32-187
Tratamiento conservador del hallux valgus juvenil mediante ortesis nocturnas
Treatment of adolescent hallux valgus with nocturnal splintage
C. A. DE SOUZA NERY, J. MITSOU MIZUSAKI, A. A. COUTO DE MAGALHÁES.B. DUTRA MACEDO y A. C. CAMILO Departamento de Ortopedia e Traumatología da Universidade Federal Sao Paulo.Escola Paulista de Medicina.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008
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Resumen (ES)
The results of conservative treatment of adolescent hallux valgus using custom made nocturnal splints in 18 patients ranging in age from 8 to 15 years (mean 12) are presented. The average period of treatment and follow-up was 18 months. There was a high rate (44%) of treatment abandon. As assessment parameters were used radiographic measures of the hallux valgus angle and the intermetatarsal I-II angle. Measures were obtained before treatment and at the end of follow-up. The initial mean valgus angle was 22° and the last mean value 20°. The mean valus of the intermetatarsal angle were respectively 11° and 10,7°. There were no significant statistical differences, indicating that the treatment of hallux valgus using nocturnal splintage do not correct the deformity but avoid its progression.
Palabras clave (ES):
Hallux
Pie
Deformidad
Juanete
Dedo
Tratamiento
Conservador
Valgus
Juvenil
Ortesis
Resumen (EN)
The results of conservative treatment of adolescent hallux valgus using custom made nocturnal splints in 18 patients ranging in age from 8 to 15 years (mean 12) are presented. The average period of treatment and follow-up was 18 months. There was a high rate (44%) of treatment abandon. As assessment parameters were used radiographic measures of the hallux valgus angle and the intermetatarsal I-II angle. Measures were obtained before treatment and at the end of follow-up. The initial mean valgus angle was 22° and the last mean value 20°. The mean valus of the intermetatarsal angle were respectively 11° and 10,7°. There were no significant statistical differences, indicating that the treatment of hallux valgus using nocturnal splintage do not correct the deformity but avoid its progression.
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