure. "Intérêt d'une nouvelle technique rééducative de l'hallux valgus après chirurgie." Bordeaux 2, 1988. http://www.theses.fr/1988BOR25311.

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19

NITZSCHE, ALAIN. "Cure de l'hallux valgus par osteotomie basi-metatarsienne : a propos de 40 cas." Amiens, 1989. http://www.theses.fr/1989AMIEM029.

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20

CHARDON, PAUL. "L'osteotomie bipolaire du premier metatarsien dans le traitement de l'hallux valgus." Lyon 1, 1990. http://www.theses.fr/1990LYO1M101.

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21

Berle, Matthias. "Retrospektive Untersuchung operativer Korrekturen des Hallux valgus nach Reverdin-Laird und Regnauld." [S.l.] : [s.n.], 2002. http://deposit.ddb.de/cgi-bin/dokserv?idn=967158184.

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22

Siemsglüss, Nina. "Vergleich zweier Operationsmethoden beim Hallux valgus Chevron-Osteotomie vs. Metatarsale-I-Doppelosteotomie /." Inhaltsverzeichnis, 2005. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=014936604&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.

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23

Feitenhansl, Andreas. "Klinische und roentgenologische Ergebnisse nach operativer Therapie des Hallux valgus und Hallux rigidus in der Technik nach Keller-Brandes." Diss., lmu, 2003. http://nbn-resolving.de/urn:nbn:de:bvb:19-15766.

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24

Feldmann, Christine [Verfasser], and Martin [Akademischer Betreuer] Handel. "Patientenzufriedenheit und mittelfristige Ergebnisse verschiedener operativer Verfahren in der Hallux valgus- und Hallux rigidus-Chirurgie / Christine Feldmann. Betreuer: Martin Handel." Regensburg : Universitätsbibliothek Regensburg, 2016. http://d-nb.info/1082128120/34.

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25

CLIQUET, PETAIN VERONIQUE, and THIERRY CLIQUET. "Etude comparative du traitement de l'hallux valgus par osteotomie du premier rayon ou par technique de mac bride." Lille 2, 1990. http://www.theses.fr/1990LIL2M129.

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26

COMME, ANTOINE. "Hallux valgus et intervention de keller-lelievre : a propos de 65 patients operes au chu d'amiens dans le service du professeur vives." Amiens, 1989. http://www.theses.fr/1989AMIEM130.

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27

Wallek, Hannah [Verfasser], and Nikolaus [Akademischer Betreuer] Wülker. "Pedobarographische Analyse operativ behandelter Patienten mit Hallux valgus / Hannah Wallek ; Betreuer: Nikolaus Wülker." Tübingen : Universitätsbibliothek Tübingen, 2019. http://d-nb.info/1204880794/34.

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28

Schnabel, Astrid. "Langzeitergebnisse der operativen Behandlung des Hallux valgus nach der Technik von Keller und Brandes." [S.l.] : [s.n.], 2003. http://deposit.ddb.de/cgi-bin/dokserv?idn=967928052.

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29

Taranto, Julie. "Analysis of dynamic angle of gait and radiographic features in subjects with hallux valgus." University of Western Australia. School of Surgery and Pathology, 2005. http://theses.library.uwa.edu.au/adt-WU2005.0049.

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[Truncated abstract] Hallux valgus (HV) is one of the most common foot deformities encountered in clinical practice. This complex deformity primarily affects the first metatarsophalangeal joint (MPJ), leading to altered foot structure and function. By virtue of the lateral displacement of the hallux on the first metatarsal, HV has the potential to influence adjacent joints of the foot. In doing so, function of the foot may be altered, and clinically this may result in abduction of the foot during the stance phase of gait. However the relationship between an abducted angle of gait (AOG) and HV has never been substantially examined. The purpose of this study is to investigate the relationship between HV and AOG, and determine if specific radiographic features are associated with the deformity or with a particular AOG. Such information would assist in understanding aetiological factors and the effects of intervention to treat the deformity ... Length and elevation of the first metatarsal were associated in subjects with HV, implying that length of the metatarsal may be related to whether or not it becomes elevated (R: 0.50, CI: 0.21, 0.71, P< 0.05). Similarly, an association was found between length of the first metatarsal and the amount of first MPJ dorsiflexion, suggesting perhaps length of the metatarsal has implications for first MPJ range of motion (R: -0.37, CI: -0.62, -0.04, P<0.05). However the amount of first MPJ dorsiflexion did not influence the AOG in HV subjects when compared to the control group. First MPJ dorsiflexion was also associated with the first intermetatarsal angle. Interestingly, the HV group alone did not show an association between the hallux abductus angle and the first intermetatarsal angle. The findings of this study are contrary to those suspected in clinical practice and alluded to in the literature. Despite the documented support for the biomechanical causes of HV, an abducted AOG was not significantly different in HV subjects when compared to controls. Possible explanations may have related to limitations of the present study including the size and gender demographics of the sample population, and greater variability in normal AOG ranges than reported in the literature. The present study indicated a possible need to gather information regarding foot dominance and leg length; factors extrinsic to the foot capable of influencing transverse plane orientation of the foot; and, the influence of symptoms and subsequent compensatory mechanisms adopted during gait.
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30

Teodoro, Elaine Cristina Martinez. "Um sensor para o estudo da distribuição das forças plantares em sujeitos com hálux valgo e sua possível correlação com pés planos /." Guaratinguetá : [s.n.], 2006. http://hdl.handle.net/11449/90834.

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Resumo: A proposta do presente estudo foi construir um sistema constituído por duas plataformas de força que fossem eficientes, porém com custo reduzido, de fácil operação e utilizá-las para analisar as forças plantares de sujeitos portadores de hálux valgo (joanete), na tentativa de estabelecer uma possível correlação com o pé tipo plano. Foi selecionado um total de vinte sujeitos, com idade entre 21 e 65 anos (idade média 42 anos), com presença ou não de hálux valgo, por meio de uma avaliação clínica subjetiva. Os sujeitos selecionados foram divididos em dois grupos, sendo um grupo constituído por dez indivíduos portadores de hálux valgo e outro grupo com dez indivíduos com ausência da deformidade. A classificação do arco plantar foi determinada pela impressão plantar e o ângulo do valgismo do hálux foi medido através de radiografias. Cada sujeito pisou num total de 24 vezes sobre as plataformas de força e a atividade baropodométrica foi registrada com os mesmos nas posições, ereta e estática. Através da análise das forças plantares, não foi observada uma correlação entre a presença de hálux valgo e pés planos.
Abstract: The purpose of the present study was to construct an efficient system constituted of two force plates, however with reduced cost and of easy operation. The force plates aim to analyse the plantar forces of subjects with hallux valgus, in attempt of establishing a possible correlation with the pes planus. It was selected a total of twenty subjects, with ages between 21 and 65 years (mean age 42 years), with presence or not of hallux valgus (bunion), through a subjective clinic avaliation. The subjects selected were subdivided into two groups; one group constituted of ten subjects with hallux valgus and the other group with ten subjects with absence of the deformity. The plantar arc's classification was determined through the footprint and the angle of the hallux's valgism was measured through radiographs. Each subject stepped in a total of 24 times upon the force plates and the baropedometric activity was recorded with the subjects in the static and erect positions. Through analysis of the plantar forces, it wasn't observed a correlation between the presence of hallux valgus and pes planus.
Orientador: José Elias Tomazini
Coorientador: Mauro Hugo Mathias
Banca: Luiz Fernando Costa Nascimento
Banca: Márcio Augusto Martin
Mestre
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31

Nicolau, Frédéric. "Les ostéotomies dans la chirurgie de l'hallux valgus avec ou sans métatarsalgies : à propos de 197 cas." Montpellier 1, 1994. http://www.theses.fr/1994MON11154.

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32

Arthaud, Christian. "Reflexions sur les interventions de keller-lelievre de l'osteotomie de valgisation metatarsienne, de l'osteotomie de varisation phalangienne et de la double osteotomie metatarso-phalangienne du premier rayon, pour la correction de l'hallux valgus : a propos de 35 pieds revus." Lyon 1, 1988. http://www.theses.fr/1988LYO1M013.

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33

Alessandrin, Isabelle. "Ligamentoplastie artificielle intermétatarsienne dans la cure chirurgicale de l'hallux valgus." Bordeaux 2, 1994. http://www.theses.fr/1994BOR2M014.

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34

Müller, Christian. "Die Hallux-valgus-Deformität und Ihre Behandlung mit der Austin-Osteotomie. Ergebnisse einer klinischen Nachuntersuchung." Diss., lmu, 2006. http://nbn-resolving.de/urn:nbn:de:bvb:19-54407.

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35

Dudek, Carsten [Verfasser]. "Spätergebnisse nach Operation des Hallux valgus in den Techniken nach Mayo und Hohmann / Carsten Dudek." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2009. http://d-nb.info/1023328380/34.

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36

Cruz, Eduardo Pedrini. "Comparação entre a avaliação radiográfica e a tomográfica do ângulo articular metatarsal distal." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2015. http://hdl.handle.net/10183/151500.

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INTRODUÇÃO: O hallux valgus é a deformidade mais comum do pé do adulto e é frequentemente incapacitante requerendo tratamento cirúrgico. O ângulo articular metatarsal distal (AAMD) é uma das variáveis importantes no estudo da deformidade, mas possui baixa correlação interobservadores quando avaliado pela radiografia. O objetivo deste estudo foi avaliar um método tomográfico de aferir este ângulo comparando-o com a medida radiográfica existente. MATERIAL E MÉTODOS: O AAMD de 77 pés (43 pacientes) foi avaliado através de tomografia computadorizada por dois observadores. Os valores encontrados foram comparados entre os observadores e entre a medição radiográfica utilizando o coeficiente de correlação e concordância (CCC) proposto por King e análise de Bland-Altmann para concordância entre os métodos. RESULTADOS: Foi encontrado índice de concordância alto na medição tomográfica entre os observadores com CCC = 0,90 e p < 0,001. Em relação a mensuração radiográfica com a tomográfica houve uma concordância com CCC = 0,667 de com p < 0,001. Na análise gráfica de Bland-Altman a presença de round sign positivo sugere um aumento da diferença da medição radiográfica com a tomográfica e está associado a valor alto do AAMD. CONCLUSÃO: A mensuração do AAMD pelo método tomográfico demonstrou maior correlação interobservadores do que o método radiográfico. Em casos em que há dúvida sobre alteração patológica da inclinação da cabeça metatarsal com ângulos articulares metatarsais distais (AAMD) elevados e, principalmente, com a presença de round sign positivo, a tomografia pode ser um método alternativo para planejamento cirúrgico pré-operatório.
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37

GAITS, ROEKENS NADIA. "Association de la technique de mac bride et d'akin dans la cure chirurgicale de l'hallux valgus." Toulouse 3, 1989. http://www.theses.fr/1989TOU31254.

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38

Piclet-Legré, Barbara. "L'arthrodese metatarsophalangienne du gros orteil : a propos de 137 cas." Aix-Marseille 2, 1989. http://www.theses.fr/1989AIX20705.

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39

Vollmert, Olaf. "Mittel- und langfristige Resultate nach subkapitaler Metatarsalosteotomie zur Therapie des Hallux valgus mit Metatarsus primus varus." [S.l.] : [s.n.], 1998. http://deposit.ddb.de/cgi-bin/dokserv?idn=959030689.

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40

Ribeiro, Hugo Daniel Welter. "Impacto da estimulação do córtex motor primário por corrente contínua na dor e funcionalidade pós-operatória de hálux valgo : um ensaio clinico randomizado." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/171360.

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Introdução: O hálux valgo é uma importante causa de dor e desconforto e acomete 28% dos adultos e 37% dos idosos, com predominância na população feminina. Para atingir a cura desta deformidade, faz-se necessário o tratamento cirúrgico, cuja principal razão é o tratamento da incapacidade relacionada à dor (IRD). No entanto, um ano após a cirurgia de hálux valgo, dor crônica moderada a grave persiste em 21% em repouso e 43% durante a caminhada. Esta resposta anormal faz parte dos sintomas que constitui a síndrome de sensibilização central (SSC), a qual é decorrente de um processo de neuroplasticidade mal adaptativa. Pacientes sensibilizados, não só têm uma maior propensão a desenvolver dor persistente pós-operatória como também experenciam uma dor pós-operatória mais intensa em comparação com pacientes não sensibilizados, devido à amplificação da resposta a estímulos nociceptivos e disfunção dos sistemas inibitórios. Relacionadas ao processo de alterações neuroplásticas, encontramos proteínas tais como o fator neurotrófico derivado do cérebro (BDNF). Esta neurotrofina participa do processo de LTP, mecanismo de neuroplasticidade que sustenta o processo de memória dolorosa. O aumento de BDNF incrementa a LTP, enquanto que a redução de seus níveis atenua este fenômeno. Portanto, a relação de níveis de BDNF com a severidade da doença pode confirmar a influência sistêmica desse biomarcador em estados de dor sustentada. A fim de alterar a neuroplasticidade mal adaptativa induzida pela dor a longo prazo, a estimulação transcraniana por corrente contínua (ETCC), uma técnica não invasiva, que visa à modulação do sistema nervoso central para controle da dor, pode se tornar uma opção terapêutica. No entanto, ainda não foi explorado o efeito da ETCC aplicada no período pré-operatório com intuito de melhorar o controle da dor pós-operatória de pacientes sensibilizadas e melhorar a reabilitação pós-operatória dessas pacientes. Neste estudo optou-se pelo uso da ETCC pelo seu potencial de contra regular as alterações ETCC pré-operatória comparada ao ETCC-sham no controle da dor e reabilitação em pacientes com artralgia da 1ªAMF submetidas a tratamento cirúrgico de hálux valgo. Método: Ensaio clínico, randomizado, duplo-cego, em paralelo, controlado com sham que incluiu 40 pacientes do sexo feminino, entre 18 e 70 anos, candidatas a tratamento cirúrgico de hálux valgo sob técnica combinada de Chevron e Akin por artralgia da 1ªAMF. As pacientes foram randomizadas e divididas em dois grupos que receberam duas sessões de 20 minutos de ETCC-ativa(a) ou ETCC-sham(s) no período pré-operatório. A estimulação foi feita por corrente contínua de 2mA através do eletrodo anodal sobre o córtex motor primário (M1) e o catodal sobre a área supraorbital contralateral. Os desfechos avaliados foram: escores de dor na EAV(0-10), consumo analgésico, IRD avaliada pela B-PCP:S, função do sistema modulador descendente da dor, avaliada pelo teste CPM e os níveis séricos e liquóricos de BDNF. Resultados: O grupo ETCC-a apresentou escores mais baixos na escala Análogo Visual de Dor [EAV(0-10)] em repouso e durante a caminhada (P <0,001). Em repouso, a diferença entre os dois grupos foi de 2,13cm (95% IC = 1,59 a 2,68), enquanto durante a caminhada foi de 1,67cm (IC 95% = 1,05 a 2,28). O grupo ETCC-a, quando comparado ao grupo ETCC-s mostrou menor necessidade de doses analgésicas diárias com média de 1,37 (0,63) contra 1,81 (0,64) doses respectivamente (P <0,001). A ETCC ativa também obteve maior melhora da IRD que a ETCC sham, conforme demostrado pela maior redução na Brazilian Profile of Chronic Pain: Screen (B-PCP:S) (diferença média de 9,41 pontos, IC95% = 0,63 a 18,21) e ainda, aumentou a função do sistema modulador descendente da dor durante o teste da modulação condicionada de dor (CPM) com um tamanho de efeito médio. O aumento da função desse sistema representa a reversão das alterações neuroplásticas mal adaptativas promovidas pela dor crônica. Conclusão: Duas sessões de ETCC anódica aplicadas sobre M1 no pré-operatório melhorou a dor pós-operatória, como demonstrado pela redução dos escores de dor, consumo de analgésicos e IRD. Além disso, sugere-se que os efeitos da ETCC pré-operatória nestes desfechos envolvem a melhora da função dos sistemas moduladores descendentes da dor e mecanismos de neuroplasticidade conforme mensurados pelo BDNF.
Introduction: Hallux valgus, is an important cause of feet pain and discomfort and affects 28% of adults and 37% of elderly, predominantly in female population. To achieve the deformity heal, surgical treatment is needed, which main goal is to treat incapacity related to pain (IRP). However, one year after hallux valgus surgical treatment, moderate to severe chronic pain persists in 21% during rest and 43% during walking. This abnormal response is part of the symptoms that constitute central sensitization syndrome (CSS), which is due to a maladaptive neuroplasticity process. Sensitized patients, not only are more likely to develop postoperative persistent pain, but also experience more intense postoperative pain comparing to non-sensitized patients, due to the amplification of nociceptive inputs and inhibitory systems disfunction. Related to neuroplasticy process, proteins such as brain neurotrophic factor (BDNF) are found. This neurotrophin participates in the LTP process, a mechanism of neuroplasticity that sustains the process of pain memory. The increase of BDNF increases the LTP, while the reduction of its levels attenuates this phenomenon. Therefore, the relationship of BDNF levels with disease severity may confirm the systemic influence of this biomarker on sustained pain states. In order to alter long-term pain-induced maladaptive neuroplasticity, transcranial direct current stimulation (tDCS), a non-invasive technique, which aims for the central nervous system modulation for pain control, may become a therapeutic option for postoperative pain. However, the effect of tDCS applied in the preoperative period has not been explored yet with the intent of improving the postoperative pain control in sensitized patients, neither in postoperative rehabilitation. In this study, it was chosen to use tDCS due to its potential to counter-regulate the maladaptive neuroplastic alterations associated to chronic pain. Objective: to evaluate the effect of preoperative tDCS compared to tDCS-sham in the pain control and in the rehabilitation of patients with arthralgia of the first metatarsalfalangeal articulation submitted to hallux valgus surgical correction. Method: it is a randomized, double-blinded, placebo-sham controlled clinical trial, which includes 40 female patients, between 18 and 70 years old, candidates to hallux valgus surgical treatment by combined Chevron + Akin osteotomy due to arthralgia of the first metatarsalfalangeal articulation. The patients were randomized and divided into two groups that were treated with two tDCS or tDCS-sham sessions of 20 minutes each in preoperative period. The stimulation was done by 2mA continuous current through the anodal electrode on the primary motor cortex (M1) and the catodal on the contralateral supraorbital area. The outcomes were: VAS(0-10) scores, analgesic consumption, DRP assessed by the B-PCP: S, the function of the descending pain modulator system, assessed by the CPM test and the serum and CSF levels of BDNF. Results: a-tDCS group showed lower scores on Visual Analogue Scale [VAS(0-10)] at rest and during walking (P<0.001). At rest, the difference between both groups was 2.13cm (95%CI=1.59 to 2.68) while during walking was 1.67cm (95%CI=1.05 to 2.28). The a-tDCS group, when compared to s-tDCS, showed reduced need of daily analgesic intake from 1.37 (0.63) to 1.81 (0.64) mean doses, respectively (P<0.001). Active tDCS improved the DRP, as demonstrated by a greater reduction in the Brazilian Profile of Chronic Pain: Screen (B-PCP:S) (mean difference of 9.41 points, 95%CI=0.63 to 18.21) and also increased the function of descending pain modulatory system (DPMS) during conditioned pain modulation (CPM-task), with a medium size effect. The increased function of this system represents the reversal of maladaptive neuroplastic changes promoted by chronic pain. Conclusion: Two preoperative anodic tDCS sessions applied over M1 improved postoperative pain, as demonstrated by reduction in the pain scores, analgesic consumption and DRP. In addition, these results suggest that the effects of preoperative tDCS on these outcomes involved improving the function of pain modulation systems and neuroplasticity mechanisms as measured by BDNF.
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41

LEQUIN, BERNARD. "L'hallux valgus de l'enfant et de l'adolescent : traitement chirurgical par osteotomie du col du premier metatarsien (technique de hammond) : a propos de 31 cas." Lyon 1, 1993. http://www.theses.fr/1993LYO1M088.

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42

Viedenz, Andreas [Verfasser]. "Osteodensitometrische Veränderungen der Füße bei symptomatischen Hallux-Valgus-Patienten - Untersuchung anhand von Laufbandanalyse und Osteodensitometrie / Andreas Viedenz." Tübingen : Universitätsbibliothek Tübingen, 2021. http://d-nb.info/1234450771/34.

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43

Villacorta, Ruiz Jorge Alberto. "Hallux valgus: tratamiento por técnica MIS en el Hospital Nacional PNP Luis N. Sáenz, Lima, 2008-2012." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2012. https://hdl.handle.net/20.500.12672/16144.

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Muestra los resultados de la técnica MIS para el manejo de Hallux Valgus en el HNPNPLNS durante el periodo 2008-2012. 2. Determinar el grado de satisfacción de los pacientes con la técnica MIS en el HNPNPLNS durante el periodo 2008-2012. Se realizó un estudio documental observacional exploratorio transversal en el HNPNPLNS durante el periodo 2008-2011 en donde se incluyeron 36 pacientes (3 varones y 33 mujeres) con Hallux Valgus Bilateral con grado leve a moderado (9 casos leve y 27 moderado) con ángulo de hallux menor de 400 y ángulo intermetatarsal menor de 200. La mayoría de pacientes involucrados fueron mujeres entre 35 a 50 años, (41,6%), los ángulos medidos en el postoperatorio mejoraron con respecto al preoperatorio, el síntoma principal por el que consulto el 86,1% de los pacientes fue el dolor, el 63,88 % fueron casos bilaterales, la principal complicación que fue en 1 paciente fue el dolor residual, el 90% camino antes de los 5 días, el promedio de escala de satisfacción en el postoperatorio fue de 89 puntos.
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44

Teodoro, Elaine Cristina Martinez [UNESP]. "Um sensor para o estudo da distribuição das forças plantares em sujeitos com hálux valgo e sua possível correlação com pés planos." Universidade Estadual Paulista (UNESP), 2006. http://hdl.handle.net/11449/90834.

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Made available in DSpace on 2014-06-11T19:24:47Z (GMT). No. of bitstreams: 0 Previous issue date: 2006-01Bitstream added on 2014-06-13T19:11:30Z : No. of bitstreams: 1 teodoro_ecm_me_guara.pdf: 1297352 bytes, checksum: c9d0432c22eb7bba690b0845f261eb9c (MD5)
A proposta do presente estudo foi construir um sistema constituído por duas plataformas de força que fossem eficientes, porém com custo reduzido, de fácil operação e utilizá-las para analisar as forças plantares de sujeitos portadores de hálux valgo (joanete), na tentativa de estabelecer uma possível correlação com o pé tipo plano. Foi selecionado um total de vinte sujeitos, com idade entre 21 e 65 anos (idade média 42 anos), com presença ou não de hálux valgo, por meio de uma avaliação clínica subjetiva. Os sujeitos selecionados foram divididos em dois grupos, sendo um grupo constituído por dez indivíduos portadores de hálux valgo e outro grupo com dez indivíduos com ausência da deformidade. A classificação do arco plantar foi determinada pela impressão plantar e o ângulo do valgismo do hálux foi medido através de radiografias. Cada sujeito pisou num total de 24 vezes sobre as plataformas de força e a atividade baropodométrica foi registrada com os mesmos nas posições, ereta e estática. Através da análise das forças plantares, não foi observada uma correlação entre a presença de hálux valgo e pés planos.
The purpose of the present study was to construct an efficient system constituted of two force plates, however with reduced cost and of easy operation. The force plates aim to analyse the plantar forces of subjects with hallux valgus, in attempt of establishing a possible correlation with the pes planus. It was selected a total of twenty subjects, with ages between 21 and 65 years (mean age 42 years), with presence or not of hallux valgus (bunion), through a subjective clinic avaliation. The subjects selected were subdivided into two groups; one group constituted of ten subjects with hallux valgus and the other group with ten subjects with absence of the deformity. The plantar arc's classification was determined through the footprint and the angle of the hallux's valgism was measured through radiographs. Each subject stepped in a total of 24 times upon the force plates and the baropedometric activity was recorded with the subjects in the static and erect positions. Through analysis of the plantar forces, it wasn't observed a correlation between the presence of hallux valgus and pes planus.
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45

Havet, Éric. "Etude morphologique et morphométrique en coupes tomodensitométriques de la premiére articulation cunéo-métatarsienne : application à une modelisation articulaire." Amiens, 2008. http://www.theses.fr/2008AMIED003.

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La première articulation cunéo-métatarsienne appartient à l’ensemble articulaire tarso-métatarsien de Lisfranc. Elle possède un rôle biomécanique à la station debout statique comme lors du déroulement du pas à la marche. Elle est le siège d’une mobilité indispensable à la stabilité du pied. Ses particularités en anthropologie comme en primatologie suggèrent l’évolution de la bipédie habituelle de l’homme moderne. La déformation en hallux valgus représente la pathologie la plus fréquente. La littérature est très importante. Cependant, son analyse montre une importante variabilité des caractères morphologiques des surfaces articulaires et de l’axe mécanique de cette articulation. Nous proposons une étude morphométrique dont l’objectif était de définir la morphologie et l’axe de cette articulation en approchant la géométrie des surfaces articulaires, mais également d’évaluer la faisabilité d’une modélisation simple qui puisse être utilisée en recherche clinique. Plus de soixante pieds cadavériques ont été mesurés, puis analysés en coupes tomodensitométriques. Il existe une morphométrie globale des pièces osseuses différentes selon le sexe. Les contours des surfaces articulaires ont toujours pu être assimilés à des cercles dont la superposition décrivait un volume cylindrique ou elliptique. Il a été possible de définir l’inclinaison de l’axe de ce volume dans tous les cas. Sur trois pieds complets, il a été également possible de définir l’inclinaison de cet axe par rapport aux trois plans anatomiques de référence. L’étude de la variabilité de l’angle d’obliquité d’un même pied montre que les surfaces articulaires divergent de l’axe mécanique
The hallucial tarso-metatarsal joint is a singular part of the Lisfranc’s joint. Its biomechanical behaviour is important for the stand-up position as during the stance phase or the propulsion phase of gait. The foot stability requires a quite mobility of this joint. The characteristics in anthropology or in primates suggest the modern bipedal locomotion of modern human. The most common disease of this joint is the bunion deformity. Many studies were published, but the morphological characteristics of the joint surfaces as the biomechanical axis remain controversial. We purpose a morphometrical study in the goal to define the morphology of this joint and particularly its mechanical axis, using a geometrical approximation of the articular facets. We have also studied the feasibility of a simple modelization useful in clinical research. More than sixty feet from cadavers were measured, and analysed from 2D tomodensitometric imaging. An overall morphometry of the bony structures was found with a gender difference. The shape of the articular facets outline could be compared to a part of a circle in all cases. The volumetric reconstructions showed approximately cylindric or ellipitic shapes. Axes of these volumes were always founded. For three complete feet, we succeeded to calculate the inclination angles of these axes in the three classical anatomical planes. The study of the obliquity angle’s variability showed that the articular facets were divergent from the mechanical axis
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46

Pentikäinen, I. (Ilkka). "Distal chevron osteotomy for hallux valgus surgery:role of fixation and postoperative regimens in the long-term outcomes of distal chevron osteotomy – a randomised, controlled, two-by-two factorial trial of 100 patients." Doctoral thesis, Oulun yliopisto, 2015. http://urn.fi/urn:isbn:9789526209487.

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Abstract Hallux valgus is a very common foot deformation and it is also very common reason for orthopaedic surgery in Western industrialised countries, including Finland. In Finland, about 90% of the patients are women. Several early studies support the opinion that distal chevron osteotomy is a predictably successful treatment for mild-to-moderate hallux valgus deformities. Nevertheless, the necessity of chevron osteotomy fixation is controversial and only limited evidence supports the effectiveness of postoperative regimens. In this prospective randomised study, we compared the long-term results of 2 operative techniques (osteotomy fixation versus no fixation) and 2 postoperative regimens (a soft cast versus an elastic bandage) in 100 patients who underwent surgery for hallux valgus. Clinical evaluations based on the American Orthopedic Foot and Ankle Society (AOFAS) scale scoring were performed at baseline and again at 6 weeks, 6 months, 1 year, and a mean of 7.9 years postoperatively. Radiographic measurements were also made of the hallux valgus angle (HVA), first intermetatarsal angle (I/II IMA), distal metatarsal articular angle (DMAA), sesamoid position (LaPorta), congruence of the first metatarsophalangeal joint and the shift of the metatarsal head. Intraobserver repeatability and inter-observer reliability of radiographic measurements were evaluated by an experienced orthopaedic surgeon and an experienced radiologist. The mean AOFAS function scores were better in the group treated without osteotomy fixation and with an elastic bandage at 6 weeks postoperatively, but the difference disappeared at later dates. AOFAS scores were significantly worse when the preoperative hallux valgus angle exceeded 30 degrees. The AOFAS scores did not differ statistically among the groups in our population. Radiological recurrence of hallux valgus deformity of 15 degrees or more was very common at long-term follow-up after distal chevron osteotomy. Preoperative congruence, DMAA, sesamoid positon (LaPorta), HVA and I/II IMA affected recurrence. All recurrences were painless; thus, no revision surgery was required. A statistically higher metatarsal head shift was observed in the fixation group, but the clinical significance of 0.8 mm was very small. The experienced orthopaedic surgeon and experienced radiologist each exhibited good repeatability and reliability. Based on this study, the fixation of the distal chevron osteotomy is not necessary, nor is a rigid soft cast bandage required. The risk of recurrence of hallux valgus is higher when the preoperative HVA is 30 degrees or over
Tiivistelmä Vaivaisenluu on hyvin yleinen jalan epämuotoisuus ja se on myös hyvin yleinen syy jalkakirurgiaan läntisissä teollistuneissa maissa ja myös Suomessa. Noin 90 % suomalaisista potilaista on naisia. Useat aiemmat tutkimukset tukevat mielipidettä, jonka mukaan ensimmäisen jalkapöydänluun alaosan V-muotoinen luunkorjausleikkaus näyttäisi olevan suositeltava hoito lievän ja kohtalaisen vaivaisenluun hoidossa. Luunkorjauksen kiinnityksen tarpeellisuus on kiistanalainen ja todisteet leikkauksen jälkeisen hoidon tehosta ovat rajalliset. Tässä eteenpäin suuntautuvassa, satunnaistetussa tutkimuksessa vertasimme kahden leikkaustekniikan (luunkorjauksen kiinnitys/ei kiinnitystä) ja kahden leikkauksen jälkeisen hoidon (kevyt kipsisidos/elastinen tukisidos) pitkäaikaistuloksia 100 potilaalla, jotka hoidettiin vaivaisenluun vuoksi. Kliininen arviointi suoritettiin Amerikan ortopedisen jalka- ja nilkkayhdistyksen pisteytyksen mukaan (AOFAS) ennen leikkausta ja 6 viikkoa, 6 kuukautta, 1 vuosi sekä keskimäärin 7.9 vuotta leikkauksen jälkeen. Samoin röntgenkuvista mitattiin vaivaisenluukulma (HVA), ensimmäisen ja toisen jalkapöydänluun välinen kulma (I/II IMA), ensimmäisen jalkapöydänluun alapään nivelpinnan kulma (DMAA), jänneluun asema (LaPorta), ensimmäisen jalkapöydänluun ja varpaan välisen nivelen asento sekä leikkauksessa tapahtunut jalkapöydänluun pään siirto. Röntgenkuvista tehtyjen mittausten toistettavuus ja luotettavuus arvioitiin kokeneen ortopedin ja kokeneen röntgenlääkärin välillä. Keskimääräiset AOFAS toimintapisteet olivat parempia siinä leikkausryhmässä, jossa luunkorjausta ei kiinnitetty ja leikkauksen jälkeen käytettiin joustavaa tukisidosta 6 viikon kontrollissa, mutta seurannassa ero hävisi. AOFAS-pisteet olivat merkittävästi huonommat, jos vaivaisenluukulma oli ennen leikkausta yli 30 astetta. Aineistossamme AOFAS-pisteet eivät eronneet tilastollisesti merkittävästi eri ryhmien välillä. Röntgenkuvissa vaivaisenluukulman uusiutuminen 15 asteeseen tai sen yli oli hyvin tavallinen jalkapöydänluun alaosan chevron osteotomian jälkeisessä pitkäaikaisseurannassa. Ennen leikkausta arvioidut nivelen asema, DMAA, LaPorta, HVA ja I/II IMA vaikuttivat uusiutumiseen. Kaikki uusiutumiset olivat kivuttomia ja uusintaleikkauksia ei tarvittu. Ryhmässä, jossa luunkorjaus kiinnitettiin, jalkapöydänluun pään siirto pysyi tilastollisesti paremmin, mutta 0.8 mm:n eron kliininen merkitys on olematon. Röntgenkuvista tehtyjen mittausten toistettavuus ja luotettavuus olivat hyviä sekä ortopedilla että röntgenlääkärillä. Tämän tutkimuksen perusteella ensimmäisen jalkapöydänluun alaosan luunkorjauksen kiinnittäminen ei ole tarpeellista eikä myöskään ole tarpeen käyttää kipsisidosta. Vaivaisenluun uusiutumisen riski on suurempi, jos vaivaisenluukulma on ennen leikkausta 30 astetta tai enemmän
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47

Stutz, Anne [Verfasser], Niels [Gutachter] Follak, and Georg [Gutachter] Matziolis. "Klinisch-radiologische Langzeitergebnisse und Patientenzufriedenheit nach Hallux valgus Operation – 12 Jahre Follow-up / Anne Stutz ; Gutachter: Niels Follak, Georg Matziolis." Greifswald : Universität Greifswald, 2021. http://nbn-resolving.de/urn:nbn:de:gbv:9-opus-56046.

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48

Schier, Martin. "Möglichkeiten der operativen Behandlung des Hallux valgus unter besonderer Berücksichtigung der Operation nach Keller-Brandes in eigener Variation mit muskeldynamischer Stabilisierung." [S.l.] : [s.n.], 2002. http://deposit.ddb.de/cgi-bin/dokserv?idn=964720388.

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49

Khan, Mohammed Taufiq. "Phytochemical and biological studies of Tagetes erecta and its clinical evaluation in the treatment of hallux abducto valgus and its associated condition, bunion." Thesis, University College London (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325016.

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50

Zeidan, Hala. "Detailed analysis of the transverse arch of hallux valgus feet with and without pain using weight-bearing ultrasound imaging and precise force sensors." Kyoto University, 2020. http://hdl.handle.net/2433/253224.

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付記する学位プログラム名: 充実した健康長寿社会を築く総合医療開発リーダー育成プログラム
Kyoto University (京都大学)
0048
新制・課程博士
博士(人間健康科学)
甲第22388号
人健博第74号
新制||人健||5(附属図書館)
京都大学大学院医学研究科人間健康科学系専攻
(主査)教授 黒木 裕士, 教授 高桑 徹也, 教授 妻木 範行
学位規則第4条第1項該当
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