eISSN: 1734-4948
ISSN: 0860-6161
Advances in Rehabilitation
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abstract:
Original paper

The effects of hallux valgus and hallux rigidus surgery on gait biomechanics: a systematic review

Karol Lann Vel Lace
1
,
Michalina Błażkiewicz
1
,
Paweł Kołodziejski
2

1.
Józef Piłsudski University of Physical Education in Warsaw, Faculty of Rehabilitation
2.
Medical University of Warsaw, Department of Orthopaedics and Physical Rehabilitation
Advances in Rehabilitation
Online publish date: 2021/05/25
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Hallux valgus (HV) and hallux rigidus (HR) are common foot conditions that lead to

deterioration of health status. This review aims to summarize and update information on the

currently published research explicitly related to the influence of HV and HR surgeries on

lower extremity gait biomechanics.

A review of papers published from 1999 to 2020 has been conducted. The databases searched

included Science Direct, PubMed Central, PubMed and EBSCO.

After HV surgeries, most of patients’ spatio-temporal parameters remain the same as they

were before them. Changes in plantar pressure parameters of the hallux region are

inconclusive and depend on a study. In patients after HR surgeries, such as cheilectomy and

Ist metatarsophalangeal joint (MTP I) arthrodesis, they do not affect knee or hip kinematics.

The influence of MTP I arthrodesis on ankle joint kinematics is unclear. Cheilectomy in most

cases increases MTP I motion in the sagittal plane. The HV angle and the intermetatarsal

angle have significantly decreased after surgeries in all papers. American Orthopedic Foot

and Ankle Society MTP–IP score results are also much better than their pre-operative values

in patients after HV and HR surgeries.

Surgical treatment decreases pain and allows patients to perform activities of daily living, but

it does not normalize gait parameters. Further research on a large group of patients is needed

to comprehensively assess kinetic, kinematic and plantar pressure parameters as well as

muscle activity after HV and HR surgeries.
keywords:

Biomechanics, Hallux rigidus, Hallux valgus, Gait











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