X-RAY ASPECTS OF FOREFOOT RECONSTRUCTION

Ntroduction: Hallux valgus is a pathology that directly affects the quality of life of patients. Dissatisfaction with the results of treatment of Hallux valgus suggests the search for options for operations that can improve the anatomical and biomechanical parameters of the forefoot. The purpose of the study was to analyze the X-ray aspects of hallux valgus during osteotomy using the methods of reserve and metatarsophalangeal joints (osteotomy of the first metatarsal bone by the method of Scarf, Austin, Bosch Magnan).Material and methods: the results of surgical treatment of patients with hallux valgus I, II, III degree were analyzed in 342 patients who underwent osteotomy surgery in the Chelyabinsk Regional Clinical Hospital No. 1 for the period from January 2015 to June 2019. Radiographs were studied and interpreted at intervals of 2, 6 and 12 months after osteotomy with the study of the angles of HVA, IMA, DMMA. The results of surgical treatment were evaluated on the AOFAS scale (Kitaoka).Results and discussion: The best correction of the HVA angle was achieved after an osteotomy using the Scarf technique. The average AOFAS score was the highest in the group of patients operated on by the Scarf method and averaged 86.0 points after surgery. Austin osteotomy led to a greater correction of the IMA angle. On an open angle correction, DMMA was detected after an osteotomy according to Bosch-Magnan.Conclusion: Osteotomy Scarf allows to best normalize the X-ray anatomical parameters of the HVA angles with Hallux valgus. In osteotomy, the Scarf in the postoperative period in patients is marked by the highest AOFAS score, which gives a good functional result.

остеотомия первой плюсневой кости, Hallux valgus, остеотомия по Austin, Bosh-magnan, Scarf, угол вальгусного отклонения первого пальца, межплюсневый угол, дистальный плюсневый суставной угол, osteotomy of the first metatarsal bone, Hallux valgus, Austin osteotomy, Bosch Magnan, Scarf, angle of valgus deviation of the first finger, tarsal angle, distal metatarsal articular angle