Başlık: Hallux rigidus Extracorporeal shock wave treatment

• ABSTRACT

  Objective: to evaluate the effectiveness of shock wave therapy in the treatment of Hallux rigidus.
  Methods: a descriptive, cross-sectional study was carried out with 26 patients with Hallux rigidus, treated with extracorporeal shock waves at the “Frank País” International Orthopedic Scientific Complex, in the period from March 2019 to February 2020. carried out the analysis of the variables (age, sex, pain and scale of the American Orthopedic Foot & Ankle Society). The absolute and relative frequencies were obtained. With them the tables were made that summarize the statistical information of the investigation.
  Results: 84.6% and 38.5% (50-60 years of age) were female. The number of patients according to Coughlin’s classification (65.3%) belonged to grade I and all presented pain before the application of therapy. After treatment, this situation was reversed and 69.2% of the patients stopped feeling it, remaining in 7.7% of the cases (grade III and IV). The American Orthopedic Foot & Ankle Society scale (53.8%) of the patients studied had a qualitative interpretation of bad (<50 points) before starting treatment; subsequently, only 7.7% remained with that score.
  Conclusions: shock wave therapy, with the Well Wave equipment, was highly effective and enabled a rapid recovery of patients and their incorporation into daily activities.
  
  
  

   

  REFERENCES

  1. Asunción J, Martín X. Hallux rigidus: etiología, diagnóstico, clasificación y tratamiento. Rev Esp Cir Ortop Traumatol 2017; 54:321-8. 2.Davies-Colley N. Contraction of the metatarsophalangeal joint of the great toe (hallux flexus). Br Med J. 1887;1:728.

  2. Cotterill JM. Stiffness of the great toe in adolescents. Br Med J. 1888; 1:1158–62.

  3. Herrera-Pérez M, Andarcia-Bañuelos C, de Bergua-Domingo J, Paul J, Barg A, Valderrabano V. Propuesta de algoritmo global de tratamiento del Hallux rigidus según la medicina basada en la evidencia. Rev Esp Cir Ortop Traumatol 2014; 58(6):377-86

  4. Nuñez – Samper P. Clasificaciones del hallux rígidus ¿todos vemos lo mismo?. Rev Pie Tobillo 2015; 29:22-6.

  5. Coughlin MJ, Shurnas PS. Hallux Rigidus: Demographics, etiology and radiographic assessment. Foot Ankle Int. 2003;24:731–43

  6. Regnauld, B: Hallux rigidus. Foot, 335: 350, 1986.

  7. Feldman KA. The Green-Watermann procedure: geometric analysis and preoperative radiographic template technique. J Foot Surg 1992; 31:182-5

  8. Álvarez F, Viladot R: Hallux rigidus Algoritmo de tratamiento. En: Tratado de cirugía del antepié. Euromedice-Badalona; 2010. 97-8

  9. Cabestany Castellá M, Cabestany Perich B, Castillo Sánchez L, Galaz López R E, Herrera Segura R, Stephen A,et al Cirugía Mínimamente Invasiva Del Pie. Barcelona: Editorial Glosa, S.L.; 2017.

  10. Romero M, Martínez A. Alcances de la terapia con ondas de choque extracorpóreas en lesiones músculo-esquéleticas. Archivos Venezolanos de Farmacología y Terapéutica. 2015; 34(2):27-30.

  11. Garcés J. Eficacia de la terapia de ondas de choque como alternativa de tratamiento en lesiones del manguito rotador. 2016;13(1):23- 9.

  12. Schmitz C, Császár NBM, Milz S, Schieker M, Maffulli N, Rompe JD, et al. Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: A systematic review on studies listed in the Pedro database. Br Med Bull. 2015; 116(1):1-24.

  13. Christie B. Doctors revise Declararion of Helsinki. British Medical Journal 2000; 321: 913.

  14. Hattrup SJ, Johnson KA. Subjective results of Hallux rigidus following treatment with cheilectomy. Clin Orthop Relat Res 1988;226:182- 191

  15. Deland JT, Williams BR: Surgical management of Hallux rigidus. J Am Acad Orthop Surg. 2012 20(6): 347-58.

  16. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Foot & Ankle International. 1994.

  17. Shields NN: Hallux rigidus. Orthopaedic knowledge update: Foot and Ankle 4. EUA: AAOS; 2008.

  18. Nagy MT, Walker CR, Sirikonda SP. Second-generation ceramic first metatarsophalangeal joint replacement for Hallux rigidus. Foot Ankle Int 2014; 35:690-698.

  19. Baumhauer JF, Singh D, Glazebrook M; for and on behalf of the CARTIVA Motion Study Group. Prospective, randomized, multi-centered clinical trial assessing safety and efficacy of a synthetic cartilage implant versus first metatarsophalangeal arthrodesis in advanced Hallux rigidus Foot Ankle Int 2016; 37:457-469.

  20. Méndez-Gil A, Poggio D, Asunción J. Osteotomía oblicua distal del primer metatarsiano en la cirugía del Hallux rigidus Valoración radiológica del descenso y acortamiento. Rev. del Pie y Tobillo 2015; 29(2):88-93.

  21. Mirallas Martínez JA. Efectividad de las ondas de choque extracorpóreas basada en la evidencia. Rehabilitación (Madr). 2005;39(2):52- 8. Disponible en: http://www.sld.cu/galerias/pdf/sitios/rehabilitacionfis/efectividad de las ondas de choque.pdf

   

   

  10.21673/anadoluklin.452068