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Journal of Foot and Ankle Research

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Open Access 01-12-2014 | Research

Foot kinematics in walking on a level surface and on stairs in patients with hallux rigidus before and after cheilectomy

Authors: Benita Kuni, Sebastian Immanuel Wolf, Felix Zeifang, Marc Thomsen

Published in: Journal of Foot and Ankle Research | Issue 1/2014

Abstract

Background

Walking down stairs is a clinically relevant daily activity for older persons. The aim of this pilot study was to investigate the impact of cheilectomy on walking on level ground and on stairs.

Methods

3D motion analysis of foot kinematics was performed in eight patients with hallux rigidus and 11 healthy control participants with a 12-camera system, using the Heidelberg foot measurement method before and one year after surgery. The clinical results were documented using the AOFAS Scale.

Results

The range of motion of the first metatarsophalangeal joint did not improve after the operation under any gait condition. Preoperatively, hallux dorsi-/plantarflexion in level walking was 11.9° lower in patients than in controls (p = 0.006), postoperatively 14.5° lower (p = 0.004). Comparing walking conditions in patients, hallux dorsi-/plantarflexion was significantly higher in level walking than in climbing stairs (difference up stairs – level: -8.1°, p = 0.018).

The AOFAS Scale improved significantly from 56.9 ± 19.9 points (mean ± SD), preoperatively, to 75.9 ± 13.9 points, postoperatively (p = 0.027).

Conclusions

Cheilectomy is appropriate for reducing symptoms of hallux rigidus. However, neither a positive influence on the range of motion in walking on level ground and on stairs nor a functional improvement was observed in this group of patients.

Trial registration

NCT01804491

Available only for authorised users

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Title: Foot kinematics in walking on a level surface and on stairs in patients with hallux rigidus before and after cheilectomy
Authors: Benita Kuni
Sebastian Immanuel Wolf
Felix Zeifang
Marc Thomsen
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Journal of Foot and Ankle Research / Issue 1/2014
Electronic ISSN: 1757-1146
DOI: https://doi.org/10.1186/1757-1146-7-13

At a glance: The STEP trials

Springer Medicine

Foot kinematics in walking on a level surface and on stairs in patients with hallux rigidus before and after cheilectomy

Abstract

Background

Methods

Results

Conclusions

Trial registration

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

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