DEGREE OF CORRECTION IN BUNION USING DYNAMIC SPLINTS
Keywords:bunion, dynamic splints, correction, orthosis
AbstractBackground. Hallux valgus or bunions the most widely recognized issue of the forefoot in grown-ups (1). The deformity of Hallux valgus is reformist, and includes a few phases, yet starts with lateral deviation of the big toe (Hallux) and medially deviation of the first main metatarsal bone. An Hallux valgus angle more prominent than 15 degrees is viewed as unusual yet at such a point the proximal phalanx may in any case be consistent with the metatarsal head when seen on radiographs.(2) The cause of Hallux valgus has been a discuss topic for years, but is likely associated with genetic predisposition, restrictive footwear, other foot deformities such as pronation of the hind foot furthermore, (pes planus, hyper mobility, contracture of the Achilles ligament , and neuromuscular problems, for example, cerebral paralysis and stroke(3). Orthoses have been proposed to lessen the raised plantar weight under the medial ray in patients with Hallux Valgus or bunion and diminish pain (7,8) when joined with a toe separator, orthosis may likewise assist with remedying alignment. Preventing general disability and halting the progression of structural changes are important for the management of hallux valgus. Objectives. To evaluate the clinical effects of dynamic splints on Hallux valgus this study was performed. To measure the degree of correction that can be achieved using the dynamic splints. Methods. Sample size was 8. Hallux valgus patients with age from 15-60 years, Mild, moderate Hallux Valgus, Hallux valgus angle < 40 degree, Both genders. Results. Total sample size was 8, in which 6 (75%) were Female and 2 (25%) were males, and they all are from Peshawar. Total sample size was 8 and Mean of the angle before using the splint is (20.75) and standard deviation among the angle was (2.315). Total sample size was 8 and Mean of the angle after using appliance for 15 day was (19.88) and standard deviation of the total population was (2.58), while the correction achieved in degree of angle has a mean of (1.00) and standard deviation of (0.535). Data was recorded and analyzed through SPSS. Conclusion. The persistence of the effect of orthosis is another point which could be assessed by evaluating changes during the wash-out period. The fact is that the angular changes are related to the time when orthosis is worn, so these changes were returned to first state by doffing the orthosis.
Mann RA, Coughlin MJ. Hallux valgus–etiology, anatomy, treatment and surgical considerations. ClinOrthopRelat Res 1981
Hardy RH, Clapham JC. Observations on hallux valgus; based on a controlled series. J Bone Joint Surg Br 1951
Inman VT. Hallux valgus: a review of etiologic factors. OrthopClin North Am 1974
4 Ferrari J, Higgins JPT, Prior TD. Interventions for treating hallux valgus (abductovalgus) and bunions. Cochrane Database of Systematic Reviews 2004
Pique-Vidal C, Sole MT, Antich J. Hallux valgus inheritance: pedigree research in 350 patients with bunion deformity. J Foot Ankle Surg 2007
Plessis du M, Zipfel B, Brantingham JW, Parkin-Smith GF, Birdsey P, Globe G, et al. Manual and manipulative therapy compared to night splint for symptomatic hallux abducto valgus: an exploratory randomised clinical trial. Foot (Edinb) 2011
Torkki M, Malmivaara A, Seitsalo S, Hoikka V, Laippala P, Paavolainen P. Surgery vs orthosis vs watchful waiting for hallux valgus: a randomized controlled trial. JAMA 2001;
Yamamoto H, Muneta T, Asahina S, Furuya K. Forefoot pressures during walking in feet afficted with hallux valgus. ClinOrthopRelat Res 1996
Tang SF, Chen CP, Pan J-L, Chen J-L, Leong C-P, Chu N-K. The effects of a new foot-toe orthosis in treating painful hallux valgus. Arch Phys Med Rehabil 2002;83:1792–5, doi:http://dx.doi.org/10.1053/apmr.2002.34835.
Hannan, Marian T.; Menz, Hylton B.; Jordan, Joanne M.; Cupples, L. Adrienne; Cheng, Chia-Ho; Hsu, Yi-Hsiang (2013). High Heritability of Hallux Valgus and Lesser Toe Deformities in Adult Men and Women. Arthritis Care & Research
Coughlin, M. J. (1984). Hallux valgus. Postgraduate Medicine, 75(5), 174
Abhishek A, Roddy E, Zhang W, Doherty M. Are hallux valgus and big toe pain associated with impaired quality of life? A cross-sectional study. Osteoarthr Cartil 2010;18(7):923–6
Milachowski KA, Krauss A. Comparing radiological examinations between hallux valgus night brace and a new dynamic orthosis for correction of the hallux valgus. Fuãÿ Sprunggelenk 2008
Du Plessis M, Morne Z, Bernhard B, James W, Gregory F, Paul GG, et al. Manual and manipulative therapy compared to night splint for symptomatic hallux abducto valgus: an exploratory randomised clinical trial. Foot 2011;21(2):71–8
How to Cite
Copyright (c) 2022 JPOST: Journal of Prosthetics Orthotics and Science Technology
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.