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-
1
Kalish, SR and FB Willis. :Hallux limitus and dynamic splinting: a retrospective series. .Foot Ankle Online J 2::1. ,2009. .[Published online; doi: 10.3827/faoj.2009.0204.0001]..
-
2
Goucher, NR and MJ Coughlin. :Hallux metatarsophalangeal joint arthrodesis using dome-shaped reamers and dorsal plate fixation: a prospective study. .Foot Ankle Int 27::869. ,2006. .
-
3
Willis, FB and M John. :Dynamic splinting increases flexion for hallux rigidus (pilot study). .BioMechanics 14::49. ,2007. .
-
4
John, MM, FB Willis, and A Protillo. :Dynamic splinting for runner’s toe: a case report with gait analysis. .JAPMA 99::367. ,2009. .
-
5
Brodsky, JW, BS Baum, FE Pollo, et al. :Prospective gait analysis in patients with first metatarsophalangeal joint arthrodesis for hallux rigidus. .Foot Ankle Int 28::162. ,2007. .
-
6
Talarico, LM, GR Vito, L Goldstein, et al. :Management of hallux limitus with distraction of the first metatarsophalangeal joint. .JAPMA 95::121. ,2005. .
-
7
Payne, C, V Chuter, and K Miller. :Sensitivity and specificity of the functional hallux limitus test to predict foot function. .JAPMA 92::269. ,2002. .
-
8
Kennedy, JG, FY Chow, J Dines, et al. :Outcomes after interposition arthroplasty for treatment of hallux rigidus. .Clin Orthop Relat Res 445::210. ,2006. .
-
9
DeFrino, PF, JW Brodsky, FE Pollo, et al. :First metatarsophalangeal arthrodesis: a clinical, pedobarographic and gait analysis study. .Foot Ankle Int 23::496. ,2002. .
-
10
Canseco, K, J Long, R Marks, et al. :Quantitative characterization of gait kinematics in patients with hallux rigidus using the Milwaukee foot model. .J Orthop Res 2007. Oct 30:,1––9.
-
11
Lau, JT and TR Daniels. :Outcomes following cheilectomy and interpositional arthroplasty in hallux rigidus. .Foot Ankle Int 22::462. ,2001. .
-
12
Shamus, J, E Shamus, RN Gugel, et al. :The effect of sesamoid mobilization, flexor hallucis strengthening, and gait training on reducing pain and restoring function in individuals with hallux limitus: a clinical trial. .J Orthop Sports Phys Ther 34::368. ,2004. .
-
13
Willis, FB . :Dancers restore knee flexion through dynamic splinting. .BioMechanics 15::49. ,2008. .
-
14
Lai, JM, GE Francisco, and FB Willis. :Dynamic splinting on range of motion and spasticity after treatment with botulinum toxin-a: a randomized, controlled pilot study. .Adv Ther 26::241. ,2009. .
-
15
Finger, E and FB Willis. :Dynamic splinting for knee flexion contracture following total knee arthroplasty: a case report. .Cases J 1::421. ,2008. .
-
16
Wülker, N and M Rudert. :Hallux Rigidus. .Foot Ankle Surg. 5::61. ,1999. .
-
17
Lui, TH . :Arthroscopy and endoscopy of the foot and ankle: indications for new techniques. .Arthroscopy 23::889. ,2007. .
-
18
Shulman, DH, B Shipman, and FB Willis. :Treating trismus with dynamic splinting: a cohort, case series. .Adv Ther 25::9. ,2008. .
Dynamic Splinting for Postoperative Hallux Limitus
A Randomized, Controlled Trial
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Background:
Hallux limitus (HL) is a pathology of degenerative arthritis in the first metatarsophalangeal joint (MTJ) of the great toe. Chief complaints of HL include inflammation, edema, pain, and reduced flexibility. The onset of HL commonly occurs after one of the two most common surgical procedures for foot pathologies, a bunionectomy or a cheilectomy. The purpose of this study is to determine the efficacy of dynamic splinting in treating patients with postoperative hallux limitus, in a randomized, controlled trial.
Methods:
Fifty patients (ages 29 to 69) were enrolled after diagnosis of HL following surgery. The duration of this study was eight weeks, and all patients received nonsteroidal anti-inflammatory drugs, orthotics, and instructions for a home exercise program. Experimental patients were also treated with dynamic splinting for first MTJ extension (60 minutes, three times per day). The dependent variable was change in active range of motion (AROM). A repeated measures analysis of variance was used with independent variables of patient categories, surgical procedure (cheilectomy vs. bunionectomy) and duration since surgery.
Results:
There was a significant difference in change of AROM for experimental vs. control patients (P < 0.001, T = 4.224, N = 48); there was also a significant difference for patient treated within 2 months of surgery (P = 0.0221).
Conclusions:
Dynamic splinting was effective in reducing contracture of postoperative hallux limitus in this study; experimental patients gained a mean 250% improvement in AROM. This modality should be considered for standard of care in treating postoperative hallux limitus. (J Am Podiatr Med Assoc 101(4): 285–288, 2011)
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