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Radiographic measurements have limited effect in dynamic plantar pressures in hallux valgus patients

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

Radiographic measurements are the gold standard in the management for preoperative surgical planning of hallux valgus deformity. Plantar pressure technology is a tool that is not commonly used to evaluate and manage hallux valgus patients, and few studies have reported the correlation of plantar pressure measurements and radiography.

Methods

A prospective cohort study was designed to analyze plantar pressure measurements and radiographic variables. The inclusion criteria were age over 18 years old, and diagnosis of hallux valgus requesting surgical correction because of discomfort, pain or difficulty with shoe wear. Plantar pressure measurements were performed using a platform. Radiographic data were obtained according to the guidelines of the AOFAS Committee on Angular Measurements.

Results

A total of 114 patients met the inclusion criteria. Mean age of the patients was 50 years, and 94 patients (82.5%) were women. We found significant correlations between dynamic plantar pressure measurements and HVA, DMAA, and MDA. Mean pressure under third metatarsal head was the most associated plantar pressure measurement with hallux valgus angle and metatarsal declination angle. However, this association showed signs of weakness.

Conclusion

Hallux valgus angle and metatarsal declination angle had a minimal influence on plantar-loading parameters. Pressure values did not discriminate the magnitude of HV deformity. Others factors responsible for the observed plantar pressures pattern should be addressed.

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Authors and Affiliations

  1. Foot and Ankle Unit, Department of Orthopedic Surgery, HLA, Clinica Vistahermosa Av de Denia 76, 03016, Alicante, Spain

    Carmen Verdu Roman, Enrique Martinez Gimenez, David Bustamante Suarez de Puga, Jesus Mas Martinez, Manuel Morales Santias & Javier Sanz-Reig

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  1. Carmen Verdu Roman
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  2. Enrique Martinez Gimenez
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  3. David Bustamante Suarez de Puga
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  4. Jesus Mas Martinez
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  5. Manuel Morales Santias
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  6. Javier Sanz-Reig
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Correspondence to Javier Sanz-Reig.

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Verdu Roman, C., Martinez Gimenez, E., Bustamante Suarez de Puga, D. et al. Radiographic measurements have limited effect in dynamic plantar pressures in hallux valgus patients. Eur J Orthop Surg Traumatol 32, 19–26 (2022). https://doi.org/10.1007/s00590-021-02906-4

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  • DOI: https://doi.org/10.1007/s00590-021-02906-4

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