外翻手术能改变步态参数吗?文献综述

Maude Traullé, J. Mazeas, Jérôme Sadaka, R. Touzard, M. Trousselier, Florian Forelli
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引用次数: 1

摘要

背景:拇外翻变形构成了最常见的前足变形,也是该地区最常见的矫正手术之一。这种变形是许多生物力学疾病和步态障碍的原因。本文旨在分析拇外翻矫正手术后行走时空和运动学参数的恢复。方法:根据干预前后的步行速度、支撑时间、步长、踝关节和足部运动学等主要指标对4项研究进行分析。结果:如果在分析工作中获得的一些结果显示术后这些标准的改善,那么从拇外翻手术中受益的受试者似乎在时空和运动学参数方面存在一些持续的问题。结论:这项工作并没有证明一种手术技术比另一种手术技术在步态恢复方面的优越性。这种恢复似乎不是绝对的,但这篇综述首先强调了关于这一主题的文献的缺乏。
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DOES HALLUX VALGUS SURGERY MODIFY THE GAIT PARAMETERS? LITERATURE REVIEW
Background: the deformation of the hallux into a valgus constitutes the most frequent deformation of the forefoot and one of the most performed corrective surgeries in the region. This deformation is the cause of many biomechanical disorders and causes gait disturbances. This review aims to analyze the restoration of space-time and kinematic parameters of walking in the aftermath of corrective surgery for hallux valgus. Methods: four studies were analyzed according to the main criteria of walking speed, support time, step length and kinematics of the ankle and foot before and after the intervention. Results: If some of the results obtained in the analyzed works show an improvement of these criteria in post-operative, the subjects having benefited from hallux valgus surgery seem to present some persistent issues in the spatiotemporal and kinematic parameters. Conclusion: This work does not demonstrate the superiority of one surgical technique over another in the recovery of gait. This recovery does not seem absolute, but this review highlights above all the lack of literature on this subject.
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