Protocol: a randomized parallel-group study of women after hallux valgus correction surgery to compare the effects of "core foot system" training vs. traditional rehabilitation methods - Summary by Liv Harley Street Hospital
Bunion Surgery London

Protocol: a randomized parallel-group study of women after hallux valgus correction surgery to compare the effects of “core foot system” training vs. traditional rehabilitation methods – Summary by Liv Harley Street Hospital

Purpose: The aim of this study is to compare the effects of Core Foot System muscle training vs. traditional rehabilitation methods in female patients after a hallux valgus correction surgery. Methods: The project will involve 60 women who have undergone a Scarf osteotomy to correct the deformity. Participants will be divided into a control and experimental group. The experimental group will follow the Core Foot System protocol, whereas the control group will perform standard lower-limb…

Self-management activation for low back pain and its influencing factors among intensive care unit nurses: a multicenter cross-sectional study - Summary by Liv Harley Street Hospital
Medical Condition

Self-management activation for low back pain and its influencing factors among intensive care unit nurses: a multicenter cross-sectional study – Summary by Liv Harley Street Hospital

CONCLUSION: The overall self-management activation for LBP among ICU nurses needs to be improved urgently. Although these nurses demonstrate a strong motivation for self-management, they possess insufficient knowledge regarding LBP. Therefore, future interventions should be tailored to key factors such as ICU nurses’ age, years of work experience, education level, exercise frequency, participation in LBP prevention training, presenteeism, and perceived social support. Developing such precise and…

Racz Catheter Technique Versus Conventional Technique in Lumbar Epidural Steroid Injection for Management of Low Back Pain: A Randomized Controlled Trial - Summary by Liv Harley Street Hospital
Medical Condition

Racz Catheter Technique Versus Conventional Technique in Lumbar Epidural Steroid Injection for Management of Low Back Pain: A Randomized Controlled Trial – Summary by Liv Harley Street Hospital

CONCLUSIONS: The Racz catheter technique is a superior interventional option for lumbar epidural steroid delivery in patients with persistent LBP, providing enhanced pain relief, improved functional outcomes, greater patient satisfaction, and equivalent procedural safety compared to the conventional technique.

Self-management activation for low back pain and its influencing factors among intensive care unit nurses: a multicenter cross-sectional study - Summary by Liv Harley Street Hospital
Medical Condition

Self-management activation for low back pain and its influencing factors among intensive care unit nurses: a multicenter cross-sectional study – Summary by Liv Harley Street Hospital

CONCLUSION: The overall self-management activation for LBP among ICU nurses needs to be improved urgently. Although these nurses demonstrate a strong motivation for self-management, they possess insufficient knowledge regarding LBP. Therefore, future interventions should be tailored to key factors such as ICU nurses’ age, years of work experience, education level, exercise frequency, participation in LBP prevention training, presenteeism, and perceived social support. Developing such precise and…

Impact of Sesamoid Coverage on Clinical Foot Function Following Fourth-Generation Percutaneous Hallux Valgus Surgery - Summary by Liv Harley Street Hospital
Bunion Surgery London

Impact of Sesamoid Coverage on Clinical Foot Function Following Fourth-Generation Percutaneous Hallux Valgus Surgery – Summary by Liv Harley Street Hospital

CONCLUSION: This study found that cases where the sesamoids were not reduced had a poorer correction and had worse preoperative deformity. Clinical outcomes and foot function following fourth-generation percutaneous hallux valgus surgery were not affected by sesamoid coverage at the 12-month follow-up. The long-term implications in the difference in radiographic deformity between the 3 cohorts are not known, and further work should explore the relationship of first ray pronation and sesamoid…

Perspectives and trends for minimally invasive surgery for hallux valgus deformity in the Asia Pacific region - Summary by Liv Harley Street Hospital
Bunion Surgery London

Perspectives and trends for minimally invasive surgery for hallux valgus deformity in the Asia Pacific region – Summary by Liv Harley Street Hospital

CONCLUSIONS: MIS hallux valgus surgery is gaining popularity in the Asia Pacific region, with the majority of surgeons adopting this practice. The fact that severe deformity is seen as the most frequent contraindication and that MIS surgery is still not the most popular alternative demonstrates that surgeons are still circumspect when it comes to MIS surgery. Surgeons can use the findings of this study to guide their adoption of MIS practices in hallux valgus surgery and gauge well they perform…

First metatarsal shortening after hallux valgus surgery: Benefits of treatment with distraction osteogenesis - Summary by Liv Harley Street Hospital
Bunion Surgery London

First metatarsal shortening after hallux valgus surgery: Benefits of treatment with distraction osteogenesis – Summary by Liv Harley Street Hospital

CONCLUSION: Using Ilizarov equipment for distraction osteogenesis of MT1 is a low-cost and effective method. Over time, this technique has proven its utility in pronounced iatrogenic shortening of MT1. The possibility to lengthen more than 1 cm, to correct in multiple planes, as well as early mobilization and weight bearing are additional advantages, but one must be careful to avoid overcorrection. The need for strict follow-up with multiple radiographs and rigorous patient selection is…

Management of Anxiety for Ambulatory Hallux Valgus Surgery With a Virtual Reality Hypnosis Mask: Randomized Controlled Trial - Summary by Liv Harley Street Hospital
Bunion Surgery London

Management of Anxiety for Ambulatory Hallux Valgus Surgery With a Virtual Reality Hypnosis Mask: Randomized Controlled Trial – Summary by Liv Harley Street Hospital

CONCLUSION: In this study cohort undergoing percutaneous hallux valgus surgery, we found that use of a virtual reality hypnosis mask before surgery modestly reduced postoperative and predischarge anxiety as well as early postoperative consumption of higher-level analgesics in adults with significant preoperative anxiety.

Hallux Valgus Plantar Pressure Distribution Before and After Surgery - Summary by Liv Harley Street Hospital
Bunion Surgery London

Hallux Valgus Plantar Pressure Distribution Before and After Surgery – Summary by Liv Harley Street Hospital

Hallux valgus is a common foot deformity that may cause pain and functional limitation, and often requires surgical correction. Clinical and radiographic parameters are typically used to assess postoperative outcomes. Plantar pressure distribution systems represent an innovative additional tool to evaluate hallux functional outcome after surgery. A systematic review of the current literature was performed to assess evaluation systems used for plantar pressure analysis and differences before and…

Stability of osteotomy in minimally invasive hallux valgus surgery with "8" shaped bandage during gait: a finite element analysis - Summary by Liv Harley Street Hospital
Bunion Surgery London

Stability of osteotomy in minimally invasive hallux valgus surgery with “8” shaped bandage during gait: a finite element analysis – Summary by Liv Harley Street Hospital

CONCLUSION: During the stance phase, the osteotomy end of the first metatarsal is predominantly subjected to compressive stress, with the relative displacement within the safe range to promote healing. The application of an “8” bandage for external fixation after surgery can maintain the dynamic stability of osteotomy sites post-minimally invasive hallux valgus correction during the gait cycle, thereby promoting the healing of the osteotomy ends.

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature - Summary by Liv Harley Street Hospital
Medical Condition

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature – Summary by Liv Harley Street Hospital

Physiotherapy is a widely used form of treatment of low back pain (LBP) and is important in non-surgical/surgical management of patients with lumbosacral transitional vertebrae (LSTV). This review presents physiotherapeutic management in LSTV patients with LBP. A search was performed in PubMed, Scopus, Embase, Medline, and Google Scholar between November 20 and December 31, 2023. The mean age of patients was 39 years. The patients had an average of 13 sessions, and the average duration of…

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature - Summary by Liv Harley Street Hospital
Medical Condition

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature – Summary by Liv Harley Street Hospital

Physiotherapy is a widely used form of treatment of low back pain (LBP) and is important in non-surgical/surgical management of patients with lumbosacral transitional vertebrae (LSTV). This review presents physiotherapeutic management in LSTV patients with LBP. A search was performed in PubMed, Scopus, Embase, Medline, and Google Scholar between November 20 and December 31, 2023. The mean age of patients was 39 years. The patients had an average of 13 sessions, and the average duration of…

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature - Summary by Liv Harley Street Hospital
Medical Condition

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature – Summary by Liv Harley Street Hospital

Physiotherapy is a widely used form of treatment of low back pain (LBP) and is important in non-surgical/surgical management of patients with lumbosacral transitional vertebrae (LSTV). This review presents physiotherapeutic management in LSTV patients with LBP. A search was performed in PubMed, Scopus, Embase, Medline, and Google Scholar between November 20 and December 31, 2023. The mean age of patients was 39 years. The patients had an average of 13 sessions, and the average duration of…

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature - Summary by Liv Harley Street Hospital
Medical Condition

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature – Summary by Liv Harley Street Hospital

Physiotherapy is a widely used form of treatment of low back pain (LBP) and is important in non-surgical/surgical management of patients with lumbosacral transitional vertebrae (LSTV). This review presents physiotherapeutic management in LSTV patients with LBP. A search was performed in PubMed, Scopus, Embase, Medline, and Google Scholar between November 20 and December 31, 2023. The mean age of patients was 39 years. The patients had an average of 13 sessions, and the average duration of…

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature - Summary by Liv Harley Street Hospital
Medical Condition

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature – Summary by Liv Harley Street Hospital

Physiotherapy is a widely used form of treatment of low back pain (LBP) and is important in non-surgical/surgical management of patients with lumbosacral transitional vertebrae (LSTV). This review presents physiotherapeutic management in LSTV patients with LBP. A search was performed in PubMed, Scopus, Embase, Medline, and Google Scholar between November 20 and December 31, 2023. The mean age of patients was 39 years. The patients had an average of 13 sessions, and the average duration of…

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature - Summary by Liv Harley Street Hospital
Medical Condition

Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature – Summary by Liv Harley Street Hospital

Physiotherapy is a widely used form of treatment of low back pain (LBP) and is important in non-surgical/surgical management of patients with lumbosacral transitional vertebrae (LSTV). This review presents physiotherapeutic management in LSTV patients with LBP. A search was performed in PubMed, Scopus, Embase, Medline, and Google Scholar between November 20 and December 31, 2023. The mean age of patients was 39 years. The patients had an average of 13 sessions, and the average duration of…

Analysis of Factors Influencing Corrective Power of Akin's Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery - Summary by Liv Harley Street Hospital
Bunion Surgery London

Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery – Summary by Liv Harley Street Hospital

Background/Objectives: Akin osteotomy, in the context of corrective surgery for hallux valgus, is an effective tool available to surgeons. However, few studies have thoroughly investigated the anatomical and technical characteristics to be considered in order to perform an optimal osteotomy. This cross-sectional observational study aims to identify the ideal site for performing Akin osteotomy and to identify the factors that influence its corrective power. Methods: To this end, an analysis was…

Biomechanical model of minimally invasive hallux valgus surgery - Summary by Liv Harley Street Hospital
Bunion Surgery London

Biomechanical model of minimally invasive hallux valgus surgery – Summary by Liv Harley Street Hospital

Hallux valgus is a common foot deformity characterized by outward tilting and twisting of the big toe, often accompanied by a medial prominence at the base. Minimally invasive surgical techniques are widely utilized for treating metatarsus adductus due to their advantages of smaller incisions, faster recovery, and early weight-bearing. However, due to individual variations and limited sample size, the biomechanical effects of different Kirschner wire fixation methods and the underlying…

Learning Curve for Minimally Invasive Surgery (MIS) for the Treatment of Hallux Valgus - Summary by Liv Harley Street Hospital
Bunion Surgery London

Learning Curve for Minimally Invasive Surgery (MIS) for the Treatment of Hallux Valgus – Summary by Liv Harley Street Hospital

IntroductionCorrection of hallux valgus through minimally invasive surgery (MIS) has grown in popularity in recent years. Despite the increase in use, there has been limited research into the learning curve associated with the procedure, which has been documented extensively for other MIS procedures. Our study looked to determine the learning curve associated with MIS hallux valgus surgery.MethodsA retrospective review was conducted of patients who underwent MIS hallux valgus surgery, performed…