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Updated: May 30, 2026

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

Published on: February 17, 2018

Dynamic splinting for postoperative hallux limitus: a randomized, controlled trial.

Mathew M John¹, Stanley Kalish, Stephen V Perns

¹Ankle & Foot Centers, Marietta, GA, USA.

Journal of the American Podiatric Medical Association

|August 6, 2011

Summary

Dynamic splinting significantly improved range of motion for hallux limitus (HL) patients post-surgery. This treatment offers a substantial improvement for those experiencing stiffness and pain after foot procedures.

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Area of Science:

Orthopedics
Podiatry
Sports Medicine

Background:

Hallux limitus (HL) is degenerative arthritis affecting the first metatarsophalangeal joint (MTJ).
Postoperative HL often arises after bunionectomy or cheilectomy, causing pain and reduced flexibility.
Current treatments aim to alleviate symptoms of this common foot pathology.

Purpose of the Study:

To evaluate the efficacy of dynamic splinting for treating postoperative hallux limitus.
To determine if dynamic splinting improves active range of motion (AROM) in patients with HL.
To compare outcomes between patients receiving dynamic splinting and those in a control group.

Main Methods:

A randomized controlled trial enrolled 50 patients diagnosed with HL post-surgery.

Related Experiment Videos

Last Updated: May 30, 2026

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

Published on: February 17, 2018

Participants received standard care (NSAIDs, orthotics, exercises) with the experimental group also using dynamic splinting for MTJ extension.

The study duration was eight weeks, measuring changes in AROM as the primary outcome.

Main Results:

Dynamic splinting showed a significant improvement in AROM compared to the control group (P < 0.001).
Patients treated within two months of surgery also demonstrated significant AROM improvements (P = 0.0221).
Experimental patients achieved a mean 250% improvement in AROM.

Conclusions:

Dynamic splinting is an effective treatment for reducing contracture in postoperative hallux limitus.
This therapeutic modality should be considered for integration into the standard care protocols for HL.
Dynamic splinting offers a promising non-invasive approach to enhance joint mobility and patient outcomes.