Issue: 2021, Vol. 26, No. 2

R. F. Khayrutdinov, Т. B. Мinasov, I. E. Nigamedzyanov, Е. R. Yakupova, E. I. Мukhametzyanova

INTERRELATION OF ROENTGENOLOGICAL AND FUNCTIONAL RESULTS OF SURGICAL TREATMENT FOR HALLUX VALGUS

Keywords

hallux valgus, osteotomy by Scarf, Austin, Bosh – Magnan techniques

Abstarct

Objective – to reveal the interaction of roentgenological and functional results of operative treatment for hallux valgus with usage of methods which preserve metatarsophalangeal articular. Material and methods. 342 patients with hallux valgus of I-III stage were enrolled in the study. Patients were divided into three groups due to the applied osteotomy technique: the first (n = 126) – who undergone the osteotomy by Scarf technique, the second (n = 93) – osteotomy by Austin technique, the third (n = 123) – osteotomy by Bosh – Magnan technique. The effectiveness of operative treatment was evaluated by AOFAS (Kitaoka) scale and foot roentgenogram analysis, where hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular angle (DMMA), and also the difference of these angles values were determined before and after osteotomy (angle correction). Results and discussion. The most correction of HVA was reached after Scarf osteotomy (30,4 ± 2,5о), IMA – after Austin osteotomy (8,6 ± 3,1о), DMMA – after Bosch – Magnan osteotomy (11 ± 4,1о). Positive correlations between these angles correction and operation functional result by AOFAS scale were revealed. Conclusions. The obtained correlative interactions might be used in optimal osteotomy technique choice.

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• Vestnik 2 2021 sbornik-13-16