Comparison of Designed Slippers Splints with the Splints Available on the Market in the Treatment of Hallux Valgus

  • Babak Mirzashahi Mail Department of Orthopedic Surgery, Lorestan University of Medical Sciences, Khorramabad, Iran.
  • Mahdieh Ahmadifar Young Researchers Club, Khorramabad Branch, Student Islamic Azad University, Khorramabad, Iran.
  • Mehdi Birjandi Department of Biostatistics, Lorestan University of Medical Sciences, Khorramabad, Iran.
  • Yadollah Pournia Instructor, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
Keywords:
Hallux valgus, Hallux, Splints, Therapy

Abstract

Hallux valgus or the lateral deviation of the great toe is a complex disease. If it is not treated, it will cause the deviation of other toes. Hallux valgus is three times more common in females and may cause uncomfortable deformity of the foot, problems in putting on unsuitable and narrow toe box shoes, and pain on the medial side of the first metatarsophalangeal joint; therefore, patients seek medical services. Untreated hallux valgus may cause the hammer toe deformity of the second toe. In this cohort study, 30 patients referring to the Orthopedic Clinic of Shohada Ashayer Hospital of Khorramabad, Iran, with a complaint of hallux valgus were randomly divided into two groups. The splints designed by the researches (slippers splints) were given to the case group, and the splints on the market including night splints and interdigital pads were given to the control group. The patients were followed every three months for a year and every time the weight bearing anteroposterior radiography of both feet were taken and hallux valgus and intermetatarsal angles were measured. The data was analyzed by the SPSS software using repeated measure tests. In the case group that used the designed splints regularly, hallux valgus angles decreased more dramatically than in the control group (P<0.001). This study showed that, despite controversies over the nonoperative treatment of hallux valgus, if hallux valgus angle in patient is mild to moderate, the splint can be used as a nonoperative treatment.

References

Amarnek DL, Jacobs AM, Oloff LM. Adolescent hallux valgus: its etiology and surgical management. J Foot Surg 1985;24(1):54-61.

Coughlin MJ, Carlson RE. Treatment of hallux valgus with an increased distal metatarsal articular angle: evaluation of double and triple first ray osteotomies. Foot Ankle Int 1999;20(12):762-70.

Coughlin MJ, Mann RA. The pathophysiology of the juvenile bunion. Instr Course Lect 1987;36:123-36.

Albreckht E: Pathology and treatment of hallux valgus. Russki Vrach 1911;10:14.

Coughlin MJ. Juvenile bunions. In: Mann RA, Coughlin MJ, editors. Surgery of the Foot and Ankle. 6th ed. St. Louis: Mosby-Year Book; 1993. p. 341-412

Mann RA. Diagnosis and treatment of first metatarsophalangeal joint disorders. J Am Assoc Orthop Surg 1995;3:34.

Antrobus JN. The primary deformity in hallux valgus andmmetatarsus primus varus. Clin Orthop Relat Res 1984;(184):251-5.

Coughlin MJ. Roger A. Mann Award. Juvenile hallux valgus: etiology and treatment. Foot Ankle Int

Mann RA, Coughlin MJ. Hallux valgus: etiology, anatomy, treatment and surgical considerations. Clin Orthop Relat Res 1981;(157):31-41.

Mann RA, Pfeffinger L. Hallux valgus repair. DuVries modified McBride procedure. Clin Orthop Relat Res 1991;(272):213-8.

McBride E. Hallux valgus bunion deformity. In: American Academy of Orthopaedic Surgeons Instructional Course Lectures. Vol. 9. St. Louis: CV Mosby; 1952.

McBride E. The conservative operation for "bunions" and results and refinements of technique. JAMA 1935;105:1164.

Scranton PE Jr. Forefoot surgery: anatomy and reconstruction. Contemp Orthop 1983;6(4):51-145.

Myerson M. Hallux varus. In: Myerson MS, editor. Current Therapy in Foot and Ankle Surgery. St. Louis: Mosby-Year Book; 1993. p. 70-3.

How to Cite
1.
Mirzashahi B, Ahmadifar M, Birjandi M, Pournia Y. Comparison of Designed Slippers Splints with the Splints Available on the Market in the Treatment of Hallux Valgus. Acta Med Iran. 50(2):107-112.
Section
Articles